Lisa Alderman, MPH
Case Manager at Guidance Care HMO- Claim this Profile
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Bio
Credentials
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American Heart Association CPR Certified
Liberty Regional Medical CenterApr, 2022- Nov, 2024
Experience
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Guided Care
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Case Manager
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Jun 2023 - Present
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Liberty Regional Medical Center
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Utilization Management Coordinator
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Aug 2021 - Present
Review admissions for Medical Necessity, Precertifications for admissions and tests, appeal denials Review admissions for Medical Necessity, Precertifications for admissions and tests, appeal denials
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LHC Group
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United States
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Hospitals and Health Care
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700 & Above Employee
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Account Executive
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Dec 2020 - Jul 2021
Sales Representative for University Home Health Sales Representative for University Home Health
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Discharge Planner/Social Services/Quality Coordinator
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Jan 2012 - Dec 2020
Assess Patient's Discharge needs, Make Referrals to Various Agencies, Communicate with Health Insurance for Eligibility & Pre-certification, Social Services, Monitor Hospital Readmissions, Utilize InterQual to Determine Patient Level of Care, Compile Hospital Data & Reports. Keep current with hospital policies & procedures and CMS guidelines. Assess Patient's Discharge needs, Make Referrals to Various Agencies, Communicate with Health Insurance for Eligibility & Pre-certification, Social Services, Monitor Hospital Readmissions, Utilize InterQual to Determine Patient Level of Care, Compile Hospital Data & Reports. Keep current with hospital policies & procedures and CMS guidelines.
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Instructor
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Aug 2008 - Jul 2011
Assess & Educate Clients with Develpomental Disabilities, Compile daily Progress Reports Assess & Educate Clients with Develpomental Disabilities, Compile daily Progress Reports
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Georgia Southern University
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United States
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Higher Education
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700 & Above Employee
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Secretary
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May 2005 - Dec 2007
Answering and direct calls, Assist in xeroxing exams, Assist Students with Advisement needs, Maintain and Compile Student Data Answering and direct calls, Assist in xeroxing exams, Assist Students with Advisement needs, Maintain and Compile Student Data
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Education
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Benedictine University
Master's degree, Public Health -
Ogeechee Technical College
Pharmacy Technician/Assistant -
Georgia Southern University
Bachelor of Science in Health Science, Community Health