Heather Sebastien, Lpn Licensed Practical Nurse
About Heather Sebastien, Lpn Licensed Practical Nurse
Heather Sebastien is a Licensed Practical Nurse currently serving as a Nurse Reviewer at Avalon Healthcare Solutions since 2021. With over a decade of experience in various healthcare roles, she has a strong background in medical reviews and proficiency in healthcare software.
Work at Avalon Healthcare Solutions
Heather Sebastien has been employed at Avalon Healthcare Solutions as a Nurse Reviewer since 2021. In this role, she is responsible for conducting medical reviews and assessments to ensure compliance with healthcare regulations and standards. Her position involves evaluating genetic test requests to determine medical necessity, leveraging her extensive nursing background and expertise in utilization management.
Previous Experience in Healthcare
Before joining Avalon Healthcare Solutions, Heather Sebastien held several nursing positions. She worked at Affinity Health Plan as a Restricted Recipient Program Committee Nurse Reviewer from 2013 to 2017. She also served as a Pharmacy Infusion Nurse at the same organization during that period. Additionally, she was employed at Cognizant as a UM Review Nurse for five months in 2018 and at Magellan Health as a Utilization Management Professional-LPN for two months in 2018. Her experience includes a role as a Pre-Authorization Nurse Reviewer at Meridian from 2019 to 2021.
Education and Expertise
Heather Sebastien studied at the Vocational Education Extension Board, where she earned a Practical Nursing Diploma from 1990 to 1992. She also attended Hendriks Institute of Technology, achieving a Certificate in Web/Multimedia Management and Webmaster from 2002 to 2003. This combination of nursing education and technical training highlights her diverse skill set, enabling her to navigate both healthcare and technology effectively.
Skills and Proficiencies
Heather possesses proficiency in various healthcare software and tools essential for her roles in nursing and medical review. Her expertise includes systems such as MEDecision, WINucs, LANCORP(maxMC), Mckesson, InterQual, Milliman, ALTRUISTA, Citrix, AVAYA, MCG, Facets, and ePaces. This knowledge supports her ability to conduct thorough medical reviews and manage patient care effectively.
Background in Nursing
Heather Sebastien has over a decade of experience in the healthcare industry, with a focus on nursing roles. Her background includes working as a Home Care & Out-Patient Rehab Case Manager at Healthfirst from 2011 to 2012. She has developed a comprehensive understanding of patient care, utilization management, and the intricacies of healthcare regulations throughout her career.