Lacey Jaqua
Utilization Management Supervisor at Health Management Partners- Claim this Profile
Contact Information
us****@****om
(386) 825-5501
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Location
Sioux Falls, South Dakota, United States, US
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Credentials
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CCCM Certified Case Manager
Commission for Case Manager Certification (CCMC)Apr, 2016- Oct, 2024
Experience
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Health Management Partners
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United States
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Wellness and Fitness Services
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1 - 100 Employee
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Utilization Management Supervisor
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Jan 2015 - Present
Responsibilities:• Oversight of Utilization Management Nursing Staff and Administrative Assistants• Care Coordination• Patient Advocate• Compliance with URAC Standards• Single Case Agreement Negotiation• Direct Communication with Health Plan Administration• Direct Communication with Third Party Administration• DRG/Claims Review and Repricing
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Certified Case Manager
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Feb 2013 - Present
Pediatric/Oncology/High Risk Obstetrics Case Manager Responsibilities: • Patient Advocate• Provide Age Specific Patient Education• Care Coordination• Patient Focused Support and Management• Compliance with URAC Standards
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Education
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2011 - 2013
Chamberlain College of Nursing
Bachelor of Science in Nursing -
2000 - 2002
St. Luke’s College of Nursing
Associate Degree in Nursing, Registered Nursing/Registered Nurse
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