Fast, mostly visual learner seeking to maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills working well under pressure.
Highly motivated to support employers' daily goals and overall mission.
Overview
10
10
years of professional experience
Work History
Utilization Management Representative I
Anthem, Inc.
Albany, NY
08.2019 - 10.2019
Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Devise or identify solutions for irregular requests and issues.
Performed prior authorization review of services requiring notification employing software systems e.g. Excel
Created case files for further review by nursing staff.
Use of Workday to manage personal time sheets.
Managed 50 or more calls per day.
Certified Nursing Assistant
St. Peter's Nursing And Rehabilitation Center
Albany, NY
07.2009 - 08.2019
Evaluated patients to identify and address wounds, behavioral concerns and medically relevant symptoms.
Conferred with multidisciplinary healthcare team to help effectively manage patient conditions with regular testing and vitals assessments.
Employed time management skills based on daily varying workload.
Held compassionate and empathetic stance to advocate for patients, communicating their needs to nurses, managers, family members etc.
Awarded Heartbeat award thrice for compassion and teamwork.