Allyson Baumann
Elkton,MD
Summary
Dedicated Registered Nurse and Transition of Care Case Manager with expertise in clinical care, case management, and LTSS. Skilled in managing complex cases, collaborating with interdisciplinary teams, and advocating for cost-effective outcomes. Experienced in mentoring staff and leading home health initiatives, equipped with a comprehensive understanding of healthcare systems and payer operations to drive high-performance in case management.
Overview
38
38
years of professional experience
Work History
Transition of Care Case Manager
Highmark Health Options
Wilmington, DE
01.2024 - Current
- Manage a diverse LTSS transition-of-care caseload, including complex cases requiring clinical judgment, extensive coordination, and resolution of barriers to care.
- Coordinate with members, families, providers, facilities, and interdisciplinary teams to facilitate safe and timely transitions and ensure appropriate services and resources are in place.
- Apply clinical judgment to assess member needs, identify barriers to care, and coordinate appropriate services and resources.
- Collaborate with hospitals, providers, facilities, and internal teams to address complex care needs and promote quality outcomes.
- Spearheaded development of disease management educational cards, collaborating with design team to refine content and oversee project completion.
- Nominated for the Blue Hen Award for exceptional initiative in helping a complex member with extensive wound-care needs overcome resource barriers and access appropriate care.
- Recognized by leadership and colleagues for high performance, reliability, professionalism, and commitment to quality.
LTSS Case Manager
Highmark Health Options
Wilmington, DE
01.2019 - 01.2024
- Managed an assigned LTSS caseload, assessing member needs and developing individualized care plans to support appropriate services and promote member independence.
- Conducted ongoing assessments and monitoring to evaluate changes in member needs and service effectiveness, ensuring alignment with established goals.
- Collaborated with members, families, providers, caregivers, and community resources to coordinate services and address identified needs.
- Advocated for members, facilitating navigation of healthcare and community resources to enhance access to appropriate services.
- Maintained accurate, timely documentation while prioritizing competing demands to meet case-management requirements and deadlines.
Nurse Case Manager
HomeCare Maryland
Elkton, MD
01.2018 - 01.2019
- Managed a caseload of home health patients, coordinating care with patients, families, physicians, and other healthcare professionals.
- Coordinated care for a caseload of home health patients, collaborating effectively with patients, families, physicians, and healthcare professionals to ensure personalized care plans.
- Independently managed and prioritized patient visits and workload while overseeing home health aides' and LPNs' schedules, and reviewing and signing off on work performed to ensure service delivery and accountability.
- Monitored patient progress and changes in condition, communicating with physicians and the healthcare team to address evolving care needs.
- Monitored patient progress and changes in condition, communicating with physicians and the healthcare team to proactively address evolving care needs.
- Maintained accurate clinical documentation while independently prioritizing patient care, case-management responsibilities, and competing demands.
Registered Nurse, Emergency Department
Union Hospital of Cecil County
Elkton, MD
01.2007 - 01.2018
- Prioritized and managed multiple patients in a fast-paced, high-acuity environment while responding effectively to rapidly changing clinical conditions.
- Delivered comprehensive nursing care to patients with acute and emergent medical conditions, applying clinical assessment and critical thinking to ensure optimal patient outcomes.
- Collaborated with physicians, nurses, ancillary departments, and multidisciplinary teams to coordinate patient care and facilitate timely evaluation, treatment, and disposition.
- Educated patients and families on diagnoses, treatments, medications, and discharge instructions, offering compassionate support to alleviate stress during emergent situations.
- Precepted and mentored nursing staff, supporting the development of clinical knowledge, critical-thinking skills, and safe patient-care practices.
- Received multiple DAISY Awards in recognition of exceptional patient care, compassion, and commitment to patients and families.
Lead Customer Service Representative
Alpine Medical
Chichester, PA
01.2000 - 01.2002
Lead Customer Service Representative
Beckett Medical/EquipNet Services
Prospect Park, PA
01.1997 - 01.2000
Customer Service Representative
Home Health Corporation of America
King of Prussia, PA
01.1995 - 01.1997
Customer Service Representative
Beckett Medical/EquipNet Services
Prospect Park, PA
01.1994 - 01.1995
Office Assistant, Underwriting Department
Liberty Mutual Insurance Company
Bala Cynwyd, PA
01.1989 - 01.1993
- Assisted underwriters with daily administrative functions, organizing information and documentation for quick access and streamlined workflows.
- Provided administrative support to underwriting department, maintaining accurate insurance records and documentation to facilitate efficient processing.
- Communicated with internal departments, managing multiple administrative tasks and deadlines while ensuring confidentiality.
- Assisted with workers' compensation claims, including documentation, processing, correspondence, and follow-up.
Education
Associate Degree - Nursing
Cecil College
North East, MDMedical Secretary Certification - Medical Terminology, Medical Transcription, ICD/CPT Coding, Medical Billing
Beta Training Services
Swarthmore, PAHigh School Diploma - Honors Classes
Penn Wood High School
Lansdowne, PASkills
- Case management
- Care coordination
- Clinical assessment
- Treatment planning
- Patient advocacy
- Interdisciplinary collaboration
- Resource navigation
- Long-term care services
- Documentation accuracy
- Problem solving
- Effective communication
- Team leadership
- Time management
- Team collaboration
- Chronic disease management
Timeline
Transition of Care Case Manager
Highmark Health Options
01.2024 - Current
LTSS Case Manager
Highmark Health Options
01.2019 - 01.2024
Nurse Case Manager
HomeCare Maryland
01.2018 - 01.2019
Registered Nurse, Emergency Department
Union Hospital of Cecil County
01.2007 - 01.2018
Lead Customer Service Representative
Alpine Medical
01.2000 - 01.2002
Lead Customer Service Representative
Beckett Medical/EquipNet Services
01.1997 - 01.2000
Customer Service Representative
Home Health Corporation of America
01.1995 - 01.1997
Customer Service Representative
Beckett Medical/EquipNet Services
01.1994 - 01.1995
Office Assistant, Underwriting Department
Liberty Mutual Insurance Company
01.1989 - 01.1993
Associate Degree - Nursing
Cecil College
Medical Secretary Certification - Medical Terminology, Medical Transcription, ICD/CPT Coding, Medical Billing
Beta Training Services
High School Diploma - Honors Classes
Penn Wood High School