Lauren Stockton
Patient Care Advocate @Centene Corporation
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WORK HISTORY
Patient Care Advocate @Centene Corporation
Supported patients by assessing needs, providing detailed explanations of diagnoses, treatment options, and care plans, ensuring patient understanding of medical conditions and available resources• Coordinated care by scheduling and managing patient appointments, treatments, and follow-up care across multiple healthcare providers, facilitating seamless communication among the care team• Assisted patients in understanding insurance coverage, benefits, and limitations, resolving billing issues and claims disputes through critical evaluation and negotiation with insurance companies• Acted as a representative for patients in discussions with healthcare providers and insurance companies, addressing and resolving complaints and concerns through analytical problem-solving• Connected patients with community resources and support services, providing information on patient support groups and educational materials to match resources to patient needs• Ensured accurate and confidential patient records, prepared comprehensive reports on patient interactions and outcomes, identifying trends and areas for improvement through critical analysis• Trained and mentored new team members on patient advocacy protocols, care coordination practices, and insurance navigation, fostering critical thinking and problem-solving skills within the team• Worked closely with IT professionals to ensure seamless integration and functionality of healthcare software and electronic health records (EHR) systems, collaborating on projects to enhance system usability and resolve technical issues promptly• Worked in different departments on various projects to improve patient care and administrative efficiency, applying critical thinking and problem-solving skills to project tasks and outcomes• Improved patient satisfaction scores by 20% through effective communication and advocacy
EDUCATION
University of the People
Bachelor's degree
DeVry University
Bachelor's degree
ABOUT LAUREN STOCKTON
As a Licensed Practical Nurse and certified Project Management Professional (PMP), I’ve built a career at the crossroads of clinical care, utilization review, and operational excellence. I specialize in aligning patient needs with payer criteria—ensuring medical necessity, improving compliance, and supporting quality outcomes across diverse healthcare settings. From conducting prospective and concurrent reviews using InterQual® and MCG guidelines to driving HEDIS gap closures and training remote teams, I bring a detailed, data-informed approach to every role. I’ve worked with managed care organizations like Centene, correctional health programs, and long-term care providers—each time balancing compassion with compliance, and advocacy with accountability. What drives me? Creating smarter, more equitable systems that elevate both care delivery and team performance. Whether managing utilization workflows, coaching care teams, or improving documentation standards, I lead with clinical insight and project discipline. Based in West Chester, PA | Open to remote roles s••••••••@gmail.com Let’s connect if you’re building programs that need both hands-on experience and strategic follow-through.
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