Summary
Overview
Work History
Education
Timeline
Generic

Danielle Cannon

Baker

Summary

Experienced with prior authorization processes and ensuring compliance with regulations. Utilizes patient advocacy and effective communication to facilitate approvals. Strong collaboration within multidisciplinary teams.

Overview

22
22
years of professional experience

Work History

Prior Authorization Nurse

Louisiana Healthcare Connections
11.2019 - Current
  • I began working as a Prior Authorization Nurse in 11/2019 and continue to work as a Prior Authorization Nurse in the same department.
  • Perform clinical reviews of authorization requests using appropriate interqual criteria, corporate and medicaid policies
  • Collaborate with various staff within provider networks and case management team to coordinate patient care.
  • Achievements: I have learned and and am able to proficiently review the following service types: Outpatient Surgery, Outpatient Services, DME, Audiology, Pain Management, Nutrition, Office Visits, Inpatient Procedures, Genetic Testing, Sleep Studies, Radiation Treatments. I have passed 90% - 99% of all monthly audits. I complete an average of 15 reviews daily.

Concurrent Review Nurse I

Louisiana Healthcare Connections
06.2018 - 11.2019
  • I was provided the opportunity to work with children and adults within the medicaid population.
  • Writing denial letters for community based services such as Community Psychiatric Support Treatment, Psychosocial Rehab, Inpatient Psychiatric Hospital admissions, Inpatient and Outpatient Detoxification admissions, Psychological Testing, Assertive Community Treatment, and Applied Behavioral Analysis
  • Building community based outpatient authorizations for services such as Community Psychiatric Support Treatment and Psychosocial Rehab Services


Hospice RN

Lifesource Hospice Services
09.2017 - 01.2018


  • I was afforded the opportunity to provide care to patients who were transitioning as well as provide comfort to their family members.
  • Managed care from admission to discharge.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Performing recertifications for continuance of hospice services every 60 to 90 days
  • Ensuring that medications such as narcotics and anxiolytics are refilled in a timely fashion
  • Managing all aspects of patient care to ensure that comfort measures are instituted, effective, and maintained
  • Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.

Admission Nurse

Seaside Hospital
07.2016 - 01.2017



  • I was given the opportunity to work with a segment of the population experiencing mental illness. In so doing, my awareness of mental illess as well as substance abuse was raised and I learned how to effectively care for and interact with those individuals.
  • Streamlined the admissions process for increased efficiency and reduced waiting times.
  • Provided physicians and other medical personnel with patient assessment details and answered patient care-related questions.
  • Evaluated patient histories, complaints, and current symptoms.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.

School Nurse

Health Centers in Schools
08.2011 - 01.2016


  • I was given the privilege to serve a segment of the population which includes individuals who comprise low-income status with limited access to healthcare.
  • Supported students with special needs by coordinating individualized healthcare plans and working closely with the interdisciplinary team.
  • Assessed students'' physical and emotional well-being during daily clinic visits, providing appropriate care or referrals as needed.
  • Served as liaison between families, school personnel, and other healthcare providers on behalf of students.
  • Educated students on various health topics to promote overall health and wellbeing.
  • Managed immunization compliance within the school population to prevent the spread of communicable diseases.
  • Implemented emergency protocols in medical emergencies to promote safety for students and staff.
  • Assessed student health and identified potential health concerns to provide appropriate care.

Preoperative Nurse

Womans Hospital
08.2008 - 08.2011

Providing both preoperative and postoperative care to surgical patients; providing postoperative pain management; discharge planning and teaching. I was able to address and dispel fears and concerns of patients prior to and after surgery and improvement of pain. Skills used: physical assessment, admitting/discharging patients, intravenous initiation, pain management, hemodynamic monitoring, problem-solving skills, and utilization of all resources on hand

Staff RN

Ochsner Medical Center
03.2008 - 07.2008
  • Educated family members and caregivers on patient care instructions.
  • Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
  • Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Assisted physicians during procedures by preparing equipment, monitoring patient status, and ensuring sterile environments.
  • Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to each patient''s needs.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
  • Coordinated discharge planning in collaboration with case managers, social workers, and other support staff for optimal continuity of care after hospitalization.

Staff RN

Veterans Affairs Medical Center
03.2003 - 08.2005



  • I was given the privilege to provide care for veterans in all branches of the armed services. I also received training to work in the Intensive Care Unit, Emergency Room, Gastrointestinal Lab, and Cardiac Catheterization
  • Utilized critical thinking skills to make quick decisions in high-pressure situations, prioritizing patient needs and addressing emergent issues promptly.
  • Educated family members and caregivers on patient care instructions.
  • Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
  • Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
  • Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Served as a preceptor for new nurses, sharing knowledge, expertise, and best practices to improve their skills and confidence.
  • Advocated for the needs of patients within the healthcare system while maintaining confidentiality and respecting patients'' rights.
  • Collaborated with interdisciplinary teams to develop comprehensive care plans tailored to each patient''s needs.

Education

Bachelor of Science - Nursing

Southern University And A&M College
Baton Rouge, LA
05-2002

Timeline

Prior Authorization Nurse

Louisiana Healthcare Connections
11.2019 - Current

Concurrent Review Nurse I

Louisiana Healthcare Connections
06.2018 - 11.2019

Hospice RN

Lifesource Hospice Services
09.2017 - 01.2018

Admission Nurse

Seaside Hospital
07.2016 - 01.2017

School Nurse

Health Centers in Schools
08.2011 - 01.2016

Preoperative Nurse

Womans Hospital
08.2008 - 08.2011

Staff RN

Ochsner Medical Center
03.2008 - 07.2008

Staff RN

Veterans Affairs Medical Center
03.2003 - 08.2005

Bachelor of Science - Nursing

Southern University And A&M College
Danielle Cannon