Angela Brownfield
Deland,FL
Summary
For almost 11 years I have worked in the managed healthcare field. I was a Care Coach for 7 years and my role involved triaging patients to help prevent a hospital and ER visits. I followed chronic care patients in hopes of catching a decline early and working with the referral coordinator to get the HHC/DMEs that patients would need.
I then got promoted to Transitional Care Nurse. My role is to see members or their families in the facilities and discuss a safe discharge plan such as HHC, custodial care of hospice. I work closely with the Humana UM and the facility case management to ensure members have HHC/DMEs arranged before discharge.
Overview
14
14
years of professional experience
Work History
Transitional Care Nurse
Humana
Daytona, Florida
06.2018 - Current
- Advocated for and strived to protect health, safety and rights of patient.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Recommend services for utilizing alternative services available within the community
- Serve as clinical liaison with Humana, hospital staff as well as provide information and clinical expertise for clinical authorizations for inpatient care and outpatient services.
- Reconcile daily census that include new admits, discharges, denials and length of stay in facilities.
- Collaborate closely with member's PCP interdisciplinary team to establish individualized plan of care to meet short and long term goals as members transition back to community
- Identify potentially unnecessary services delivery settings and recommended alternatives if appropriate by analyzing clinical protocols.
- Can visit members/family in hospitals, LTACH, IRF, SNF, long term care facilities to help facilitate a safe discharge plan
- Review network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using my knowledge of member's benefit plan.
- Educate providers and office staff principles of medical management
Care Coach
Humana
Orange City, FL
07.2011 - 06.2018
- Supervised daily operations and sales functions to maximize revenue, customer satisfaction and employee productivity.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Advocated for and strived to protect health, safety and rights of patient.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Managed patients recovering from medical or surgical procedures.
- Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Comforted and counseled patients and families throughout care process.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Cared for wounds, provided treatments and assisted with procedures.
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
Long-Term Floor Nurse
Bayview
Eustis, Florida
08.2008 - 07.2011
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.
- Advocated for and strived to protect health, safety and rights of patient.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Cared for patients in 28-bed unit, supporting fellow nurses in delivering outstanding treatment to patients.
- Administered medications to 28 patients and monitored response to medications.
Education
Licensed Practical Nurse
Orlando Technical College - Mid Florida Tech
Orlando, FL01.2007
Skills
- Medical Supply Management
- Compassionate and Caring
- Creative Problem Solving
- Attention to Detail
- Care Coordination
- Accurate Documentation
- Managed Healthcare
- Needs Assessment
- Community Program Referrals
Timeline
Transitional Care Nurse
Humana
06.2018 - Current
Care Coach
Humana
07.2011 - 06.2018
Long-Term Floor Nurse
Bayview
08.2008 - 07.2011
Licensed Practical Nurse
Orlando Technical College - Mid Florida Tech
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