Deep Enrich
Melissa Mitchell
Utilization Review
42 followers
Dallas, Texas, United States
Connect with Melissa Mitchell to Send Message
Connect
Connect with Melissa Mitchell to Send Message
ConnectTimeline
About me
Regional Director
Education
University of Texas at Tyler
1996 - 1998BSN Registered Nursing/Registered Nurse
Experience
Cigna
May 2004 - Jun 2005Utilization ReviewExtraction of pertinent clinical information merged with the appropriate Milliman Care guidelines for the requested service, and presented cases to the Medical Directors for review and determination of coverage.
Humana
Jun 2005 - May 2017Clinical AdvisorPerform quality control audits to ensure data and documentation accuracy in accordance with company and federal guidelines.Assist in development, testing and training of new company-wide computer documentation systems.Develop, validate and maintain clinical databases for department performance and referral tracking, ROI studies, and reporting to upper management.
Hill Regional Hospital
Apr 2018 - May 2021Patient Access Director
NurseLine After Hours Telephone Triage
Jul 2021 - Jun 2024Director of Clinical Operations
Bluebird Homecare
May 2024 - nowRegional Director
Licenses & Certifications
- View certificate
Body Language for Leaders
LinkedInJan 2018
- View certificate
Communicating with Confidence
LinkedInJan 2018
Recommendations
Darren dennstedt
Innovative Intermediate Teacher at Cherry Creek School DistrictEnglewood, Colorado, United States
Martin cleary
Senior Business Development Manager at Broker NetworkGreater Manchester, England, United Kingdom
Rojina shrestha
Business Development Manager | FintechKathmandu, Bāgmatī, Nepal
Gail tanaka
(Retired) Senior Director, Education, Talent Development and Artistry at SEPHORA CanadaGreater Toronto Area, Canada
Prosenjit g.
IT Analyst at TCSKolkata, West Bengal, India
Brayndon stafford
Data Specialist at US Environmental Protection Agency (EPA)Raleigh, North Carolina, United States
Arq° tiago peres
ARQUITETO DE EXPANSÃO | PatroniSão Paulo, São Paulo, Brazil
Michael madsen, cpa
Chief Financial Officer at CAP TulsaTulsa, Oklahoma, United States
Zaid alsuwiyygh - assoc cipd
OD | Policies & Prucedures | Rewards | HR Operations | Talent Management | RecruitmentSaudi Arabia
Amirhosein kamali
PRESIDENTMashhad, Razavi Khorasan, Iran
Sean bray, pmp
Senior Project Manager at Emploi et Développement social Canada (EDSC) / Employment and Social Devel...Torbay, Newfoundland and Labrador, Canada
Binashbabu c
Business Development Manager at Block information technologyUnited Arab Emirates
Polinor ayesha hasan
Teacher at Sir John Wilson SchoolDhaka, Bangladesh
Khushi rawat
Manager| Retail Assets Operations| IDFC FIRST BANKMadhya Pradesh, India
Kiane hassanzadeh
FDC | Deloitte | EDHECParis, Île-de-France, France
Anushri dasgupta
MA | UGC NET | A creative writer | An animated Speaker| Content Writer |BloggerKolkata, West Bengal, India
Katricia hickerson
Program Manager - Customer Quality Engineering at EntegrisParker, Colorado, United States
Suarni sukarna
Beauty Consultant-Aesthetic-Nurse- Medical Coder, Billing & TranscriptionistKecamatan Serang, Banten, Indonesia
Aliza reçi
University of TiranaTirana, Albania
Ashishkumar rai
CSI IFIC Certified | Former Financial Service Representative at SS&C FinTech Services | Ex-Senior Ad...Toronto, Ontario, Canada
...