Lisa Alderman, MPH

Case Manager at Guidance Care HMO
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Contact Information
us****@****om
(386) 825-5501
Location
Statesboro, GE

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Credentials

  • American Heart Association CPR Certified
    Liberty Regional Medical Center
    Apr, 2022
    - Nov, 2024

Experience

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Case Manager
      • Jun 2023 - Present

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Utilization Management Coordinator
      • 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

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Account Executive
      • Dec 2020 - Jul 2021

      Sales Representative for University Home Health Sales Representative for University Home Health

    • Discharge Planner/Social Services/Quality Coordinator
      • 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.

    • Instructor
      • Aug 2008 - Jul 2011

      Assess & Educate Clients with Develpomental Disabilities, Compile daily Progress Reports Assess & Educate Clients with Develpomental Disabilities, Compile daily Progress Reports

    • United States
    • Higher Education
    • 700 & Above Employee
    • Secretary
      • 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

Education

  • Benedictine University
    Master's degree, Public Health
    2017 - 2020
  • Ogeechee Technical College
    Pharmacy Technician/Assistant
    2000 - 2012
  • Georgia Southern University
    Bachelor of Science in Health Science, Community Health
    2004 - 2008

Community

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