IMONI BROWN
Emporia
Summary
Detail-oriented Licensed Practical Nurse with experience in prior authorization processing, utilization review support, and clinical documentation auditing. Focused on maintaining HIPAA compliance and audit-ready records while improving data integrity. Skilled in analyzing performance metrics and driving process improvements to enhance operational efficiency and compliance outcomes. Communicates effectively with providers and payers, managing complex workflows in fast-paced healthcare settings.
Overview
1
1
Certification
10
10
years of professional experience
Work History
Behavioral Health Care Manager
Lumina Care Medical Staff, P.A.
Remote
03.2026 - Current
- Conducted comprehensive assessments to identify behavioral health needs and develop individualized interventions.
- Coordinated patient care plans to optimize treatment outcomes and ensure continuity of services.
- Facilitated communication between patients, families, and multidisciplinary teams to enhance care collaboration.
- Monitored patient progress and adjusted care strategies based on feedback and clinical evaluations.
- Enhanced patient care by implementing evidence-based behavioral health interventions and strategies.
- Observed and monitored client behavior and responses to treatment.
Nurse Supervisor
HealthSnap, Inc.
09.2023 - 02.2026
- Clinical & Team Leadership: Provided clinical leadership and operational oversight for a remote, multidisciplinary team of up to 20 nurses by supervising daily workflows, enforcing RPM/CCM documentation standards, and ensuring full regulatory and payer compliance.
- Quality Assurance & Compliance: Established documentation audit protocols to validate clinical data integrity, completeness, and adherence to payer-aligned and organizational quality benchmarks.
- Quality Assurance & Compliance: Established and executed routine documentation audit protocols to validate clinical data integrity, completeness, and adherence to payer-aligned and organizational quality benchmarks.
- Coaching & Performance Management: Delivered coaching and performance management interventions to improve documentation accuracy and compliance outcomes.
- Operational Planning & Resource Optimization: Optimized caseload distribution and resource allocation strategies to balance nurse workloads and maintain service-level targets.
Licensed Practical Nurse / Certified Nursing Assistant
Fair Choice Home Healthcare
08.2016 - 12.2025
- Direct Patient Care & Clinical Support: Delivered hands-on patient care in home health settings by performing routine assessments, monitoring vital signs, and supporting daily care activities to promote patient safety and comfort.
- Documented patient assessments, vitals, and care interventions to enhance continuity of care and facilitate interdisciplinary communication.
- Maintained organized patient records, ensuring documentation completeness and integrity for internal quality reviews and compliance monitoring.
Care Navigator
HealthSnap, Inc.
01.2023 - 09.2023
- Coordinated a high-volume patient panel of approximately 250 individuals each month by organizing outreach schedules, tracking care needs, and providing timely follow-ups and support.
- Telehealth Assessment & Clinical Reporting: Carried out structured phone-based assessments and captured clinical observations using standardized documentation tools to support consistent, high-quality clinical reporting.
- Assisted patients in navigating healthcare systems, ensuring access to necessary resources and services.
Prior Authorization Specialist
Tailored Management
12.2021 - 05.2022
- Utilization Review & Authorization Processing: Evaluated prior authorization requests by reviewing clinical documentation for accuracy, completeness, and compliance with payer coverage criteria and medical necessity guidelines, ensuring appropriate service access.
- Authorization Tracking & Workflow Management: Monitored pending authorizations, denials, and appeal statuses to reduce processing delays and help ensure patients received timely access to approved services.
- Provider & Payer Communication: Collaborated with providers, insurance representatives, and internal stakeholders to clarify documentation gaps, resolve discrepancies, and expedite authorization outcomes.
- Data Entry & System Accuracy: Entered and maintained authorization records across payer portals and internal systems with a strong focus on precision, data integrity, and timely updates.
- Regulatory Compliance & Quality Controls: Adhered to HIPAA requirements, payer regulations, and internal quality standards to maintain confidentiality, audit readiness, and consistent compliance performance.
Education
Practical Nursing Diploma - Practical Nursing
Southside Virginia Community College
Alberta, VA12-2020
Skills
- Clinical Documentation Review
- Utilization Review Support
- Behavioral Health Coordination
- Remote care management
- Claims support
- Clinical Quality Improvement
- Quality Assurance (QA) & Auditing
- EHR Navigation & Data Abstraction
- ICD-10/CPT familiarity
- Workflow Coordination
Certification
- Licensed Practical Nurse (LPN)
- Certified Nursing Assistant (CNA)
- Adult & Pediatric CPR/AED
Timeline
Behavioral Health Care Manager
Lumina Care Medical Staff, P.A.
03.2026 - Current
Nurse Supervisor
HealthSnap, Inc.
09.2023 - 02.2026
Care Navigator
HealthSnap, Inc.
01.2023 - 09.2023
Prior Authorization Specialist
Tailored Management
12.2021 - 05.2022
Licensed Practical Nurse / Certified Nursing Assistant
Fair Choice Home Healthcare
08.2016 - 12.2025
Practical Nursing Diploma - Practical Nursing
Southside Virginia Community College