Carolina Zamorano

• Complete MDS/Care plans and PPS assessments according to schedule.
• Provide information to residents families as to Medicaid/Medicare and other financial
assistance programs available
• Prepare and submit appeals to Kepro and issue last covered day notices.

• Coordinate discharge planning to with home health referrals, equipment and follow ups.

• Coordinate discharge planning to with home health referrals, equipment and follow ups.
• Update patients, families and responsible parties on patient’s treatment and outcomes.
• Scheduled transportation to follow up appointments
• Attended meetings as scheduled

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
• Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.

Responsible for identifying and providing each resident/patient with their social, emotional
and psychological need.
• Complete MDS/Care plans and PPS assessments according to schedule.
• Provide information to residents /families as to Medicaid/Medicare and other financial
assistance programs available.
• Assist families/residents with advance directives/Hospice referrals.
• Attend care plan meetings with ITD team and coordinate patient plan of care.
• Prepare and submit appeals to Kepro and issue last covered day notices.
• Communicate with HMO case manager and submit clinical updates.
• Coordinate and manage all grievances and educate staff on the grievance procedure.
• Managed a deficiency free Social Service Department

• Responsible for identifying and providing each resident/patient with their social, emotional
and psychological need.
• Complete MDS/Care plans and PPS assessments according to schedule.
• Provide information to residents /families as to Medicaid/Medicare and other financial
assistance programs available.
• Assist families/residents with advance directives/Hospice referrals.
• Attend care plan meetings with ITD team and coordinate patient plan of care.
• Prepare and submit appeals to Kepro and issue last covered day notices.
• Communicate with HMO case manager and submit clinical updates.
• Coordinate and manage all grievances and educate staff on the grievance procedure.
• Managed a deficiency free Social Service Department.