Utilization Review Patient Care
Resume:
CANDY MOON
PROFESSIONAL SUMMARY
Healthcare professional with extensive experience in utilization review, bringing strong ability to streamline processes and enhance patient care. Known for collaborative efforts with medical teams and results-focused approach to improving healthcare delivery. Committed to adapting to changing needs and ensuring compliance with healthcare standards.
WORK HISTORY
Utilization Review Coordinator, 10/2012 - 06/2025
Evansville State Hospital, Evansville, In
LPN, 11/2011 - 03/2012
West River Health Campus, Evansville, In
LPN, 03/2008 - 05/2011
Oliver Headache & Pain Clinic, Evansville, In
MDS assistant & LPN, 10/2006 - 07/2007
Pinehaven Health & Rehabilitation, Evansville, In
Unit Manager, 06/2004 - 02/2005
CORE, Evansville, In
LPN Surgery Department, 08/2000 - 05/2004
Dodge City Medical Center, Dodge City, Ks
EDUCATION
Licensed Practical Nurse, Nursing
Dodge City Community College - Dodge City, KS
Holiday Island, AR 72631
*************@*****.***
SKILLS
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Understanding Joint Commission standards
Monthly and quarterly risk assessment reporting
Compliance with clinical documentation standards
Uploading discharge reviews to NRI
Tracking patient review dates and types
Monitoring ER and hospital visit metrics
Prior authorization
Regulatory compliance for Medicare and Medicaid
Medical billing and coding
IV Certification
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