Christina Petik
Lemmon
Summary
Dynamic Utilization Coordinator at West River Health Services with expertise in medical utilization review and case management. Proven ability to enhance patient experiences through effective interdisciplinary collaboration and strong analytical skills. Committed to regulatory compliance and optimizing patient care while advocating for necessary services.
Overview
15
15
years of professional experience
Work History
Utilization Coordinator
West River Health Services
Hettinger
07.2024 - 02.2025
- Maintained accurate records to ensure compliance with health regulations.
- Managed daily department operations, including task scheduling and duty assignments.
- Communicated with patients regarding services to enhance overall experience.
- Ensured adherence to company policies and procedures for project management activities.
Utilization Review Specialist
Rom Technologies
Brookfield
01.2024 - 05.2024
- Reviewed clinical documentation for medical necessity and compliance standards.
- Documented utilization review findings in electronic health record systems.
- Researched new technologies that may be beneficial in providing quality patient care while minimizing costs.
Charge Nurse
Southwest Healthcare
Bowman
04.2023 - 06.2023
- Supervised nursing staff to ensure quality patient care and safety.
- Developed and implemented care plans tailored to individual patient needs.
- Coordinated patient admissions, discharges, and transfers effectively.
Charge Nurse
Five Counties Nursing Home
Lemmon
09.2022 - 12.2022
- Supervised nursing staff to ensure quality patient care and safety.
- Developed and implemented care plans tailored to individual patient needs.
- Coordinated patient admissions, discharges, and transfers effectively.
Charge Nurse
Avantara North
Rapid City
01.2022 - 07.2022
- Supervised nursing staff to ensure quality patient care and safety.
- Coordinated patient admissions, discharges, and transfers effectively.
- Developed and implemented care plans tailored to individual patient needs.
Clinic Nurse
Outpatient Wound Care Clinic
Rapid City
11.2021 - 12.2021
- Collaborated with multidisciplinary teams to develop patient care plans.
- Administered wound care treatments following established protocols and best practices.
- Educated patients on wound management and preventive care techniques.
Acute/ER Nurse
West River Regional Hospital
Hettinger
08.2021 - 10.2021
- Provided immediate patient care in high-pressure emergency situations.
- Administered medications and monitored patient responses consistently.
- Utilized electronic health records for accurate patient documentation.
- Educated patients and families on post-discharge care instructions.
RN Rehabilitation Unit / LPN LTC Charge Nurse
Good Samaritan Society
Sioux Falls
06.2017 - 07.2021
- Provided compassionate patient care in diverse healthcare settings.
- Administered medications and treatments as prescribed by physicians.
- Educated patients and families on health management and recovery strategies.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
Scheduler, Preauthorization
Comprehensive Breast Care Clinic/Avera Breast Center
Sioux Falls
03.2010 - 01.2016
- Managed appointment systems to ensure optimal patient flow and resource allocation.
- Coordinated patient scheduling for consultations and procedures at a breast care clinic.
- Communicated with healthcare providers to confirm availability and coordinate schedules.
Education
Associate of Science - RN
Southeast Technical Institute
Sioux Falls, SD08-2019
Licensed Practical Nurse - Nursing
Southeast Technical Institute
Sioux Falls, SD05-2017
Skills
- Utilization review
- Patient care coordination
- Regulatory compliance
- EMR proficiency
- Interdisciplinary collaboration
- Strong analytical and documentation skills
- Time management and remote coordination
- Patient advocacy
Personal Information
Title: Utilization Review Specialist
Timeline
Utilization Coordinator
West River Health Services
07.2024 - 02.2025
Utilization Review Specialist
Rom Technologies
01.2024 - 05.2024
Charge Nurse
Southwest Healthcare
04.2023 - 06.2023
Charge Nurse
Five Counties Nursing Home
09.2022 - 12.2022
Charge Nurse
Avantara North
01.2022 - 07.2022
Clinic Nurse
Outpatient Wound Care Clinic
11.2021 - 12.2021
Acute/ER Nurse
West River Regional Hospital
08.2021 - 10.2021
RN Rehabilitation Unit / LPN LTC Charge Nurse
Good Samaritan Society
06.2017 - 07.2021
Scheduler, Preauthorization
Comprehensive Breast Care Clinic/Avera Breast Center
03.2010 - 01.2016
Associate of Science - RN
Southeast Technical Institute
Licensed Practical Nurse - Nursing
Southeast Technical Institute