Madison Centanni Email & Phone Number

Richmond, Virginia, United States

Functions under the direction of a LIP, manager and RN in providing relationship-based and age-specific care to psychiatric patients including emotional support using therapeutic communication, developing skills in thinking and responding, assisting with the development and maintenance of a safe and therapeutic milieu; all in accordance with hospital, nursing and unit policy/procedure. Job duties may include the handling, transportation, access to and/or contact with medications and related supplies.

Richmond, Virginia, United States

Advocate for children that are that are actively involved in abuse and neglect cases.Meet with the children and all family members multiple times a month.Collaborate with service providers, schools, Richmond Department of Social Services, and attorneys. Write detailed reports for each court date to be presented to the judge, including recommendations for the children and parents.Completed 35 hours of initial training with 12 hours of continued training throughout the year.

Richmond, Virginia Area

Performed intake of calls from members or providers regarding services via telephone, fax, EDI and screened requests for appropriate referral to medical services staff.Maintained accurate and complete documentation of required information that met risk management, regulatory, and accreditation requirements.Promoted communication, both internally and externally, to enhance effectiveness of medical management services (e.g., claim administrators, Plan Sponsors, and third-party payers as well as member, family, and health care team members respectively)Communicated with Aetna Case Managers, Aetna Nurses, and Medical Directors when processing transactions for members active in the ProgramSupported the administration of the precertification process in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures.Placed outbound calls to providers under the direction of Medical Management Nurses to obtain clinical information for approval of medical authorizations.Used Aetna Systems such as QNXT, ProFAX, ProPAT, and Milliman Criteria.

Richmond, Virginia Area

Monitored assigned queuesReviewed system generated alerts to identify potential matches to sanctions and/or other high-risk customer watch listsPerformed research using systems, online public and subscription-based resources, and internal contacts, within established guidelines and timeframesDocumented rationale for decision and actions taken for each alertAttached supporting documentation for decision-making and ensured information was properly loaded into the system

Observed protective advances and/or movementsPerformed light administrative duties as neededAssisted with counting and processing counterfeit currencySupported Secret Service personnel with various initiatives, projects, and/or assignments.

Master'S Degree, Criminal Justice

Activities and Societies: Phi Kappa Phi Honor's Society

Bachelor'S Degree, Criminal Justice

Activities and Societies: Phi Eta Sigma, Friends of ASK, Red Cross Club, Rotary Club.