Tracy Balentine
Case Manager at Anthem- Claim this Profile
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Bio
Credentials
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Nurses, Registered And Licensed Practical, Re-Entry
State of TennesseeJun, 2020- Oct, 2024
Experience
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Anthem
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United States
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Insurance
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700 & Above Employee
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Case Manager
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Oct 2014 - Present
Utilizing telehealth platforms such as ZOOM I meet with individuals to discuss personal care needs in a long term service support program and develop a person centered care plan for them. discharge planning from hospitals and nursing facility short term staysidentify the need for community resources perform follow up visitsmanage their ongoing needs and make changes to their plans. Collaborate with their physicians and obtain medical records when needed. Review medical records and enter information into our EMR.team lead duties to include assignments, coverage for my supervisor when needed , and coach team membersUtilization reviewReview medical records to determine medical necessityparticipate in work groups to improve policies and procedurescompliance audits as needed
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Home Choice Healthcare Svc
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United States
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Hospitals and Health Care
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Patient Care Coordinator
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May 2010 - Sep 2012
Intake and review referrals from hospital case managers and physician offices Assign cases to our RNs and PT for evaluationReview lab results and fax to MD Receive and process MD orders for labsMaintain staff schedule and review to assure all visits were completedReview medical records to determine medical necessityReview face to face documentation from MD Intake and review referrals from hospital case managers and physician offices Assign cases to our RNs and PT for evaluationReview lab results and fax to MD Receive and process MD orders for labsMaintain staff schedule and review to assure all visits were completedReview medical records to determine medical necessityReview face to face documentation from MD
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Education
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1990 - 1991
Crockett County Vocational School
Practical Nurse diploma, LPN
Community
