Licensed Vocational Nurse
Resume:
LAUREEN ROWLAND, LVN, PARALEGAL
Work Experience
Paralegal
Hardy Erich Brown & Wilson Law Firm
February 2022 to October 2022
• Prepared subpoena’s for records for plaintiff records
• Familiar with Omega, Worldox, LexisNexis
• Performs medical reviews of plaintiff records
• Background checks
Prior Authorization Nurse/Medical Review Nurse
Centene/Health Net
August 2017 to February 2022
• Responsible for Utilization Management Post Authorization and Pre-claim retro review for HMO, PPO, EPO, Medical, Medicare, Foreign, implant supply cases
• Familiar with and used daily Macess, Unity, Interqual, TruCare, Omni, Word, Excel, Faxcom and Zoom.
• Performs telephonic review of prior authorization requests for appropriate care and setting
• Completes medical necessity and level of care reviews for requested services
• Utilizes templates set forth by Centene/Healthnet
• Provides clinical knowledge and acts as a clinical resource to non-clinical team staff
• Enters and maintain pertinent clinical information in various medical management systems Medical Review Nurse
Nivano Physicians - Sacramento, CA
May 2017 to July 2017
• Responsible for Utilization Management Post Authorization and Pre-claim retro review for HMO, PPO, EPO, Medical, Medicare, Foreign, implant supply cases
• Completed medical necessity and level of care reviews for requested services
• Educated providers on utilization and medical management processes
• Provided clinical knowledge and act as a clinical resource to non-clinical team staff
• Entered and maintain pertinent clinical information in various medical management systems Nursing Supervisor
Molina Healthcare - Citrus Heights, CA
August 2015 to May 2017
• Responsible for overseeing the functions of the back-office staff and patient care for pediatric, adult medicine, pain management, complexes’ care, behavioral health. In my role experience of coordinate referrals, hospital follow ups, monitor and train staff for the use of Electronic Medical Record using
(EPIC)
• Implemented and maintain current logs to maintain Certified Lab Improvement Amendments certification for Point Of Care Testing, Healthcare Effectiveness Data and Information Set measures, work with utilization team to provide all aspects of care
• Acted as the back-office supervisor for the Medical Assistant staff
• Assisted in running the behind the scenes operation for all Molina Clinics in the Sacramento area
• Assisted in managing and running the Pain management and eye care clinic LVN Pediatrics
Dignity Health Medical Foundation - Carmichael, CA December 2013 to March 2015
• Back office procedures, worked closely with Material Data Safety
• Worked on referral, billing, coding
• Teach MAs and patients
• Chart Audits
• Immunization, asthma training, IV certification, communication with MD and staff, patient education
LVN Pediatrics
Kaiser - Roseville, CA
November 2005 to August 2013
• Worked in the Pediatrics Outpatient Clinic as an IV Certified LVN, doing pediatric procedures on newborns to adolescents
• Administered immunizations on all ages. Using Plan Do Study Act approach decreased vaccines wait time from 2 hours to 20 minutes.
• Worked closely with all RN, MD, and MA
• Responsible for tending to the walk-in clinic
• Roomed patients and had direct patient contact care LVN Staff Nurse
Action Home Nursing - El Dorado Hills, CA
May 2002 to May 2006
• Cared for Micro Preemies after discharge from hospital NICU. Many of these patients were still needing lots of feedings, treatments, therapy, and medications.
• Also worked with communicating to the home office and Supervising Nurse, MD and family members about the current status of patients.
• It was rewarding to see these babies excel and move past all their physical hurdles. I learned how the family dynamic is so fragile when parents are pushed to emotional limits.
• Assessments, viewing the big picture, follow through on OT, PT, ST plans. LVN Staff Nurse
Vencor/Kindred - Folsom, CA
October 2000 to September 2001
• LVN on med/surg long term acute care hospital floor. Most of the patients were on ventilators.
• Many patients hat extensive wound care since most were discharged from ICU and developed wounds.
• Duties included assisting in intubation, bronchoscopes, Mickey button placement, gastrointestinal scoping and end stage renal care.
• As a team member we worked closely with Utilization Managers and assisted in reviewing the charts.
• Assisted with care of patients on ventilators.
• Assisted in care and authorization of treatments on patients.
• IV certification, electronic charting and paper charting, wound care, team work with RN Charge Nurse, assessments and review of assessment.
Education
AS in Nursing
Sacramento City College - Sacramento, CA
2006 to 2008
LVN in Nursing
Butte Community College - Chico, CA
1977 to 1979
Skills
• IV certified, PEARS certified, BLS, Microsoft Office, computer literate. Additional Information
I learn very quickly. I work independently yet as a part of a team. I enjoy electronic charting. I am skilled as a LVN and enjoy my scope of practice.
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