Duchess Jones
Laurinburg
Summary
Dedicated Home Health Nurse Case Manager with strong skills in clinical assessment, patient care planning, and care coordination. Committed to enhancing patient outcomes through effective care strategies and HIPAA compliance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Home Health Nurse Case Manager
Impact
Laurinburg NC
09.2019 - Current
- Coordinated patient care plans with interdisciplinary teams to optimize health outcomes.
- Conducted comprehensive assessments to identify patient needs and develop tailored interventions.
- Educated patients and families on disease management and treatment options for improved adherence.
- Monitored patient progress, adjusting care strategies based on clinical feedback and evolving conditions.
- Collaborated with healthcare providers to ensure continuity of care across various settings.
- Implemented electronic health record systems for streamlined documentation and communication efficiency.
- Trained and mentored new nursing staff on case management protocols and best practices.
Project Assistant - Remote
MCI Telecommunications
Laurinburg, NC
03.2020 - 01.2023
- Coordinated project schedules and meetings to ensure timely completion of deliverables.
- Assisted in project documentation and reporting, enhancing communication across teams.
- Managed project databases using Microsoft Excel, ensuring data integrity and accessibility.
- Developed and maintained project timelines, tracking progress against milestones.
- Facilitated cross-functional collaboration by organizing remote team meetings and workshops.
- Provided exceptional support to project leads through daily communication, follow-up on action items, and proactive problemsolving.
- Managed procurement processes by creating purchase orders, obtaining approvals when required, following up with suppliers to ensure timely delivery.
Medical Assistant
Womens Carolina Health
Laurinburg, NC
09.2016 - 11.2018
- Administered patient care, including vital sign monitoring and medical history documentation.
- Assisted healthcare providers with examinations and procedures, ensuring patient comfort and safety.
- Managed electronic health records, maintaining accuracy and confidentiality of patient information.
- Coordinated patient scheduling and follow-up appointments to enhance clinic efficiency.
- Educated patients on treatment plans, medications, and preventive health practices to improve adherence.
- Oversaw inventory of medical supplies, ensuring availability for clinical operations without interruption.
- Trained new staff on office protocols and best practices for patient interaction and care delivery.
Medical Biller and Coder Remote
Care Core National
Colorado Springs, CO
08.2012 - 05.2013
- Ensured accurate coding of medical records to facilitate timely reimbursement.
- Reviewed insurance claims for compliance with regulations and payer requirements.
- Trained new staff on coding guidelines and billing procedures to enhance team efficiency.
- Implemented process improvements that reduced claim denials and expedited revenue cycle management.
- Collaborated with healthcare providers to resolve billing inquiries and ensure patient satisfaction.
- Maintained up-to-date knowledge of ICD-10, CPT, and HCPCS coding systems for accuracy in billing practices.
- Analyzed billing discrepancies to identify root causes and develop corrective action plans.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Led initiatives to streamline workflows, resulting in improved turnaround times for claims submission and processing.
Education
Associate of Science -
Associate of Science - Medical Assistant
Everest College
Colorado Springs, CO04-2010
Skills
- Home safety evaluation
- Clinical assessment
- Patient care planning
- Intravenous therapy
- HIPAA compliance
- Quality improvement
- Electronic medical records
- Care coordination
Accomplishments
- Supervised team of 8 staff members.
- Documented and resolved a patients issue with her insurance claim which led to getting the proper care that she needed.
- Achieved working during Covid-19 through effectively helping with patient scheduling.
- Collaborated with team of 12 in the development of remote phone calls of 70 or more for patient needing immediate patient care.
Certification
- Certified PCA, Impact - 09/20/2019
- CPR Training - 09/2019-Present
Timeline
Project Assistant - Remote
MCI Telecommunications
03.2020 - 01.2023
Home Health Nurse Case Manager
Impact
09.2019 - Current
Medical Assistant
Womens Carolina Health
09.2016 - 11.2018
Medical Biller and Coder Remote
Care Core National
08.2012 - 05.2013
Associate of Science -
Associate of Science - Medical Assistant
Everest College