Amber Austin
@amberaustin
Family Nurse Practitioner with 9 years of oncology utilization management, symptom care, and patient education.
What I'm looking for
I’m a Family Nurse Practitioner with 9 years of experience focused on maximizing my educational background to deliver high-quality health care. Across my career, I’ve provided leadership through management and supervision, and I’m skilled in patient and family teaching with a strong emphasis on compassionate communication.
In my current role as a Nurse Practitioner - Clinical Oncology Consultant at UnitedHealth, I work with Medical Directors, Nurses, and Advanced Practice Providers to provide clinical guidance and perform utilization review using evidence-based oncology guidelines produced by NCCN, RTOG, and ASTRO. I complete utilization management for specialty medications for conditions including hyperlipidemia, migraines, autoimmune disorders, anemia, osteoporosis, and pediatric conditions, while interpreting policies and processes in accordance with Commercial ASO ERISA and Medicare lines of business to ensure compliance with medical necessity and turnaround times. I also complete P2Ps and post-denial P2Ps and align my work with company values focused on quality, affordability, and service.
My clinical foundation is built on hands-on oncology care and care coordination. As a Registered Nurse in Radiation Oncology Preservice Review, I validated requests for radiation oncology services and collaborated with medical directors and provider offices to ensure accurate processing. I also served as a Registered Nurse – Case Manager, identifying gaps and barriers in treatment plans, coordinating care, providing education on disease processes, and supporting healthy lifestyle changes; earlier, I was a Nurse Practitioner at Emory Proton Center and Archbold Medical Center, where I delivered individualized oncology care for pediatric and adult patients, ordered and interpreted diagnostics, implemented treatment regimens, participated in tumor boards, and provided symptom management. I hold an MSN as an FNP (graduated at the top of my class with a 3.81 GPA and received an NP Student award).
Experience
Work history, roles, and key accomplishments
Provides clinical guidance for oncology utilization review and completes utilization management for specialty medications. Interprets policies and processes for commercial ASO/ERISA and Medicare lines of business to ensure compliance with medical necessity and turnaround-time requirements, and completes P2Ps/post-denial P2Ps.
Validates commercial/Medicare/Medicaid requests for radiation oncology services and ensures compliance with medical necessity and turnaround-time requirements. Reviews and interprets clinical information using NCCN resources and LCDs and coordinates with medical directors and provider offices to process radiation requests accurately.
Identifies gaps and barriers in treatment plans and coordinates care to reduce rehospitalization risk related to complications after deliveries and surgeries and exacerbations of chronic conditions. Provides education on disease processes and management, encourages lifestyle changes, and makes referrals using a multi-disciplinary approach.
Nurse Practitioner - Proton Center
Emory Proton Center
Aug 2020 - Apr 2021 (8 months)
Collaborates with a multi-disciplinary team to deliver evidence-based care for pediatric and adult oncology patients. Conducts consults and follow-ups, orders and interprets diagnostics, implements treatment regimens, and participates in tumor boards and in-services when available.
Nurse Practitioner - Medical Oncology
Archbold Medical Center
Apr 2017 - Aug 2019 (2 years 4 months)
Manages acute and chronic health conditions for young adult and geriatric patients with various cancers as part of a multi-disciplinary team. Performs advanced assessments, orders and interprets diagnostics, implements treatment regimens, provides symptom management, and identifies complex cases for tumor board presentation.
Education
Degrees, certifications, and relevant coursework
Valdosta State University
Master of Science in Nursing, Nursing (FNP)
Grade: 3.81 GPA; NP Student award
Earned a Master of Science in Nursing with a focus on FNP and graduated with a 3.81 GPA. Received an NP Student award.
Valdosta State University
Bachelor of Science in Nursing, Nursing
Grade: Graduated at age 20 (youngest in class)
Earned a Bachelor of Science in Nursing. Graduated as the youngest in the class at age 20.
Availability
Location
Authorized to work in
Job categories
Skills
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