My role is to provide assessments, screenings, planning, interventions, evaluations, counseling, management and/or referrals concerning the health and medical care needs of students for the purpose of minimizing absences due to illness, maximizing educational opportunities, and creating a healthy school climate
Provides first aid
RN Care Coordinator
Advance Health- Contracted by Aerotek Scientific
12.2017 - 03.2019
Company Overview: Work from home
Acts as the primary point of contact for members and the Interdisciplinary Care Team (ICT); leads ICT processes and meetings; facilitates communications among relevant parties
Monitors the provision of services as outlined in the Individual Care Plan (ICP) and achievement of desired outcomes
Provides communication and education regarding available services and community resources in a mode and manner that is culturally and developmentally appropriate and considers the member's physical and cognitive abilities and level of literacy; assists members in developing self-management skills to effectively access and use services
Manages assigned caseload
Participates in the Health Risk Assessment (HRA) process
Assesses for appropriate changes or additions to services, facilitates referrals for the members, and ensures the ICP is updated as necessary
Ensures that appropriate mechanisms are in place to receive enrollee input
Ensures member complaints and grievances are submitted according to the policies and procedures
Actively participates during care transitions and other duties as assigned
Work from home
RN Case Manager
RAO Medical Group-Gov't Contractor @ NMCP
05.2013 - 12.2017
In the Referral Management Department I provide support of patient case management, utilization management, and data tracking and analysis of patient services, consultations, referrals, and providing ongoing support for enrollees
I provide care coordination to Tricare for Life beneficiaries in assisting with locating civilian provider and assisting with making appointments when referrals have been deferred
RN Utilization Review
Virginia Premier Health Plan
07.2012 - 05.2013
I Obtained, reviewed and entered clinical information from callers and on-site reviews according to policy and procedure manual for medical/behavioral health services requiring certification such as: pre-admission, admission, concurrent and retrospective review in computer systems
RN Case Manager
Casepro, Inc. Gov't Contractor @ NMCP
04.2011 - 07.2012
In the Referral Management Department I provided support of patient case management, utilization management, and data tracking and analysis of patient services, consultations, referrals, and providing ongoing support for enrollees
I provided care coordination to Tricare for Life beneficiaries in assisting with locating civilian provider and assisting with making appointments when referrals have been deferred