Letitia Hunt

Directed the team in successfully completing 75,000 Prior Authorizations, Concurrent, and Retrospective reviews annually, ensuring 100% compliance with applicable guidelines, policies, and procedures. Led the team to maintain a 98% annual passing score on Inter-rater Reliability (IRR) for Interqual (IQ) certification and achieved a consistent 100% quality score on compliance audits.

Managed the East Central Division of Grievance and Appeals across 13 states, overseeing a team of 19 nurses, ensuring resolution of over 4,300 appeals in Q2 and achieving a 90% completion rate for Milliman Care Guidelines (MCG) certifications, exceeding the 2021 success metrics. Developed and implemented organizational processes and performance tracking tools, including scorecards that improved st

Oversaw a multidisciplinary team of 20 professionals, including nurses, behavioral health associates, and finance staff, to optimize medical services for Medicaid patients. Achieved a 15% improvement in patient adherence to treatment plans through the Health Home collaborative initiative. Launched a Lead Health Education program, including the state's inaugural Lead Summit, reducing pediatric lead

Ensured the creation of tailored treatment strategies through the consistent management of annual health evaluations for over 600 clients. Developed and executed tailored care plans, enhancing patient outcomes by 25% via specialized interventions.

Facilitated appropriate referrals to external clinical services, boosting care coordination efficiency by 15%. Delivered extensive support for a caseload of over 20 mental health patients weekly.

Oversaw phone triage, visit assessments, and follow-up care strategies at a pediatric clinic with more than 1,000 patients. Optimized clinical workflows resulting in a 20% reduction in wait times.

Directly responsible for the management of 50-60 nurses and aids, overseeing day-to-day clinical operations, including scheduling and appointments, care and service, policies and procedures, budget, and records. Ensured all state and regional compliance.

Led a staff of 15 people, including Field Clinical, Marketing, and Chaplain Services, providing medication reviews, scheduling, and continued education. Maintained quality assurance standards and Medicare compliance, achieving a 90% family satisfaction rating in patient care.

Currently pursuing a Doctor of Health Services with a specialization in Healthcare Administration. This program focuses on advanced leadership and management principles within the healthcare sector.

Completed a Master of Science in Nursing, focusing on advanced nursing practices and healthcare management. This program enhanced skills in clinical leadership and patient care strategies.

Obtained a Bachelor of Science with a dual major in Nursing and Psychology. This comprehensive program provided a strong foundation in patient care, psychological principles, and healthcare delivery.