Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
As a care coordinator, I promoted interdependent collaboration among the member, physician/primary care manager, family, nursing facility, and other members of the care coordination team for the member's continuum of care. I performed face-to-face assessments and implemented, monitored, and evaluated available resources to promote quality, cost-effective outcomes that met the individual's health needs. I helped the enrollee identify appropriate providers and facilitated authorized services to improve or maintain the member's social, emotional, functional and physical health status, as well as the coping skills of the family or other caregivers. I enhanced patient satisfaction by communicating effectively, empathizing, and responding timely to their needs. I collaborated with interdisciplinary teams to develop comprehensive patient care plans that resulted in better health outcomes. I educated patients on disease management and self-care techniques, encouraging lifestyle changes for improved health. I managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively. I mentored new nursing staff, creating a supportive work environment and improving retention rates. I developed strong relationships with patients' families, providing emotional support and addressing their concerns or questions about care plans. I devised individualized care plans tailored to each patient's unique situation, optimizing clinical outcomes. I participated in professional development opportunities regularly to stay updated on best practices in the field of nursing. I served as a liaison between physicians and patients' families to facilitate clear communication about treatment options and progress updates. I coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions post-hospitalization.
Pinnacle Award Winner:
Blue Cross Blue Shield of TN
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