Highly skilled career professional with more than 17 years of nursing experience in Community Health, Case Management, Patient Safety and Direct Patient Care Environments.
Established in MHMR patient support including assessment, counseling, education regarding medications and treatments, lab work, documentation with care plans with diagnosis, and administration of treatment procedures.
Computer skilled, managing heavy daily patient volume including telephone triage, appointment scheduling, and patient referral. Proficient in all documentation/record maintenance/auditing/quality assurance to ensure accuracy and patient confidentiality.
Identified and contacted appropriate community resources on behalf of clients. Member of the Cook Children's Zero Harm Patient Safety Committee. Identified gaps in current services and developed relationships with potential providers, including charitable organizations, schools and government agencies. Coordinated a range of services, including DME and adaptive aids, as a case manager for a caseload of up to 80 individuals and families. Provided quality audit reviews to ensure accuracy of patient chart documentation, patient safety and medication administration. Reviewed and verified patient insurance coverage to ensure authorization criteria were met. Collaborated with providers, payers and members to obtain prior authorizations for services. Ensured that all necessary documentation was submitted for approval processes. Provided guidance to providers on policy requirements and utilization management guidelines.
Licensed Vocational Nurse in the State of Texas, License number 204847
Licensed Vocational Nurse in the State of Texas, License number 204847