LPN

T’ierra N. Mathias, LPN

Albany, NY ***** **************@*****.*** 518-***-****

PROFESSIONAL SUMMARY

Experienced and dedicated Licensed Practical Nurse (LPN) with over a decade of specialized expertise in:

- Utilization Review and Insurance Authorizations

- OB/GYN and Women’s Health

- Corrections and Juvenile Behavioral Health

- Team Leadership and Multidisciplinary Coordination Proficient in medication administration, EMR systems, patient education, and care transition planning. A strong advocate for quality, continuity, and equity in healthcare delivery. LICENSURE AND CERTIFICATIONS

- Licensed Practical Nurse, NY State (Active)

- BLS/CPR/AED Certified

- OB/GYN Infertility Training

PROFESSIONAL EXPERIENCE

Anthem, Inc. - Albany, NY

Utilization Review Nurse Senior Sept 2018 - Present

- Perform detailed medical service reviews for insurance authorizations

- Issue approvals/denials, ensuring Medicaid/Medicare compliance

- Educate members and coordinate with DME and behavioral health providers

- Prevent readmissions through proactive care management Berkshire Farm Center and Services for Youth - Albany, NY LPN March 2022 - Present

- Deliver nursing care to juvenile clients in a correctional setting

- Conduct intake physicals, mental health screenings, and medication administration

- Lead weekly motivational groups and facilitate transitional care planning Albany OB - Albany, NY

Team Lead LPN Aug 2013 - Jan 2018

- Supervised clinical staff in a busy OB/GYN practice

- Assisted physicians with exams, procedures, and prenatal care

- Educated patients on postpartum and newborn care

- Handled triage, immunizations, medication refills, and EMR updates EDUCATION

Maria College - Albany, NY

Licensed Practical Nurse Certificate, Aug 2010

Hudson Valley Community College - Troy, NY

Associate of Applied Science (AAS), Dec 2005

Albany High School - Albany, NY

High School Diploma, June 1999

SKILLS

- Utilization Review (Medicaid/Medicare)

- OB/GYN Clinical and Procedural Support

- Corrections and Juvenile Behavioral Health

- Medication Administration and Mental Health Screening

- Team Leadership and Staff Coordination

- EMR Systems & Documentation

- Case Management & Transition Planning

- InterQual and Clinical Review Protocols

REFERENCES FURNISHED UPON REQUEST

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