KeYonna Hawkins
@keyonnahawkins
Experienced Licensed Practical Nurse and Clinical Reviewer.
What I'm looking for
I am a dedicated Licensed Practical Nurse with a distinguished career in clinical review and auditing. My experience has allowed me to make sustainable differences in patient outcomes while ensuring responsible resource allocation and adherence to evidence-based care. I possess a deep understanding of medical necessity across various healthcare settings, including outpatient, acute care, and skilled nursing.
Throughout my career, I have excelled in direct patient care, chart audits, and collaboration with multidisciplinary teams. My role as a Clinical Reviewer has honed my skills in performing thorough chart reviews and ensuring compliance with documentation standards. I am proficient in utilizing various electronic medical records systems and possess strong communication and problem-solving abilities, which are essential for effective patient care and team collaboration.
As I continue my professional journey, I am excited to leverage my clinical skills and experience in case management and clinical review to contribute positively to patient care and organizational goals.
Experience
Work history, roles, and key accomplishments
Remote Outpatient Prior Authorization Nurse/Clinical Reviewer
IHP
Feb 2025 - Present (5 months)
Performed timely reviews of 20+ prior authorization requests for medical necessity by applying clinical criteria utilizing clinical guidelines. Efficiently provided accurate and complete documentation with rationale to support and approve requests.
Remote Oncology Data Abstractor/Clinical Reviewer
Flatiron Health
Jun 2023 - Apr 2024 (10 months)
Utilized excellent prioritization and organizational skills to identify, capture, and maintain clinical cancer data files. Demonstrated strong data quality and efficiency in accurate abstraction of patient records and clinical information.
Remote Health Coach
Renalogic
Sep 2022 - Jan 2023 (4 months)
Managed 76+ complex high-risk patients with multiple comorbidities, evaluating members' readiness to overcome barriers and achieve health goals. Conducted comprehensive health assessments and smart care plans with interventions for various populations.
Enterprise Occupational Health and Safety
UnitedHealth Group
Oct 2021 - Mar 2022 (5 months)
Collaborated with leadership to ensure patient needs were met through strategic planning and execution. Conducted ongoing reviews to ensure appropriate care during projected stays.
Remote Health Clinician
Concentra
Oct 2020 - Jun 2021 (8 months)
Managed day-to-day operations, documented test procedures, and ensured quality standards of testing. Reviewed and optimized operational processes and procedures for testing specimen kits to maximize efficiency.
LPN III
Hillcrest Health System/Utica Park Medical Oncology
Feb 2011 - Feb 2019 (8 years)
Managed clinical workflow within the oncology department, reviewing data and analyzing 25+ patient charts within EPIC patient portal. Educated patients on chemotherapy regimens, Ig therapy, nutrition, and side effects prior to treatment.
Education
Degrees, certifications, and relevant coursework
Platt College
Associate of Science in Nursing, Nursing
Completed an Associate's Degree in Nursing, gaining foundational knowledge and practical skills essential for a career in nursing. The curriculum covered various aspects of patient care, medical procedures, and healthcare ethics.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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