Debbie Fentress
Case Management Nurse at MedNational Staffing Inc.- Claim this Profile
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English -
Topline Score
Bio
Credentials
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BLS
American Heart Association
Experience
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MedNational Staffing Inc.
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United States
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Staffing and Recruiting
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1 - 100 Employee
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Case Management Nurse
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Dec 2020 - Present
Telephonic case management with Kentucky Medicaid Telephonic case management with Kentucky Medicaid
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Intrepid, USA
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Elizabethtown, KY
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RN Case Manager
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Sep 2016 - Dec 2020
Case Manager for Home Health: Performs assigned nursing procedures, including the administration of treatments and medications Interacts with clients and families to meet individual physical, psychosocial, and spiritual needs Teaches the clients/caregivers appropriate self-care techniques Assists with the rehabilitation of clients Participates in on-call and committee meetings on request Participate in the marketing efforts of the office and community relations activities as needed Accurately documents all events related to clients and completes any related documents as required by state or federal requirements. May assist in the quarterly review of records. Maintains appropriate professional boundaries with clients and families; avoids significant self-disclosure; interacts with clients and families on a professional level Show less
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Humana
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United States
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Insurance
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700 & Above Employee
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Nurse Care Manager
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Nov 2015 - Jun 2016
Work at home to optimize members’ health care through education, triage and disease management interventions. Clinically assess members to identify health needs using established protocols. Perform Case Management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring and evaluating care plans, facilitating authorizations and referrals, and assist in problem solving with providers, claims or service issues. Work with the geriatric population, with Medicaid and Medicare, Served as Point Person in the absence of Manager. Show less
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Kensington Manor Nursing Home
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Elizabethtown, KY
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MDS Coordinator/Clinical Reimbursement Specialist
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Jun 2015 - Sep 2015
Manage the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the Center. Conduce concurrent MDS reviews to assure achievement of maximum allowable RUG categories. Integrate information from nursing, dietary, social services, restorative, rehabilitation and physical therapy services to ensure appropriate reimbursement for the geriatric population and Mediare and Medicaid population Manage the overall process and tracking of all Medicare/Medicaid case-mix documents in order to assure appropriate reimbursement for services provided within the Center. Conduce concurrent MDS reviews to assure achievement of maximum allowable RUG categories. Integrate information from nursing, dietary, social services, restorative, rehabilitation and physical therapy services to ensure appropriate reimbursement for the geriatric population and Mediare and Medicaid population
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Anthem Blue Cross and Blue Shield
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United States
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Insurance
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700 & Above Employee
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Nurse Care Manager
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Nov 2013 - Jun 2015
Work at home to optimize member's health care through education, triage and disease management interventions. Clinically assess members to identify health needs using established protocols. Perform Case Management for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring and evaluating care plans, facilitating authorizations and referrals, and assist in problem solving with providers, claims or service issues. Work with the geriatric population. Show less
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Jewish Hospital & St. Mary's HealthCare
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United States
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Hospitals and Health Care
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700 & Above Employee
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RN
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Oct 2012 - Oct 2013
Circulating cases in OR, hearts and general surgery Circulating cases in OR, hearts and general surgery
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UofL Hospital
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United States
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Hospitals and Health Care
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400 - 500 Employee
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RN
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2008 - 2011
My responsibilities included circulating all cases in the main OR. Assist in the opening up of the surgical suite at the outpatient surgery center. Circulate cases in OR and Endo, work in pre-op to get patients ready for surgery My responsibilities included circulating all cases in the main OR. Assist in the opening up of the surgical suite at the outpatient surgery center. Circulate cases in OR and Endo, work in pre-op to get patients ready for surgery
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Education
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1987 - 1989
Jefferson Community College, Kentucky
Associate's degree, Registered Nursing/Registered Nurse -
1987 - 1989
Jefferson Community College, Kentucky
Associate's degree, Registered Nursing/Registered Nurse
Community
