Guerly Laroche

Experience

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  Brigham and Women's Hospital

  Jul 1998 - now

  RN Care Manager and Utilization Management Appeal Nurse

  As an RN Care Manager, I Work closely with high-risk patients, responsible for establishing, implementing, monitoring, and evaluating high-quality cost-effective care plans. Collaborates with practice Physicians and Program leadership, to strategize optimal and efficient patient care plans and approaches. As an Appeal nurse, I review prospective, concurrent or retrospective medical records of denied services for medical necessity. Extrapolate and summarizing essential medical information for Medical Director, consultants and other external review. Show less