Steven Farner

Perform utilization management reviews and pre-authorization for commercial, Medicare Advantage, and Medi-Cal members; prepare cases for medical director review and ensure regulatory compliance to optimize patient care and resource use.

Assessed medical necessity and appropriateness of services across payor types, managed service oversight using nursing process, and maintained thorough UM documentation to support optimal patient outcomes.

Conducted comprehensive intake assessments, developed individualized care plans, coordinated referrals and appointments, and connected patients to public health resources to improve care continuity.

Delivered direct nursing care including medication administration and wound care, provided patient and family education, and performed telephone triage to address urgent needs and referrals.

Evaluated patient and unit needs, allocated nursing resources, supervised staff, and communicated clinical summaries to ensure continuous oversight and quality care on the psychiatric unit.

Managed telephone triage for endocrinology and rheumatology clinics, performed rapid clinical decision-making, coordinated testing and medication refills, and managed referrals to support patient safety.

Planned and directed care services for a caseload of ~25 patients, coordinated interdisciplinary teams, performed wound care assessments, and referred complex cases to specialists to improve outcomes.

Provided acute medical-surgical nursing care, performed patient assessment and evidence-based care planning, and advocated for patient safety and clinical quality in a fast-paced unit.

Delivered direct nursing care in orthopedic/urology medical-surgical settings, assessed patient conditions, implemented evidence-based interventions, and coordinated multidisciplinary care.

Completed an A.S. in Nursing with preparation for Registered Nurse practice and clinical experience in acute and community settings.