Experience

FamilyCare Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Utilization Review Specialist - Physical Health

  • Oct 2014 - Present

  Responsible for prepayment case reviews for inpatient, outpatient and ancillary services including DME based on the Oregon Health Plan benefits, Medicare guidelines,medical policies, and evidenced based criteria. Responsible for prepayment case reviews for inpatient, outpatient and ancillary services including DME based on the Oregon Health Plan benefits, Medicare guidelines,medical policies, and evidenced based criteria.



St. Luke’s Nursing Home

• Non-profit Organization Management
• 1 - 100 Employee

• Resident Care Manager

  • Jul 2009 - Aug 2014

  Develop working relationship with clients, families and doctors to build an appropriate plan to reach patient goals.

• Certified Nursing Assistant/Medication Aide

  • Sep 2006 - Jul 2009

  Establish a working relationship between clients, co-workers & management. Assist with resident day-to-day activities.