Experience

Extended Home Care

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Registered Nurse Care Manager

  • Oct 2016 - Present

  • Conduct monthly telephonic assessments to promote safety and independence in the community, and to encourage self-care of chronic conditions through education of disease processes; treatments; and preventive screenings. • Managing caseload of 140 members, and providing coordination of benefits with both in-network and out-of-network providers in accordance with Medicaid and Medicare guidelines. • Create and implement patient-centered care plans that address physical, mental, and… Show more • Conduct monthly telephonic assessments to promote safety and independence in the community, and to encourage self-care of chronic conditions through education of disease processes; treatments; and preventive screenings. • Managing caseload of 140 members, and providing coordination of benefits with both in-network and out-of-network providers in accordance with Medicaid and Medicare guidelines. • Create and implement patient-centered care plans that address physical, mental, and spiritual needs through collaboration with interdisciplinary team and review of clinical documents including UAS. • Participate in discharge planning to facilitate transitional care and ensure continuous delivery of appropriate and medically necessary services. Show less • Conduct monthly telephonic assessments to promote safety and independence in the community, and to encourage self-care of chronic conditions through education of disease processes; treatments; and preventive screenings. • Managing caseload of 140 members, and providing coordination of benefits with both in-network and out-of-network providers in accordance with Medicaid and Medicare guidelines. • Create and implement patient-centered care plans that address physical, mental, and… Show more • Conduct monthly telephonic assessments to promote safety and independence in the community, and to encourage self-care of chronic conditions through education of disease processes; treatments; and preventive screenings. • Managing caseload of 140 members, and providing coordination of benefits with both in-network and out-of-network providers in accordance with Medicaid and Medicare guidelines. • Create and implement patient-centered care plans that address physical, mental, and spiritual needs through collaboration with interdisciplinary team and review of clinical documents including UAS. • Participate in discharge planning to facilitate transitional care and ensure continuous delivery of appropriate and medically necessary services. Show less



Centers Plan for Healthy Living

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Clinical Nurse Educator

  • Oct 2015 - Oct 2016

  • Conduct three week long orientation for newly hired nurses, social workers, managers, and directors. • Develop and update education materials in accordance with company policies; Medicare and Medicaid guidelines, including MRT 90, CDPAS, and UAS. • Provide hands-on training with CaseTrakker, Virtual 8x8 Office, and Microsoft Office. • Conduct in-service education and training to all clinical staff and external affiliates on organizational changes, including implementation of new… Show more • Conduct three week long orientation for newly hired nurses, social workers, managers, and directors. • Develop and update education materials in accordance with company policies; Medicare and Medicaid guidelines, including MRT 90, CDPAS, and UAS. • Provide hands-on training with CaseTrakker, Virtual 8x8 Office, and Microsoft Office. • Conduct in-service education and training to all clinical staff and external affiliates on organizational changes, including implementation of new programs and systems. • Set up all technical equipment including projectors, webcams, microphones, and speakers for live-streamed trainings to remote staff via YouTube, Citrix, and Virtual 8x8. • Liaise with various departments, including Utilization, Intake, Systems, and Social Work to improve interdepartmental workflows with Care Management. • Conduct seminars at career fairs that outline the company’s mission, career opportunities and job descriptions. • Participate as needed in the interviewing of potential candidates.

• UAS Field Assessor

  • Oct 2014 - Oct 2015

  • Conducted First and Routine UAS Assessments for FIDA, MLTC, and MLTC auto-enrollees. • Promote safety in the home through education of disease processes and medication reconciliation.



Integra Managed Care

• Lake Success, New York

• UAS Assessment Nurse

  • Apr 2014 - Sep 2014

  • Conducted First and Routine UAS Assessments for MLTC. • Provided explanation of plan benefits. • Conducted First and Routine UAS Assessments for MLTC. • Provided explanation of plan benefits.