Dr.Shurvone Wright, Entrepreneur Email & Phone Number

California, United States

I help business owners and entrepreneurs with social media and business strategies, using social medial tools to attract the ideal client. If you are feeling stuck and just don't know where to start with the right social media platform. I am here to help you.

California, United States

PriMed Management Consulting Services, Inc., is the management services organization for Hill Physicians Medical Group, the largest Independent Physician Association (IPA) in Northern California.More than just a job - We’re making a meaningful contribution to healthcare.Everyone at PriMed contributes to making quality healthcare accessible for Northern Californians. We have a unique collection of skilled professionals that work well together and have been recognized as one of the top places to work and one of the healthiest places to work in the Bay area.

PriMed Management Consulting Services, Inc., is the management services organization for Hill Physicians Medical Group, the largest Independent Physician Association (IPA) in Northern California.More than just a job - We’re making a meaningful contribution to healthcare.Everyone at PriMed contributes to making quality healthcare accessible for Northern Californians. We have a unique collection of skilled professionals that work well together and have been recognized as one of the top places to work and one of the healthiest places to work in the Bay area.

California, United States

Contributing Writer for OWN IT magazine. Social Media and Marketing

California, United States

San Francisco Bay Area

Agent licensed to sell insurance through New York Life

• Review and process urgent and non-urgent authorizations request for medical necessity, according to established criteria• Obtain medical information ICD-9/CPT-4 clinical notes necessary to process the request• Collaborate with Medical Directors and other designated leaders for making clinical support decisions• Assist interdepartmental staff members to resolve issues relating to the authorization process• Track and trend authorization discrepancies • Developed processes to improve efficiency within the department • Refer to various departments for supportive interventions, i.e., Health Education, Quality Management, Contracting, Provider Services, Client Data Management, TPL, COB, etc.• Attend and participate in in-service programs and conferences that support practice of utilization review• Identify barriers for utilization and facilitate resolution

• Conducted daily telephonic concurrent reviews of admissions• Controlled quality and cost by directing or redirecting cases to contracted providers• Performed short-term case management• Updated authorizations ICD-9/CPT-4 codes and document medical Information in the UM System

Utilization Management Coordinator (Also Patient Relations Representative for 9 months)• Conduct prospective reviews and process medical referrals to specialist outside the organization• Interface with multiple health plans to obtain the appropriate authorizations and insurance verification • Knowledge of all medical disciplines (Surg, Ped, Med, OB/GYN, C.D.) • ICD-9/CPT-4 coding to process appropriate authorizations.• Maintain knowledge of Medicare and our commercial populations• On site review as needed in community SNF• Involved with UM / QI / Peer programs

Certification, Supervisor Leadership Training

Nurse

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