CHRISTINE MARTIE
Champlin,MN
Summary
Experienced Certified Nurse Case Manager seeking to fill a telephonic remote Nurse Case manager role with a company that promotes autonomy , is member centric , encourages a healthy work life balance .
Overview
13
13
years of professional experience
Work History
Complex Nurse Case Manager
Medica Health Plans
03.2016 - 02.2025
- Telephonic Case Management of the medically complex patient.
- Including High risk and members with high claims. Case load included Members DX with Cancer, COPD, Diabetes, Pain mgt, CAD, stroke, Neuro, Chronic back pain, Medication Mgt, WT loss mgt, Gender affirming care and many more diagnosis.
- Job duties included, Post discharge and case mgt assessments of Commercial and IFB members using NCQA assessments.
- Assess for gaps for care and for any SDOH, community resources.
- Referrals to appropriate departments for ongoing collaboration of care. IE: Social worker, Behavioral Health, Medical Director.
- Daily tasks included Interface with members / families and provide Disease management, health coaching, Setting up health care goals and care plans.
- Using motivational interviewing techniques and facilitating self mgt.
Post Discharge Case Manager
Humana Insurance
06.2012 - 03.2016
- Completed Post-discharge calls and assessments of recently discharged Medicare members.
- Reviewed gaps in care, set up HHC and DME, made referrals to internal and external providers for services.
- Provided education and disease management.
- Overall goal to prevent re-admission.
Education
Associate Degree - Registered Nurse
Inver Hills Community College
Inver Grove Heights, MNSkills
- Motivational interviewing
- Managed care
- Case management
- Care plans
- Social Work
- Utilization Management
- Employee Orientation and training
- Discharge planning
- Data collection
- NCQA standards
- Nursing
- Gender Affirming care
Certificates And Licenses
- Certified Case Manager, CCM, 12/31/29
- Certified Advance Care Plan Facilitator, 2009
- RN License
Timeline
Complex Nurse Case Manager
Medica Health Plans
03.2016 - 02.2025
Post Discharge Case Manager
Humana Insurance
06.2012 - 03.2016
Associate Degree - Registered Nurse
Inver Hills Community College
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