Johnnette Lash Email & Phone Number
@buckeyehealthplan.com
LinkedIn matched
Who is Johnnette Lash? Overview
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Johnnette Lash is listed as Substutute school nurse at City of Delaware, OH, a company with 89 employees, based in Columbus, Ohio Metropolitan Area, United States. AeroLeads shows a work email signal at buckeyehealthplan.com and a matched LinkedIn profile for Johnnette Lash.
Johnnette Lash previously worked as manager prior authorization. at Buckeye Community Health Plan, Inc. and Lead appeals nurse at Buckeye Community Health Plan, Inc.. Johnnette Lash holds Bachelor'S Degree, Registered Nursing/Registered Nurse from Ohio University.
Email format at City of Delaware, OH
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AeroLeads found 1 current-domain work email signal for Johnnette Lash. Compare company email patterns before reaching out.
About Johnnette Lash
Experienced Manager with a demonstrated history of working in the Insurance industry. Skilled in Customer Service, Medicaid, Medicare, Workers Compensation, and Healthcare Management. Strong professional with a Associate's degree focused in Registered Nursing/Registered Nurse from Columbus State Community College.
Listed skills include Healthcare Management, Appeals, Workers Compensation Appeals, Healthcare, and 24 others.
Johnnette Lash's current company
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Johnnette Lash work experience
A career timeline built from the work history available for this profile.
Manager Prior Authorization.
- Responsible for a team of 13 prior authorization nurses and 7 home health nurses.
- Assist with obtaining approval from corporate to have CPT codes with a 5% denial rate or less resulting in them being removed from the prior authorization requirements for Buckeye.
- Member of various company committees such as Policy & Procedure, Prior Authorization Guidelines, Authorization requirements, National Committee for Quality assurance (NCQA) for Prior authorization process.
- Ensure completeness of authorization to meet State of Ohio Medicaid Health Plan requirements and National Committee for Quality Assurance requirements.
- Participated in HSAG and NCQA audit review 2016 and 2017. Achieved NCQA Commendable level of accreditation in 2017.
- Continuously monitored the staffing needs and assignments to ensure authorizations were completed timely
Lead Appeals Nurse
- Responsible for processing member appeals within 15 days.
- Responsible for processing provider appeals within 30 days.
- Responsible for reviewing the clinical records and determining medical necessity based off on Interqual criteria.
- Member of the Medical Management sub-committee to report quarterly appeals data.
- Responsible for gathering proper information regarding for completion of NCQA audits
- Compiled charts for NCQA onsite review
Grievance And Appeals
Appeals Alternative Dispute Resolution Unit Nurse
- Making sure level 1 review was received within 21 days by the Bureau or Workers compensation.
- Processing Level 1,2, and 3 appeals
- Processing claims to the appropriate physician
- Sending decision letters and reviews to all parties
- Sending level 3 appeals to the Bureau of Workers Compensation
- Processed internal Comp Pain Management appeals
Medical Only Nurse Alternative Dispute Resolution Peer Physician Review Coordinator Appeals
- Managed medical only cases.
- Monitored injured worker’s progress for return to full duty work.
- Authorized treatment plans for injured workers.
- Responsible for 12 delegated employers.
- Assisted employers in claim reporting process
- Responsible for mailing alternative dispute resolution packets to proper physician
Mco Feel Bill Unit
Colleagues at City of Delaware, OH
Other employees you can reach at delawareohio.net. View company contacts for 89 employees →
Santa David Fields
Colleague at City Of Delaware, OhColumbus, Ohio Metropolitan Area, United States
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Kim Vandyke
Colleague at City Of Delaware, OhFranklin, Ohio, United States, United States
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Michelle Koschalk
Colleague at City Of Delaware, OhDelaware, Ohio, United States, United States
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Shane Harding
Colleague at City Of Delaware, OhDelaware, Ohio, United States, United States
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EG
Elliott Goff
Colleague at City Of Delaware, OhPowell, Ohio, United States, United States
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SB
Stephen Bell
Colleague at City Of Delaware, OhColumbus, Ohio, United States, United States
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JH
Jessica Hackathorn
Colleague at City Of Delaware, OhDelaware, Ohio, United States, United States
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JP
Jonah Pearson
Colleague at City Of Delaware, OhDelaware, Ohio, United States, United States
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LB
Logan Brunney
Colleague at City Of Delaware, OhGrove City, Ohio, United States, United States
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Brian Sherrod
Colleague at City Of Delaware, OhJohnstown, Ohio, United States, United States
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Johnnette Lash education
Bachelor'S Degree, Registered Nursing/Registered Nurse
Associate'S Degree, Registered Nursing/Registered Nurse
Lpn, Licensed Practical/Vocational Nurse Training, 3.0
Frequently asked questions about Johnnette Lash
Quick answers generated from the profile data available on this page.
What company does Johnnette Lash work for?
Johnnette Lash works for City of Delaware, OH.
What is Johnnette Lash's role at City of Delaware, OH?
Johnnette Lash is listed as Substutute school nurse at City of Delaware, OH.
What is Johnnette Lash's email address?
AeroLeads has found 1 work email signal at @buckeyehealthplan.com for Johnnette Lash at City of Delaware, OH.
Where is Johnnette Lash based?
Johnnette Lash is based in Columbus, Ohio Metropolitan Area, United States while working with City of Delaware, OH.
What companies has Johnnette Lash worked for?
Johnnette Lash has worked for City Of Delaware, Oh, Buckeye Community Health Plan, Inc., Comp Management Assoc, and Gates Mcdonald & Company.
Who are Johnnette Lash's colleagues at City of Delaware, OH?
Johnnette Lash's colleagues at City of Delaware, OH include Santa David Fields, Kim Vandyke, Michelle Koschalk, Shane Harding, and Elliott Goff.
How can I contact Johnnette Lash?
You can use AeroLeads to view verified contact signals for Johnnette Lash at City of Delaware, OH, including work email, phone, and LinkedIn data when available.
What schools did Johnnette Lash attend?
Johnnette Lash holds Bachelor'S Degree, Registered Nursing/Registered Nurse from Ohio University.
What skills is Johnnette Lash known for?
Johnnette Lash is listed with skills including Healthcare Management, Appeals, Workers Compensation Appeals, Healthcare, Customer Service, Leadership, Medicare, and Medicaid.
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