
Steve Klayko
Oversee a team of 15 utilization review nurses responsible for the medical review of Medicare and Medicaid authorizations.... | Daphne, Daphne, United States
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Steve Klayko’s Emails sk****@ga****.com
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Steve Klayko’s Location Daphne, Daphne, United States
Steve Klayko’s Expertise Oversee a team of 15 utilization review nurses responsible for the medical review of Medicare and Medicaid authorizations. Expert on Medical policy development , NCD's, LCD's, Interqual Criteria, CMS and NCQA guidelines. Currently serving as Gateway's Certified Interqual Instructor 3+ years. Host weekly care coordination meetings that identify and resolve patient barriers to ensure members are treated at the appropriate level of care. Monior staffs case review quality and productivity. Manage weekly high cost and discharge reports. Serve as lead and SME for multiple company wide transitions to new review platforms. Specialize in UM training and education, served as preceptor, developed team training manuals and DTP's used for staff on boarding and cross training.
Steve Klayko’s Current Industry Highmark Wholecare
Steve
Klayko’s Prior Industry
Upmc Shadyside Hospital
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Tri Care
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Highmark Wholecare
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Work Experience

Highmark Wholecare
Certified Interqual Instructor
Fri Jun 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Highmark Wholecare
Supervisor Utilization Review Nurse
Fri Jan 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Tri Care
Registered Nurse + Nurse Care Manger
Fri Aug 01 2014 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Jan 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time)
Upmc Shadyside Hospital
Registered Nurse » Staff / Charge Nurse
Mon Aug 01 2011 00:00:00 GMT+0000 (Coordinated Universal Time) — Sat Sep 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time)