Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Diana Coburn

Chapmanville,WV

Summary

Accomplished RN Case Manager with 33 years of experience dedicated to quality of care of diverse patients. Demonstrates excellence in critical thinking, significantly enhancing patient care quality. Known for a strong work ethic and exceptional communication skills, consistently ensures compliance and develops strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.

Overview

33
33
years of professional experience
1
1
Certification

Work History

Registered Nurse Case Manager

Optum Health Services
11.2021 - Current
  • Conducts comprehensive assessments of patients' physical, emotional, and social needs in order to develop individualized care plans that facilitate optimal health outcomes.
  • Performs outreach to health care providers regarding patient concerns, facilitating prompt resolution of issues and contributing to positive patient experience.
  • Evaluate healthcare needs, goals for treatment, and available resources of each patient and connect to optimal providers and care.
  • Provide education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
  • Mentor new nursing case managers during orientation periods, fostering collaborative team dynamic that supports delivery of high-quality care.

RN Clinical Manager/Oasis Review Specialist/QA

Kindred At Home
04.1992 - 11.2021
  • Conducted quality assurance documentation reviews to include but not limited to:
  • Oasis for documentation inconsistencies and accuracy.
  • Plan of treatment review for accurate reflection of patient's condition and skilled interventions.
  • Medication profile reviews for relevance to interventions, goals and coding sequencing.
  • Appropriate physician orders.
  • Care planning related to assessment and regulatory requirements.
  • Coding of Oasis.
  • Provided written feedback related to documentation and coding.
  • Maintained proficiency/knowledge of Oasis Data set items, home care reimbursement and compliance as related to Oasis regulations and requirements.
  • Maintained proficiency/knowledge of coding guidelines.
  • Excellent verbal and written communication skills and ability to work well with others.
  • Clinical Manager of multiple disciplines of Nursing, Physical and Occupational Therapy, Medical Social Workers and Certified Nursing Assistants.
  • Prepare reports as requested.
  • Conducted other clinical audits as requested.

Registered Nurse

Kindred At Home
04.1991 - 11.2021
  • Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.
  • Provided complete care to home health patients, including physical assessments, medication and chronic disease management.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols to optimize performance and safety.

Education

Associate of Science - Registered Nurse

Southern West Virginia Community And Technical College
Mount Gay, WV
05.1990

Skills

  • Case Management
  • Chronic Disease Management
  • Critical thinking skills
  • Quality Improvement
  • Team player with positive attitude
  • Strong work ethic
  • Goal-driven
  • Strong planning skills
  • Maintains strict HIPPA compliance
  • Excellent verbal and written communication
  • Compassion and Empathy
  • Precepting

Certification

HomeCare Coding Specialist-Diagnosis ICD-10

Certified Professional Coder


Accomplishments

2018 Employee of the Year

2019 Area Clinical Manager of the Year

2020 Regional Clinical Manager of the Year

Timeline

Registered Nurse Case Manager

Optum Health Services
11.2021 - Current

RN Clinical Manager/Oasis Review Specialist/QA

Kindred At Home
04.1992 - 11.2021

Registered Nurse

Kindred At Home
04.1991 - 11.2021

Associate of Science - Registered Nurse

Southern West Virginia Community And Technical College

HomeCare Coding Specialist-Diagnosis ICD-10

Certified Professional Coder


Diana Coburn