Lani Halili
Utilization Management RN Case Manager @ Providence
- Role
- Ambulatory Utilization Management Rn Case Manager at Providence
- Location
- Anaheim, CA, US
- LinkedIn followers
- 500 followers
About Lani Halili
At Providence, our team\'s focus is on optimizing healthcare delivery through strategic utilization management and embracing cutting-edge technology. With over 15 years of dedicated nursing experience, my role as a Utilization Management RN Case Manager enables me to leverage Electronic Health Records and Electronic Medical Records, ensuring that our patients\' journeys are both efficient and compliant with medical guidelines.Our mission extends beyond individual care to encompass a system-wide perspective, where coordination with pharmacy teams and seamless care transitions are crucial for sustained patient outcomes. This approach not only aligns with Providence\'s values but also exemplifies a commitment to innovation and quality in the healthcare sector.
Experience
Ambulatory Utilization Management Rn Case Manager
Mar 2019 — Present · Anaheim, CA, US
Ensure efficient and compliant healthcare delivery by conducting utilization review of ambulatory IV and injectable pharmacy referrals.• Collaborate with interdisciplinary teams to optimize patient outcomes and streamline care delivery processes.• Maximize quality/cost efficiency of healthcare services, prioritizing patient care while minimizing system burden in concordance with healthplan\'s step therapy guidelines.
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