Amy Hughes
Vevay,Indiana
Summary
Homecare and Hospice Nurse Care Coordinator with over 25 years of extensive expertise in managing comprehensive care plans for patients with complex chronic and end-of-life needs. Provides detailed education for members to navigate complex disease management. Demonstrates proficiency in regulatory compliance, medical insurance collaboration, and quality improvement, while providing compassionate communication and leadership. Certified in HCS-D ICD-10. Committed to enhancing patient care and support through effective coordination and empathetic engagement.
Overview
30
30
years of professional experience
Work History
Field Case Manager 2
Humana
03.2025 - Current
- Provided education on disease management techniques, medication adherence, and self-care strategies for enhanced patient autonomy.
- Served as a liaison between patients, families, and healthcare providers, ensuring all parties remained informed and aligned on care objectives.
- Streamlined communication between healthcare providers, patients, and families for optimal care coordination.
- Conducted thorough assessments of patient needs, resources, and support systems to inform case management strategies.
- Collaborated with interdisciplinary teams to ensure seamless delivery of case management services across various settings.
- Supported patients in setting realistic goals for their health journey, fostering a sense of ownership over personal wellbeing.
- Assisted patients in navigating complex insurance systems, ensuring access to necessary treatments without undue financial strain.
- Promoted continuity of care by establishing strong relationships with both primary care providers and specialists involved in a patient''s treatment team.
- Maintained accurate and complete records in compliance with regulatory requirements and organizational policies.
- Improved patient satisfaction through empathetic listening, advocacy, and timely resolution of concerns or issues.
- Collaborated with interdisciplinary teams to develop comprehensive care plans for clients with complex needs.
- Monitored patient progress closely, adjusting case management plans as needed to achieve desired outcomes.
- Reduced hospital readmissions by implementing proactive discharge planning processes and providing ongoing support postdischarge.
Homecare and Hospice Coordinator
Norton King's Daughters' Health
10.2004 - Current
- Hospice administrator
- Audit all plan of cares and assign appropriate ICD-10 codes to maintain compliance with established standards and maximize reimbursement. HCS-D ICD-10 certified since 2015.
- Coordinate home care and hospice services with physicians, nurses, therapists and other healthcare professionals to provide a comprehensive plan of care for each patient
- Assess patient eligibility for homecare and hospice services in accordance with Medicare guidelines and maintain regulatory adherence
- Collaboration with Medicare, Medicaid, Managed Medicare, Private insurance companies to assist patients to access their benefits and community resources.
- Provide emotional and empathetic support to patients and families facing end-of-life
- Recruit, hire and train new medical and facility staff
- Conduct outreach activities within the community to promote awareness of home care and hospice services and benefits available through the organization
- Conduct regular visits with existing patients in order to evaluate their progress towards meeting goals set forth in their individualized plan of care
- Coordinate a bereavement follow up program for one year for all families who have lost a loved one under our care
- Collaborate with other departments within the organization to coordinate interdisciplinary team meetings weekly for each patient in our hospice program
- Alternate Director
- Skilled nurse visits along with supervision and on call
- Proficient in nursing skill sets including comprehensive patient assessment and coordination.
- Advocate for workplace and patient safety
Home Care and Hospice Case Manager
King's Daughters' Hospital
09.2000 - 10.2004
Homecare Case Manager
Integracare Home Health
09.1995 - 09.2000
- Managed home care and hospice cases, ensuring tailored care plans for diverse patient needs.
- Coordinated multidisciplinary teams to enhance patient outcomes and satisfaction.
- Assessed and addressed comprehensive client needs, facilitating smooth care transitions.
- Educated families on community resources, enhancing support networks and care continuity.
- Maintained precise patient records, ensuring compliance with HIPAA standards.
- Delivered comprehensive case management for home care and hospice patients, focusing on individualised care plans and family support to enhance quality of life.
- Conducted thorough assessments of clients' physical, mental, and social needs, developing tailored care plans and coordinating with healthcare professionals.
- Managed complex medical treatments including IV care, wound care, and tracheostomy care, while maintaining meticulous patient records and ensuring HIPAA compliance.
- Managed home care for diverse patients, ensuring tailored care plans and seamless coordination.
- Collaborated with healthcare teams to enhance patient outcomes and support family education.
- Conducted assessments and reported patient changes, maintaining compliance with HIPAA standards.
- Managed complex home care cases, developing tailored care plans and coordinating with multidisciplinary teams to ensure optimal patient outcomes and service quality.
- Provided compassionate care management, educating families on resources and conducting regular assessments to enhance patients' well-being and functionality in home settings.
Education
Bachelor of Science - Nursing
Indiana Wesleyan University
Marion, IN04.2003
Associate of Science - Nursing
Ivy Tech Community College
Madison, IN05.1995
Skills
- Comprehensive education for disease management
- Case management
- Care planning
- Team collaboration
- Medical insurance collaboration Medicare, Medicaid, Elevance, Anthem Humana ect
- Electronic medical records compliance
- Compassionate Communicator
- HCS-D
- ICD-10 certified
- HIPAA compliance
- Chronic, complex disease management
- Leadership
- Critical thinking
- Time management
- Quality improvement
- Employee recruitment
- CPR certified
- End-of-life care
- Regulatory knowledge
- Patient advocacy
- Interdisciplinary collaboration
Personal Information
Title: Homecare and Hospice Coordinator
Timeline
Field Case Manager 2
Humana
03.2025 - Current
Homecare and Hospice Coordinator
Norton King's Daughters' Health
10.2004 - Current
Home Care and Hospice Case Manager
King's Daughters' Hospital
09.2000 - 10.2004
Homecare Case Manager
Integracare Home Health
09.1995 - 09.2000
Bachelor of Science - Nursing
Indiana Wesleyan University
Associate of Science - Nursing
Ivy Tech Community College
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