Anita Haddock

Follow medical directors protocol. Gather collaborating physical, mental and interventional strategies to educate members of there overall Heath. Utilizing IC10, diagnosis to place members with subacute facilities as need fit. Retrieving authorization for short term and long term care as well as DME and any transport. Licensed Practical Nurse will perform clinical and operational processes related to transition / coordination of care/case management of Post-Acute Care services for DME. The Nurse is responsible for ensuring the member is receiving all services or equipment as ordered by the physician. May assist with the coordination between providers and members.

Provide interventions that include: member and caregiver education and self-management; outcome monitoring and management by an interdisciplinary healthcare team including communication with the member, the member's goals and optimizing clinical outcomes within a high-risk population with multiple co-morbidities. Reviewed HEDI measure and gaps in care that can affect the patient in multi-system. Participated in Care-plan Reviews with multidisciplinary care team. Multi-tasking skills, telephonic customer centricity, and time management with 60 plus members.

Completed required training by DAD’S; monitored all Governmental and accreditation regulatory (CMS, Community Health Accreditation Program) reports and regulations to maintain compliance. Direct oversight of medical charts and coding, ICD-9 and ICD-10. Attended Lisa Selman-Holman coding and chart training to assist with Medicare/Medicaid compliance within medical records. Exported all Medicare information to CMS, assisted with surveys and development of plan of care. Proficient in Microsoft Office products ( Access, Excel, and Power Point ). Multiple years on prioritizing workflow on a consistent basis, and applying HIPPA and CMS guidelines in a daily workflow, and meets turnaround times for assigned cases.