Brandy Y. Ivy

***** ******** ***** **** *****, Texas 78621 361-***-**** adyski@r.postjobfree.com

Objective

Looking for a challenging new role with a growing team where I can apply my knowledge and experience in Utilization Management/Utilization Review. I have almost 8 years of Utilization Management/Review experience.

Education

Licensed Vocational Nursing Program

VERNON REGIONAL JUNIOR COLLEGE - Wichita Falls, TX

Graduated LVN Program 1991

BURKBURNETT HIGH SCHOOL - Burkburnett, TX

Graduated High School May 1985

Skills & Abilities

COMMUNICATION

· Cold Calling

·MS Office

·Multi-tasking

·Quick Learner

LEADERSHIP

· Workflow Planning

·Inventory Management

·Organization

·Time Management Skills

·Experience

·Supervision while acting as the Manager on duty during weekend call.

Experience

·New Century Health

·LVN Associate Nurse

·April 2023 to Present

·Answered an average of 25-32 calls, faxes and Portal requests per day, responding to provider inquiries, initiating authorization requests and resolving any problems/concerns that the provider may have.

·Assisted providers by answering questions, responding to inquiries, and handling phone requests in a timely manner.

·Copied, logged, and/or scanned supporting documents before filing everything in the member’s files.

·

·Evolent Health

·LVN Utilization Management Nurse

·November 2017 to April 2023

·Workgroup meetings with Medical Directors were facilitated to help maintain queues in order to meet our SLAs.

·Used Identifi to keep detailed documentation on all utilization reviews

·Looked at medical guidelines and benefit coverage to see if the services were appropriate.

·Used regular correspondence and scheduled status updates with my manager to communicate all progress/concerns/issues related to Blast Rounds with my Medical Directors.

·Interacted professionally with providers by phone to provide information and direct them appropriately.

·

·NREMT-Intermediate

·NREMT-INTERMEDIATE TERLINGUA FIRE AND EMS - Terlingua, TX

·May 2009 to January 2014

·Patient Care in the back of an ambulance. Critical thinking skills. Working from protocols set forth by our Medical Director. Transporting medical and trauma patients to the hospital and to helicopters for further medical treatment. Skills to include, IV starts, blood draws, pushing medications, injections, O2 administration, CPAP, ETCO2 monitoring, splinting, hemorrhage control, delivering babies and BLS/ALS skills. BLS/PALS instructor certified.

·Hours worked: 08:00 Mondays - 08:00 Fridays (4 24hr days in a row)

·LVN-Pediatrics

·DRISCOLL CHILDREN'S HOSPITAL

·May 2004 to February 2009

·Patient Care to include working in the NICU as well as all other floors in the hospital. I also worked the last two years in QA/QI preparing charts and grafts for multiple committees in the hospital.

·Hours worked: 12hr shifts 7a-7p and 7p-7a

·LVN LEON SPRINGS PEDIATRICS

·Patient Care in a Pediatric Office

·April 2000 to January 2004

·Skills to include giving immunizations, calling parents back with test results and to relay any information from the physician to the parents. Filing patient charts, some billing, some blood draws and sending out specimens to different labs. Misc. office paperwork.

·Hours worked: 08:00-18:00.

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