Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amy Hughes

Vevay

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 education on 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
  • Assisted clients in navigating services and resources to meet individual needs.
  • Provide comprehensive education on complex disease management, medication adherence and self care strategies
  • Coordinated intake assessments and documented client progress effectively.
  • Collaborated with multidisciplinary teams to develop comprehensive care plan
  • Researched community resources to provide clients with relevant support options.
  • Monitored client outcomes and adjusted service strategies as needed for improvement.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
  • Developed and implemented comprehensive case management plans to address client needs and goals
  • Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
  • Improved client outcomes by developing and implementing comprehensive case plans tailored to individual needs.

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
  • 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.

Homecare Case Manager

Integracare Home Health
09.1995 - 09.2000
  • 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, IN
04.2003

Associate of Science - Nursing

Ivy Tech Community College
Madison, IN
05.1995

Skills

  • Comprehensive education for disease management
  • Care planning
  • Medical insurance collaboration including Medicare, Medicaid, Humana, Anthem, Elevance and United Healthcare
  • Compassionate Communicator
  • HIPAA compliance
  • Leadership
  • Time management
  • Employee recruitment
  • End-of-life care
  • Patient advocacy
  • Case management
  • Team collaboration
  • Electronic medical records compliance
  • HCS-D ICD-10 certified
  • Chronic, complex disease management
  • Critical thinking
  • Quality improvement
  • CPR certified
  • Regulatory knowledge
  • Interdisciplinary collaboration

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