Patient Services Utilization Review

VERNON L. JOHNSON

Mobile 805-***-**** ***************@*****.*** www.linkedin.com/in/v-l-johnson

●Insurance Verification & Contract Review ● Compliance Audits ● Patient Admissions

PATIENT SERVICES & OPERATIONS PROFESSIONAL

Strategic Healthcare Professional with expertise in admissions, intake, insurance verification, and utilization review in clinical and acute care settings. Skilled in streamlining patient flow, interpreting insurance contracts, and supporting DRG compliance. CAPM-certified and tech-savvy.

PROFESSIONAL EXPERIENCE

Long Beach Convention Center Long Beach, CA

Healthcare Operations Manager June 2024 – Current

Lead client-focused service operations for large-scale public events, maintaining alignment with public health protocols and high-volume logistics.

Develop service plans and operational frameworks in coordination with vendors and stakeholders.

Apply healthcare-informed safety and organizational standards across cross-functional teams.

Clinics & Acute Care Facilities Los Angeles & Long Beach, CA

Patient Services Manager May 2015–May 2024

Directed admissions and patient intake processes across multiple healthcare settings, including behavioral health, general practice, and inpatient programs.

Conducted pre-admission screenings and benefit verification, ensuring accurate alignment between patient needs and payer requirements.

Collaborated with Utilization Review departments to maintain authorization compliance and reimbursement efficiency tied to DRG standards.

Supported homelessness relief efforts by conducting intake assessments, connecting individuals with vital community resources, preparing nutritious meals, assisting the Salvation Army with clothing distribution, and coordinating mobile ambulatory care services including testing and dental care.

EDUCATION & CERTIFICATIONS

Master of Business Administration (MBA), 2025

Master of Healthcare Administration (MHA), 2025

Certified Associate in Project Management (CAPM) – PMI, 2024

Phlebotomy Certificate U.S. Colleges 2019

Certified Phlebotomy Technician, 2019

Associate of Science in Health Sciences Excelsior College, Albany, NY 2001

TECHNICAL SKILLS

Customer Relationship Management (CRM) Software Google Workspace Epic Microsoft Teams Zoom

Microsoft Suite (Excel, PowerPoint, Word) Meditech Cerner

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