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Nancy Lemus is listed as Lead Case Manager and Discharge Planner at Barlow Respiratory Hospital at Barlow Respiratory Hospital Foundation, a company with 173 employees, based in Whittier, California, United States. AeroLeads shows a work email signal at barlowhospital.org and a matched LinkedIn profile for Nancy Lemus.
Nancy Lemus previously worked as Case Manager and Discharge Planner at Barlow Respiratory Hospital Foundation and Case Manager/Utilization Management Nurse at Alta Med Health Services. Nancy Lemus holds As, Nursing from Rio Hondo College.
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AeroLeads found 1 current-domain work email signal for Nancy Lemus. Compare company email patterns before reaching out.
SUMMARYTalented and accomplished Registered Nurse with extensive background in Medical Case Management, Worker's Compensation, and Utilization Review. Proven ability to oversee and perform field case management. Adept at leading case management and utilization review teams. Previous experience training case management personnel. Able to achieve dramatic cost savings for employers and clients. Ability to communicate and work with claims managers, attorneys, physicians, patients, and health care workers. Ability to work in hospital UR role, case management working with all payors. Outstanding reporting, analysis, and communications skills.Specialties: billing, cms, computer associates packages, customer relations, documentation, estimating, forecasting, framing, imaging, insurance, lotus notes, materials management, microsoft excel, microsoft office, microsoft powerpoint, microsoft word, policy analysis, profit, progress, proposal writing, risk management, staff training, structured methods, telephone skills,
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Work with hospital staff, consults, who are improving the respiratory status of the patient. Tending to the needs of the families and their ill loved ones and assisting in end of life decisions. A wonderful experience.
Acute care utilization review and case management of Commercial, Medicare/Medi-cal/CCS product lines of business. Extensive work with Interqual criteria, claims review, concurrent/ambulatory case management and time frame requirements per CMS guidelines. Non-profit organization serving the uninsured/underserved.
Acute care utilization review and discharge planner-Lakewood Regional Medical Center
. of Labor Cases-Injury Compensation Office-contract expiredNurse Case Manager for RTW program for approximately 80 postal stations and 4 plant and distribution centers.8 years work comp with Fremont Compensation ( Previous Industrial Indemnity)- Case manager trained as claims technician.
dedicated accountOversee Worker's Compensation cases for this 3rd-party administrator servicing self-insured and directed care clients. Manage average of 30 to 35 cases simultaneously.Meet with patients to review and monitor cases; communicate with physicians, lawyers, nurses, and claims adjusters on regular basis. Obtain treatment consent and report on.
Developed company's first medical management program for Worker's Compensation, formulating all policies and procedures. Identified and acquired vendors for durable medical equipment, imaging services, pain management, and other areas. Obtained bids, prepared recommendations, and negotiated agreements.; Conducted detailed analysis of cost savings for.
Began with Industrial Indemnity and remained with company after purchase by Fremont.Performed extensive file reviews, utilization reviews, and billing reviews.Participated in structured settlement cases to develop medical settlement proposals.Trained and served as Early Claims Examiner, initiating claims, estimating initial costs for fund reserve purposes.
Designed utilization review training program, materials, and curriculum.Carried out all staff training, including utilization review and new medical and claims computer system.Performed utilization reviews and coordinated team of 13 nurses.
Reviewed bills for accuracy, reviewed hospital charts for documentation to support charges, negotiated reduced billing amount because of lack of supporting documentation
Other employees you can reach at barlowhospital.org. View company contacts for 173 employees →
Mae Gonzales
Colleague at Barlow Respiratory Hospital FoundationLos Angeles, California, United States, United States
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David Magana
Colleague at Barlow Respiratory Hospital FoundationLos Angeles County, California, United States, United States
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Ani Paremuzyan
Colleague at Barlow Respiratory Hospital FoundationBurbank, California, United States, United States
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Princess Austero
Colleague at Barlow Respiratory Hospital FoundationGlendale, California, United States, United States
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James Kim
Colleague at Barlow Respiratory Hospital FoundationSanta Barbara County, California, United States, United States
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Merli A
Colleague at Barlow Respiratory Hospital FoundationLa Habra, California, United States, United States
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Pao Prasarttongosoth
Colleague at Barlow Respiratory Hospital FoundationLos Angeles, California, United States, United States
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Juanita Venegas
Colleague at Barlow Respiratory Hospital FoundationEl Monte, California, United States, United States
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Walter Albert
Colleague at Barlow Respiratory Hospital FoundationBeaumont, California, United States, United States
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Lisa Kelley
Colleague at Barlow Respiratory Hospital FoundationLos Angeles, California, United States, United States
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Quick answers generated from the profile data available on this page.
Nancy Lemus works for Barlow Respiratory Hospital Foundation.
Nancy Lemus is listed as Lead Case Manager and Discharge Planner at Barlow Respiratory Hospital at Barlow Respiratory Hospital Foundation.
AeroLeads has found 1 work email signal at @barlowhospital.org for Nancy Lemus at Barlow Respiratory Hospital Foundation.
Nancy Lemus is based in Whittier, California, United States while working with Barlow Respiratory Hospital Foundation.
Nancy Lemus has worked for Barlow Respiratory Hospital Foundation, Alta Med Health Services, Medical Gatekeepers Inc, Us Postal Service, and Cor Vel Corp.
Nancy Lemus's colleagues at Barlow Respiratory Hospital Foundation include Mae Gonzales, David Magana, Ani Paremuzyan, Princess Austero, and James Kim.
You can use AeroLeads to view verified contact signals for Nancy Lemus at Barlow Respiratory Hospital Foundation, including work email, phone, and LinkedIn data when available.
Nancy Lemus holds As, Nursing from Rio Hondo College.
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