Jeanne Stagg
Medical Review Nurse Iii at Coventbridge Group
Based in Baton Rouge, United States
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Seniority
Staff
Department
Healthcare & Human Services
Location
Baton Rouge
Industry
Security and Investigations
Company size
667
Contact information
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j•••••••@coventbridge.com
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Background
About Jeanne Stagg
Highly motivated and adaptable Registered Nurse with Multistate compact license, dedicated to providing competent, efficient, and accurate service. I began my nursing career in 2007 in the Emergency Department, where I learned valuable clinical skills from patient triage to advanced critical IV administration and monitoring. I transitioned to a work from home position with United Health Group in 2014, and through hard work, great instincts, and a drive to succeed, have been rewarded with opportunities to advance within the Prior Authorization, Utilization Review department and at the local health plan level. Each role at United Health Group is enhanced by my 7 years of clinical practice, providing me with a wealth of experiences and the ability to see the Healthcare industry more globally. I am an enthusiastic leader, innovative thinker, and self-driven team player that is eager to conquer the next challenge. SKILLS: • Proficient in all MS suite applications – daily use of MS Word, Excel, power point, Outlook • Work independently or as team, building relationships and trust with leaders and peers across the organization to prioritize and meet commitments, build consensus, and negotiate resolutions • Excellent communication skills, both verbal and written, as well as strong presentation skills, time/project management, problem solving, organizational, and analytical skills. Diplomatic in approach, with strong negotiation and conflict resolution skills • Detailed knowledge of the clinical coverage review process and charting systems, as well as use and application of appropriate benefit plan documents, evidence-based medical policy, and nationally recognized clinical guidelines and criteria for inpatient/outpatient services, DME, home health, and outpatient therapy • Strong analytical skills with attention to detail with ability to understand and interpret contracts and regulatory guidelines • Ability to think quickly and adapt appropriately in both the clinical and administrative setting • Proficient in both InterQual and MCG (Milliman Care Guidelines)
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