Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

ALLIE LLORENS

Woodworth,LA

Summary

Adaptable and reliable, Registered Nurse, with strong expertise in interpersonal skills, problem solving abilities, Microsoft Access and Excel, and organizational skills. Adept at leveraging analytical skills and extensive knowledge of pharmaceutical benefits to optimize processes while supporting team objectives. Known for managing complex projects, prioritizing tasks and meeting deadlines with focus on attention to details. Recognized for strategic decision making, the ability to achieve success under pressure while improving overall organization satisfaction. Eager to contribute to an organization that values innovative solutions and exceptional service.

Overview

16
16
years of professional experience
1
1
Certification

Work History

Multi Specialty RN Manager/Prior Authorization Coordinator

Christus St Francis Cabrini Hospital
04.2022 - Current
  • Utilize EMR systems to store, retrieve and process patient data.
  • Generate reports to identify coding discrepancies for approximately 50-60 patients daily.
  • Perform routine chart audits to ensure compliance with joint commission.
  • Develop training materials to educate staff on current coding standards and regulatory requirements.
  • Promote a positive work environment by addressing conflicts promptly and advocating for staff.
  • Establish clear performance expectations for team members along with regular checkpoints to discuss progress towards achieving established objectives.
  • Educating patients/caretakers on their insurance benefits, helping understand their coverage and limitations regarding procedures and medications.
  • Conduct thorough reviews of medical records, ensuring necessary documentation to support prior authorization approval.
  • Maintain strong relationships with insurance representatives, facilitating effective communication and expediting resolution of issues.
  • Provide timely and clear communication with patients and providers regarding insurance approvals and denials.

RN Case Manager

Rapides Regional Medical Center
06.2021 - 03.2022
  • Educated patients and caregivers thoroughly on healthcare protocols and processes.
  • Improved client outcomes by developing and implementing comprehensive case plans tailored to individual needs.
  • Streamlined referral process and coordinated transition of care for patients through effective communication and collaboration with multidisciplinary teams.
  • Facilitated educational sessions for patients and families on disease management, medication administration, and self-care strategies.
  • Developed educational materials for patients and healthcare providers on various topics such as safe medication use, side effects management, and medication storage.
  • Continuously monitored ongoing cases, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Utilized evidence-based practice guidelines when administering medications or performing treatments/procedures ensuring optimal safety and efficacy.
  • Improved patient satisfaction scores by addressing patient and provider concerns promptly.

Emergency Medical Technician

Acadian Ambulance
09.2013 - 08.2020
  • Maintained levelheadedness and efficiency in high-pressure situations, effectively prioritizing tasks to save lives and provide medical care.
  • Improved patient outcomes by administering appropriate treatments based on thorough assessments of vital signs, physical conditions, and medical histories.
  • Developed and maintained rapport with coworkers and local hospital staff to facilitate efficient patient care.
  • Conducted equipment and vehicle checks to maintain continuous and safe operation.
  • Ensured ongoing compliance with local, state, and federal regulations governing EMS through adherence to policies, procedures, and guidelines.

Medical/Administrative Assistant

Cenla Family Medicine Associates
06.2009 - 09.2013
  • Provided exceptional customer service to patients, addressing concerns promptly and professionally to ensure satisfaction.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Ordered, restocked, and organized exam rooms and medical equipment.
  • Assisted in the development of clinic policies and procedures to ensure compliance with industry standards and regulations.
  • Conducted patient follow-up calls to monitor treatment progress within target timeframes.
  • Verified insurance coverage to prepare for upcoming patient appointments.
  • Developed strong rapport with patients through active listening and empathetic communication, fostering trust and encouraging ongoing engagement with healthcare services.

Education

ASN (Associate of Science in Nursing) - Registered Nurse

Northwestern State University of Louisiana
Natchitoches, LA
05-2021

EMT (Certified Emergency Medical Technician) -

South Louisiana Community College
Alexandria, LA
08-2013

Certified Medical Assistant/Phlebotomist -

Central Louisiana Medical Academy
ALEXANDRIA, LA
09-2009

High School Diploma -

ALEXANDRIA SENIOR HIGH SCHOOL
ALEXANDRIA, LA
05-2009

Skills

  • Microsoft Excel/Access
  • Prior Authorizations
  • Data analysis
  • Interdisciplinary Collaboration
  • Analytical and problem-solving
  • Team leadership
  • Verbal and written communication
  • Superior time management
  • PC knowledge
  • Insurance verification
  • Commitment and responsibility

Certification

PALS- Pediatric Advanced Life Support

BLS/ACLS, (AHA)

Certified Emergency Medical Technician


Timeline

Multi Specialty RN Manager/Prior Authorization Coordinator

Christus St Francis Cabrini Hospital
04.2022 - Current

RN Case Manager

Rapides Regional Medical Center
06.2021 - 03.2022

Emergency Medical Technician

Acadian Ambulance
09.2013 - 08.2020

Medical/Administrative Assistant

Cenla Family Medicine Associates
06.2009 - 09.2013

ASN (Associate of Science in Nursing) - Registered Nurse

Northwestern State University of Louisiana

EMT (Certified Emergency Medical Technician) -

South Louisiana Community College

Certified Medical Assistant/Phlebotomist -

Central Louisiana Medical Academy

High School Diploma -

ALEXANDRIA SENIOR HIGH SCHOOL

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ALLIE LLORENS