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Janet Bonvillain

@janetbonvillain

I coordinate utilization review, prior authorizations, and post-acute care across complex healthcare settings.

United States
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What I'm looking for

I'm seeking utilization management or prior authorization work where I can review clinical documentation, coordinate with payers and providers, support timely care transitions, and manage high-volume workflows within regulatory requirements.

I've supported utilization review, payer authorization, continued-stay, and discharge workflows across rehabilitation, emergency, and acute-care settings.

At Emory Rehabilitation Hospital, I reviewed clinical documentation, tracked authorization and insurance issues, coordinated DME and post-acute services, and maintained payer-related workflows in EPIC, CarePort, and WellSky.

My work also includes emergency department case management at Adventist Health, where I partnered with physicians, insurers, facilities, and community providers to resolve authorization, placement, transportation, and service barriers while protecting PHI.

Experience

Work history, roles, and key accomplishments

AC

Mental Health Clinician

Alaska Department of Corrections

Apr 2026 - Jun 2026 (2 months)

Reviewed behavioral health information, completed assessments, maintained confidential documentation, and escalated cases requiring additional clinical intervention in a regulated setting. Managed competing priorities and time-sensitive documentation while collaborating with clinical and operational staff.

Adventist Health logoAH

Emergency Department Medical Social Worker

Mar 2025 - Feb 2026 (11 months)

Reviewed medical and behavioral health records, gathered clinical information, coordinated services, and supported payer and medical-necessity workflows for complex emergency department cases. Communicated with physicians, nurses, insurers, facilities, behavioral health providers, and community agencies to resolve authorization, placement, transportation, and service barriers.

Emory Rehabilitation Hospital logoEH

Case Manager

Jun 2023 - Jan 2025 (1 year 7 months)

Performed utilization review and supported payer authorization and continued-stay processes for inpatient rehabilitation patients. Coordinated DME, home health, SNF, LTAC, IRF, transportation, and community referrals, and used EPIC, CarePort, and WellSky to maintain accurate case documentation.

AH

Rapid Response Medical Social Worker

AMI Expeditionary Healthcare

Jan 2019 - Jan 2021 (2 years)

Provided high-volume telephone-based healthcare support, collected and documented information accurately, coordinated resources and follow-up, and escalated urgent concerns appropriately.

Education

Degrees, certifications, and relevant coursework

Clark Atlanta University logoCU

Clark Atlanta University

Master of Social Work, Social Work

Master of Social Work (MSW) degree from Clark Atlanta University.

Strayer University logoSU

Strayer University

Master of Education, Education

Master of Education (M.Ed.) degree from Strayer University.

Clark Atlanta University logoCU

Clark Atlanta University

Bachelor of Social Work, Social Work

Bachelor of Social Work (BSW) degree from Clark Atlanta University.

American Heart Association logoAA

American Heart Association

BLS Certification, Basic Life Support

BLS certification from the American Heart Association, expiring in March 2027.

Tech stack

Software and tools used professionally

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