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Lynae Young

@lynaeyoung

Results-driven Clinical Specialist with over 10 years of experience.

United States
Message

What I'm looking for

I am looking for a role that values collaboration, innovation, and patient-centered care.

I am a results-driven Clinical Specialist with over 10 years of experience supporting hospital systems, critical care, and case management workflows. My proven track record in clinical informatics and EMR optimization has allowed me to enhance patient and provider education while fostering cross-functional collaborations. I am currently seeking to leverage my strong healthcare operations and education experience in a Clinical Specialist role.

In my recent position at Tampa General Hospital, I conducted over 40 medical necessity reviews daily, utilizing insights from utilization data and payer feedback to reduce readmissions. My collaborative efforts with cross-functional teams led to the implementation of patient-centered communication tools, resulting in a 15% reduction in unnecessary inpatient days. As the Founder and CEO of Young Luxe Wellness, I successfully increased service volume by 50% year-over-year through innovative digital patient engagement strategies.

Experience

Work history, roles, and key accomplishments

TH
Current

Utilization Management Nurse

Tampa General Hospital

Oct 2022 - Present (2 years 10 months)

Conducted over 40+ medical necessity reviews daily by insights from utilization data, payer feedback, and workflow barriers to reduce readmissions. Collaborated with cross-functional teams to implement patient-centered communication tools, contributing to a 15% reduction in unnecessary inpatient days.

YW
Current

Founder & CEO

Young Luxe Wellness

Sep 2021 - Present (3 years 11 months)

Collaborates with business partners to manage digital scheduling, CRM, and EMR-lite platforms to deliver aesthetic, post-op care and IV therapy services. Increased service volume by 50% YoY by providing virtual consultation and onboarding to clients through digital patient engagement strategies.

CH

RN Case Manager

CVS Health

Aug 2021 - Present (4 years)

Increased patient outcomes for 30 patients per day, by building high-trust relationships with healthcare professionals, improving adherence and patient outcomes across multiple chronic conditions in both inpatient and outpatient settings. Demonstrated strong organizational skills, ability to work independently in a multi-task environment, effective written and verbal communication skills, and abil

TR

Critical Care Nurse

TriHealth

Oct 2019 - Present (5 years 10 months)

Demonstrated clinical expertise in high-acuity hospital environment, contributing to zero sentinel events over 3 years. Delivered critical care patients maintaining 95%+ compliance with hemodynamic monitoring protocols.

MH

RN Case Manager

Molina Healthcare

Jan 2017 - Present (8 years 7 months)

Provided telephonic case management for patients with various health conditions, reducing ER utilization by 75% through education and proactive outreach. Resolved documentation gaps and implemented audit-prep strategies, achieving 100% compliance during CMS audits.

UC

RN Case Manager

UC Medical Center

Aug 2015 - Present (10 years)

Managed acute patient care and ensured compliance with coding and reimbursement policies to improve patient outcomes. Applied quality risk management (QRM) principles to optimize documentation accuracy.

Education

Degrees, certifications, and relevant coursework

University of Cincinnati logoUC

University of Cincinnati

Bachelor's Degree, Nursing

2016 - 2018

Completed a Bachelor's Degree at the University of Cincinnati. The program provided foundational knowledge and skills relevant to healthcare and nursing.

Tech stack

Software and tools used professionally

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Lynae Young - Utilization Management Nurse - Tampa General Hospital | Himalayas