LaTonya Sowell

Manages member caseloads through assessment, pre-certifications, and concurrent and retrospective reviews. Coordinates with PCPs, specialists, and community resources to ensure efficient, quality care.

Manages member caseloads through assessment, pre-certifications, and concurrent and retrospective reviews.

Coordinates patient care plans by liaising with care providers and medical professionals. Provides nursing services including assessments, medication administration, and patient education.

Managed staffing operations including candidate sourcing, screening, and onboarding. Developed work schedules and ensured compliance with employment laws.

Processed HEDIS faxes and conducted telephonic outreach to providers for quality improvement. Verified medical claims and ensured compliance with regulatory standards.

Provided nursing health care services to individuals according to policies and procedures. Administered medications and assisted in implementing active treatment plans.

Overread medical record abstractions per HEDIS specifications and corrected errors. Communicated findings to abstractors and supervisors.

Administered medications, started IV fluids, and provided patient care including wound care and catheterizations. Supervised CNAs and charted on EMR.

Provided direct patient care and conducted assessments. Monitored adverse events, infection control reports, and performed chart audits.

Maintained patient records, assisted doctors and RNs with tests and procedures, and administered medications. Supervised CNAs and provided emotional support.

Completed vocational nursing program leading to LVN licensure.

Earned a high school diploma.