Extremely self motivated professional, highly familiar at handling multiple high stress tasks, without sacrificing quality, detail, and professionalism. Ability to mold and establish effective communication with a variety of individuals and staff. Operates exceptionally well in high-pressure environments and situations. Additionally, skilled in oral and written communication, leadership, and relationship building.
Overview
10
10
years of professional experience
Work History
Director of Case Management
Giving Home Healthcare
Albuquerque, NM
12.2023 - Current
Investigated complaints from patients or families related to case management services provided.
Developed and implemented case management policies and procedures.
Coordinated with community health resources to ensure optimal patient care outcomes.
Monitored all case management policies to ensure adherence to established guidelines.
Participated in committees focused on improving overall quality of care while controlling costs.
Interdepartmental collaboration with multidisciplinary teams to ensure quality patient care.
Analyzed and identified trends and goals within the company in order to identify areas for improvement.
Maintained a comprehensive database of patient records for use in tracking progress and evaluating results.
Facilitated interdisciplinary team meetings regarding complex cases requiring additional support or guidance.
Attended meetings related to changes in regulations or industry standards.
Implemented strategies to improve communication between medical staff, case managers, and patients.
Identified, assessed, and managed high-risk cases in need of intensive care coordination.
Created reports outlining and analyzing metrics.
Oversaw the daily operations of the case management department including staffing, communication, and quality assurance.
Conducted regular meetings with case management staff to review current cases, red flags, and best practices.
Provided ongoing education to case managers on pertinent regulations affecting their practice.
Coached and mentored new hires on clinical documentation standards and compliance requirements.
Demonstrated expertise in creating accountable teams which closely followed corporate company guidelines.
Directed and trained qualified staff to manage time effectively to ensure quality care.
Leveraged years of expertise to create effective, pragmatic training materials for new or current staff members.
Recruited, interviewed, and hired staff.
Handled administrative procedures to meet objectives set by location administrator.
Office Hospice liaison.
Senior Case Manager
Giving Home Healthcare
Albuquerque, NM
06.2021 - 12.2023
Standard Case Management caseload duties
Oversee and coach team members patient caseload.
Implement quality disciplinary and team building policies and multiplying opportunities to foster team satisfaction and productivity.
Provide hands-on and proactive leadership and coaching.
Responsible for managing, improving, and maintaining relationships between team members and patients, HHA's, and nurses.
Promote team building.
Educate subordinates regarding program eligibility, requirements and benefits.
Handle customer complaints and concerns promptly, escalating complex issues to direct supervisor for quick resolution.
Answer phone calls from teams patients to assist patients with questions, needs, and concerns.
Delegate tasks to appropriate personnel and team members.
Training and transitioning Case Managers to Leadership roles.
Collaborate with outside departments to ensure all end goals are reached.
Obtain, report, and document metrics for team.
Hold 1x1 meetings with team members to address strengths, weaknesses and goals.
Case Manager
Giving Home Healthcare
Albuquerque, NM
01.2020 - 06.2021
Daily patient Case Management documentation and record keeping
Advocate for clients by obtaining medical information and writing careplans for their homecare every 6 months and for new service codes.
Review treatment plans against individual goals and healthcare standards.
Collaborate and train healthcare team to improve care quality.
Provide support by handling referrals for necessary medical testing.
Handle administrative procedures to meet objectives set by senior management.
Explain Department of Labor guidelines policies, procedures, and services to patients and care team.
Weekly check ins to patient, home health aid and nurses to document patient status and report changes in care needs.
Maintain updated records and safeguarded patient privacy in accordance with HIPAA.
Cross train on billing processes
Home Health Care Provider
Altura Homecare and Rehab
Albuquerque, NM
08.2014 - 03.2017
Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
Answered signal lights, bells or intercom systems to determine resident needs.
Collected specimens, monitored vitals and maximized patient comfort to maintain optimal environment.
Documented activities and recorded information in EMR system.
Maintained accurate, private, timely flow of information by completing thorough patient records and updating healthcare team on patient status.
Conducted routine checks on patient vitals, blood pressure, blood sugar and heart rate.
Observed and reported unusual symptoms and changes to charge nurse.
Assisted residents in preparing for activities and social programs.
Education
Some College (No Degree) -
University of New Mexico
Albuquerque, NM
08.2011
Skills
Case Planning
Intervention Plans
Performance Tracking
Strong Verbal and Written Communication
Client Advocacy and privacy
Program Development
Detailed documentation and Reporting
Decision making and problem solving
Home Visits and Inspections
Customer Service
Records Management
Data Entry and Analysis
Punctual and impeccable attendance
Email and Telephone Etiquette
Strong organizational and multi tasking skills
Excellent attention to detail and experience working at detailed level
Data Analyzation and logging
Proficiency in Microsoft software
Ability to independently analyze, prioritize, and complete tasks under strict deadlines
Experience with creating graphs and presentations
Team meeting leading, preparation, and presentation
Relationship Building
Verbal and Written Communication
Managerial experience
Critical Thinking
Administrative Staff Supervision
Clinical Staff Management
Timeline
Director of Case Management
Giving Home Healthcare
12.2023 - Current
Senior Case Manager
Giving Home Healthcare
06.2021 - 12.2023
Case Manager
Giving Home Healthcare
01.2020 - 06.2021
Home Health Care Provider
Altura Homecare and Rehab
08.2014 - 03.2017
Some College (No Degree) -
University of New Mexico
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