Sharon Viglione
Lakewood
Summary
Reliable individual bringing 47 years of experience in healthcare environments. Maintains positive relationships with case managers and providers. Remains polished and calm under extreme stress.
Overview
30
30
years of professional experience
Work History
RN Utilization Management
Denver Health
11.2007 - 12.2022
- Performed prior authorization review of services requiring notification.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Communicated with patients, ensuring that medical information was kept private.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
RN Disease Management
McKesson
11.1998 - 10.2005
- Utilized clinical expertise to conduct assessments and interventions telephonically to educate client members in Disease Management Programs.
- Facilitated client's healthcare decision-making process and promoted disease management.
- Empowered client's with accurate and reliable healthcare information and resources from The National Institute of Health
RN Ask-A-Nurse
Porter Hospital
07.1992 - 11.1998
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Utilized nursing experience to triage patient's symptoms, determined appropriate course of action and advised patients.
- Participated in outbound postpartum program.
- Provided training and orientation to new employees.
Education
No Degree - Nursing Diploma
Presbyterian School of Nursing
Denver06.1975
Skills
- Insurance Eligibility
- HIPAA Compliance
- Patient Care Assessment
- Ability to work with a diverse population
- Attention to detail
- Consistent reliability and punctuality
Timeline
RN Utilization Management
Denver Health
11.2007 - 12.2022
RN Disease Management
McKesson
11.1998 - 10.2005
RN Ask-A-Nurse
Porter Hospital
07.1992 - 11.1998
No Degree - Nursing Diploma
Presbyterian School of Nursing
Similar Profiles
Valentino ZentenoValentino Zenteno
Sterile Processing Technician at Denver HealthSterile Processing Technician at Denver Health
Leisha NeumannLeisha Neumann
Registered Nurse - Medical Intensive Care Unit at Denver HealthRegistered Nurse - Medical Intensive Care Unit at Denver Health
Jenai DeNardoJenai DeNardo
Field Supervisor at Denver HealthField Supervisor at Denver Health