Case Management Nurse

• Sep 2022 - Present

Operations Manager

• Feb 2022 - Sep 2022

Supports Branch Director in coordination of all back office and general office functions. Including, but not limited to completion of reports while adhering to Federal, State and local laws and regulations.- Supports recruitment efforts, to include active orientation support. Including, off-site efforts within the community- Reviews accounts receivable reports - Possessing knowledge to function in all areas of the branch - Conducts routine audits of personnel files to assure compliance- Assisting Branch Director with contracts and agreements - Conducting sales activities to ensure adequate pipelines for business development- Onboards and schedules training for new employees- Coordinates activities with HR team- Manages company Key Performance Indicators- Oversees and reports weekly, monthly, quarterly, and annual metrics Show less

Client Care Supervisor

• Jun 2021 - Feb 2022

- Receives and coordinates home care referrals, to include appropriate authorization- Assigns qualified personnel to work the case, including cancellations- Ensures orders are timely and filing is current- Supports Branch recruitment efforts to include interviewing and hiring adequate field staff to cover existing and growing census- Ensures compliance with licensure and credentialing requirements- Counsels field employees involving violation of non-clinical matters- Initiates complaint and service failure reporting and investigation, including appropriate and ongoing resolution Show less

LPN Care Coach

• Mar 2020 - Apr 2021

- Engage, enroll, and maintain members in active participation in the OnTrak program - Coordinate member care - Utilizing motivational interviewing, enhancement, and relapse prevention guidelines - Communicating information from providers per HIPPA guidelines - Works jointly with the Clinical Operations Coordinator and Community Care Coordinator to support member referral, engagement, and enrollment into the OnTrak program - Engage, enroll, and maintain members in active participation in the OnTrak program - Coordinate member care - Utilizing motivational interviewing, enhancement, and relapse prevention guidelines - Communicating information from providers per HIPPA guidelines - Works jointly with the Clinical Operations Coordinator and Community Care Coordinator to support member referral, engagement, and enrollment into the OnTrak program

LPN Intake Coordinator

• Jan 2020 - May 2020

- Approving patient admissions - Verifying all admission and intake forms are complete and accurate - Ensuring that the level of treatment and clinical services is appropriate to all patients' needs. - Maintain department procedures and daily census records - Maintain real time communication with agents in the field - Provide insurance verification for intake patients - Approving patient admissions - Verifying all admission and intake forms are complete and accurate - Ensuring that the level of treatment and clinical services is appropriate to all patients' needs. - Maintain department procedures and daily census records - Maintain real time communication with agents in the field - Provide insurance verification for intake patients

LPN Clinic Nurse

• May 2019 - Jan 2020

- Assist patients via telephonic nurse messaging - Responsible for Nurse visits on a rotating schedule - Providing patient wound care - Provide patient treatments per provider orders - Administer medication - Maintain quality control pertaining to medications and safety procedures for clinic - Management of Medical assistant staff and clinic duties - Assist patients via telephonic nurse messaging - Responsible for Nurse visits on a rotating schedule - Providing patient wound care - Provide patient treatments per provider orders - Administer medication - Maintain quality control pertaining to medications and safety procedures for clinic - Management of Medical assistant staff and clinic duties

HEDIS Abstractor

• Jan 2017 - Apr 2017

HEDIS medical record review, including data collection from provider offices and abstraction of those records. HEDIS medical record review also consists of abstraction from electronic medical records and/or abstraction from faxed/mailed medical records. Locate and review all assigned medical charts, perform abstraction according to NCQA HEDIS specifications, and copy all chart documentation per Plan specifications Complete the HEDIS Medical Record Review abstraction tool within live software environment Reviewing 30-50 charts per day/eight hour shift Show less

Advise Nurse

• Feb 2015 - Jan 2017

- Gathering and verifying required member information. - Verifying membership utilizing QNXT/LVM. - Effectively managing a high volume of inbound member calls. - Providing (via telephone) members with the highest level of assistance with their medical and behavioral needs. • Quality Assurance ( Team Health) - Gathering and verifying required member information. - Verifying membership utilizing QNXT/LVM. - Effectively managing a high volume of inbound member calls. - Providing (via telephone) members with the highest level of assistance with their medical and behavioral needs. • Quality Assurance ( Team Health)

LVN

• Mar 2014 - Sep 2015

- Chart review - Patient/Family teaching - Administration of medication and treatments - Implementation of P.O.C - Assessments - Medical records review - Chart review - Patient/Family teaching - Administration of medication and treatments - Implementation of P.O.C - Assessments - Medical records review

LEAD LVN II

• May 2007 - Jan 2013

- Chart review - Patient teaching - Diabetic teaching - Assisting HEDIS department for NCQA audit - Presented ( weekly) at Care Plan meetings • Case management ( Infectious Disease) • Assisting providers with CPT and diagnosis codes • Quality Assurance ( Ortho Department) • Medical records review • Assessments • Administration of medications and treatments • Drug screening • B.A.T alcohol testing • Employee Health Clearances • Patient Care (Internal Med Dept.) • Scheduling appointments and follow up appointments ( Internal Med) • Assisting Physician with procedures (Ortho & Pulmonary dept.) Show less

LVN

• Sep 2005 - Jan 2007

- Providing care to chronically Ill patients - Providing report to Physician/RN - Administration of medications and treatments - Observing and assessing patient to enhance quality of care - Following nursing policy and procedures per Vitas standards • Adhering to P.O.C • Providing Patient and family education • Complying with HIPAA regulations • Case management • Providing end of life care to patients • Presented at Care Plan meetings - Providing care to chronically Ill patients - Providing report to Physician/RN - Administration of medications and treatments - Observing and assessing patient to enhance quality of care - Following nursing policy and procedures per Vitas standards • Adhering to P.O.C • Providing Patient and family education • Complying with HIPAA regulations • Case management • Providing end of life care to patients • Presented at Care Plan meetings

LEAD LVN

• Mar 2003 - Aug 2005

- Monitoring and recording of Vital Signs - Wound Care - Ordering and Administering Medications - Transporting patients to appointments - Patient Assessments • Completing monthly schedules for care staff • Assigning care staff • Following and adjusting P.O.C per RN • Coordinated monthly inservice’s for care staff per RN - Monitoring and recording of Vital Signs - Wound Care - Ordering and Administering Medications - Transporting patients to appointments - Patient Assessments • Completing monthly schedules for care staff • Assigning care staff • Following and adjusting P.O.C per RN • Coordinated monthly inservice’s for care staff per RN