Amanda Nesci
Spring Hill,FL
Summary
Compassionate and detail-oriented Licensed Practical Nurse (LPN) with over three years of experience in home health and care coordination. Currently employed full-time at TRICARE West (TriWest Healthcare Alliance) as a Care Coordinator, supporting patients across all age groups—infants to geriatrics—through transitions of care, inpatient follow-up, authorizations, and interdisciplinary collaboration. Seeking a secondary position that aligns with my experience and allows me to contribute meaningfully while maintaining my full-time role, which offers schedule flexibility.
Experienced in managing the flow of patient information and clinical documentation, coordinating referrals and authorizations, and working closely with providers and healthcare facilities—skills directly aligned with intake coordination. Proven ability to assess patient needs, facilitate timely services, and ensure all parties are informed and equipped for seamless care delivery. Background includes chronic disease management, wound care, discharge planning, and coordination of post-acute services such as home health, hospice, and rehab. Known for leadership, mentoring, and strong communication with patients, providers, and interdisciplinary teams. Proficient in EMR systems, clinical documentation review, and navigating insurance and regulatory guidelines.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Care Coordinator LPN
TriWest Healthcare Alliance
09.2024 - Current
- Full-time care coordinator supporting TRICARE West beneficiaries, including Active Duty Service Members and their families, across all age groups from infants to geriatrics.
- Manage and oversee continuity of care for inpatient stays, facility transfers, and post-acute needs including rehab, home health, hospice, and DME support.
- Collaborate with hospitals and providers to secure medical documentation and facilitate timely authorizations; escalate to Utilization Management for continued stay reviews as needed.
- Conduct thorough follow-ups with beneficiaries post-discharge to ensure access to care, answer benefit questions, and assist with provider or specialist navigation.
- Member of the Congressional & Grievances team, working directly with physicians, facilities, and patients to resolve escalated concerns, ensure clarity of processes, and improve satisfaction.
- Occasionally serve on the 24/7 response team (typically once every few months), coordinating urgent transfers for Military Treatment Facilities (MTFs) after hours and ensuring rapid care coordination.
- Build authorizations when clinically and administratively appropriate; assist providers in securing timely recertifications to avoid lapses in care delivery.
- Provide peer support and mentorship, conducting individualized training, creating desk aids/job aids, and hosting departmental refresher trainings.
- Specialized in hospice, home health, and long-term care episodes—tracking and supporting recertification needs and agency follow-up to ensure uninterrupted care.
- Maintain advanced proficiency in TRICARE systems, policies, referral workflows, and medical coding (ICD-10, CPT, HCPCS).
Licensed Practical Nurse - Home Visits
Pinnacle Home Care
10.2021 - 09.2024
- Provided comprehensive in-home nursing care to geriatric patients with chronic diseases such as COPD, diabetes, and cardiac conditions, as well as post-operative care following surgeries like CABG, TKA, and THA.
- Provided telehealth services to patients, answering calls, triaging patient needs, adjusting visit plans, and dispatching nurses as needed for urgent home visits, ensuring that patient concerns were addressed promptly.
- Attended weekly case conference meetings via Zoom, contributing to discussions on patient progress, care plan adjustments, and strategies for improving patient outcomes.
- Perform wound care, including the use of wound vacs, collaborating closely with Tampa General Hospital's Wound Care Center as part of a specialized wound care team.
- Educate patients and their families on managing chronic conditions and post-operative recovery, ensuring continuity of care.
- Serve as the lead LPN, training other LPNs and RNs in wound care, documentation, and patient care coordination with new hires.
- Communicate with primary care providers, specialty doctors, hospitals, and rehabs to coordinate patient care and ensure smooth transitions of care.
- Work PRN with the call center and on-call team, triaging patient calls, dispatching nurses as needed, and adjusting visit plans.
- Educated patients and their families on managing chronic conditions and the disease processes associated with dementia and Alzheimer's, providing strategies for in-home care and connecting them with community resources.
- Collaborated with primary care providers and specialists to ensure continuity of care, including medication management, referral to specialty physicians, and coordinating necessary tests and follow-up appointments.
- Provided nursing care in a long-term care and rehabilitation facility, administering medications, treatments, and conducting health assessments.
- Performed routine patient care duties such as wound care, including wound vac management, monitoring vital signs, and assisting with activities of daily living (ADLs).
- Conducted ongoing patient education on disease management, medication adherence, and lifestyle modifications to promote health and prevent complications.
- Documented all patient interactions, care provided, and changes in condition in the EMR system with high accuracy and attention to detail.
- Familiar with Medicare regulations and ensured compliance in all aspects of patient care and documentation.
- Acted as a resource and mentor to new LPNs and HHAs, providing guidance on best practices in patient care and documentation.
Licensed Practical Nurse
Spring Hill Health and Rehabilitation Center
04.2021 - 10.2021
- Provided comprehensive in-home nursing care to geriatric patients with chronic diseases such as COPD, diabetes, and cardiac conditions, as well as post-operative care following surgeries like CABG, TKA, and THA.
- Provided telehealth services to patients, answering calls, triaging patient needs, adjusting visit plans, and dispatching nurses as needed for urgent home visits, ensuring that patient concerns were addressed promptly.
- Attended weekly case conference meetings via Zoom, contributing to discussions on patient progress, care plan adjustments, and strategies for improving patient outcomes.
- Perform wound care, including the use of wound vacs, collaborating closely with Tampa General Hospital's Wound Care Center as part of a specialized wound care team.
- Educate patients and their families on managing chronic conditions and post-operative recovery, ensuring continuity of care.
Med Tech
Maryland Manor ALF
05.2014 - 03.2016
Phlebotomist
Spring Hill Regional Hospital
01.2013 - 05.2014
Education
Licensed Practical Nurse - Licensed Practical Nurse (LPN) Program
Ata Career Education
Spring Hill, FL03.2021
Phlebotomy Certification - Phlebotomy Certification
Pasco-Hernando State College
New Port Richey, FL11.2012
Skills
- Care Coordination & Continuity of Care
- Patient & Family Communication
- Authorization & Referral Management
- Interdisciplinary Collaboration
- Medical Documentation Review
- Post-Acute Care Transitions (SNF, Rehab, HH, Hospice)
- Electronic Medical Records (EMR) Proficiency
- ICD-10 & CPT/HCPCS Familiarity
- Discharge Planning & Follow-Up
- Training, Mentoring & Job Aid Development
- Strong Written & Verbal Communication
- Advanced Computer Literacy & Remote Workflow Efficiency
- Problem Solving & Issue Resolution
- Wound Care Knowledge (Prior Home Health Experience)
- Patient Assessments & Care Planning (Prior Field Experience)
Certification
- LPN
N200-016-94-720-0
Timeline
Care Coordinator LPN
TriWest Healthcare Alliance
09.2024 - Current
Licensed Practical Nurse - Home Visits
Pinnacle Home Care
10.2021 - 09.2024
Licensed Practical Nurse
Spring Hill Health and Rehabilitation Center
04.2021 - 10.2021
Med Tech
Maryland Manor ALF
05.2014 - 03.2016
Phlebotomist
Spring Hill Regional Hospital
01.2013 - 05.2014
Phlebotomy Certification - Phlebotomy Certification
Pasco-Hernando State College
Licensed Practical Nurse - Licensed Practical Nurse (LPN) Program
Ata Career Education
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