As Akeso’s Workers' Comp Program Manager, Jessica is responsible for streamlining RFA and Referral processes to improve turnaround time and communications with providers, patients, employers, and insurance companies. She also works with local ancillary facilities to develop partnerships to keep medical treatment on track as well as mediating peer-to-peer treatment plan reviews with Akeso providers, claims examiners, risk managers, and employers to assist in positive RFA outcomes.
Prior to joining Akeso, Jessica was the Utilization Review Supervisor at MEDEX, where she streamlined processes for improving review time, created standard operating procedures to ensure URAC compliance, incorporated new California work comp labor laws/statues and worked with the Medical Director and legal counsel to review legislative changes. Prior to that, she was a Telephonic Nurse Case Manager at MEDEX, managing on average the care of over 65 high-profile/complicated patients such as psych and litigated cases.
Jessica received her Bachelor of Science in Business Administration from the University of Phoenix. She worked for a major Southern California bank and the Westfield Corp. until shifting her career to nursing in 2013, graduating from the American Career College of Nursing. She spent the next four years working as a Licensed Vocational Nurse with rotations in ER, ICU, Telemetry, wound care, and geriatric care.