Elaina Jones
Indianapolis,IN
Summary
To obtain employment in an organization where my education, experience and skills will facilitate the organization in its mission at achieving and exceeding their goals
Overview
17
17
years of professional experience
1
1
Certification
Work History
TOC RN Case Manager
Cityblock Health
08.2024 - Current
- Follow members from hospital admission through discharge to ensure their transition of care is met to minimize their readmissions
- Perform chart reviews to access pertinent information for discharge needs to coordinate follow-up appointments diagnostic testing, community referrals for continuity of care
- Work with hospital case managers and discharge planners to collaborate safe discharge planning
- Participate in Cityblock Health multidisciplinary rounds to identifying barriers that may hinder care
- Currently working on a team within the organization to develop marketing strategies to gain more awareness within the community
- Track key metrics including outreach completion, follow-up adherence, risk stratification, readmission outcomes, escalate complex cases to interdisciplinary team
- Utilize motivational interviewing techniques to build rapport, increase engagement and encourage health behavior change
- Collaborate with SDoH resources to ensure members access transportation, food assistance, housing resources and behavioral health services when needed
- Document assessments, interventions and members progress in HER platform in compliance with internal standards
- Develop individualized care plans that integrate clinical, behavioral and social service needs to support ongoing member health
- Strong focus on patient/family education on medication adherence, health management and disease processes
Case Manager
IU Health Methodist Hospital
09.2022 - Current
- Currently PRN
- Coordinate discharge planning for members who are transitioning from in patient short term acute care to home, SNF, LTACH or hospice
- Collaborate with MDs, therapy and liaisons to determine discharge needs
- Educates patients on referrals to outside sources, obtain consents and initiates referrals to appropriate sources
- Focus on timely discharges to ensure LOS is met according to hospital guidelines
- Perform initial assessments for new admissions
Hospice Care Consultant
Gentiva Hospice
06.2022 - 07.2023
- Evaluated and educated families and patients on hospice care
- Liaison between physicians and the community and referral sources
- Establish new business relationships that fostered better relations with referral sources to increase referrals and drive revenue
- Coordinate referral process
- Uncover opportunities to increase awareness of Gentiva Hospice
- Sold Gentiva's portfolio of services to physicians, case managers and discharge planners to collaborate on the best transition to hospice for patients needs
Marketing- Physician's Relations Manager
Advanced Centers for Cancer Care
South Bend, IN
10.2019 - 07.2020
- Represent 2 new facilities in NW Indiana
- Develop and implement strategic planning for territory management
- Liaison between physicians and the community and referral sources
- Establish new business relationships and foster better relations with current referral sources to increase referrals and drive revenue
- Coordinate referral process
- Uncover opportunities to increase awareness of AC3 presence within new market
- Create database for quality measures and metrics for future liaisons
- Created playbook for Physician Relations Manager for AC3 physicians
Health System Diabetes Educator II
Novo Nordisk
Chicago, IL
11.2013 - 10.2019
- Responsible for delivering diabetes education based on ADA Standards of Care
- Educate primary care providers, Endocrinologists, medical staff and patients on how to better manage diabetes according to national guidelines
- Responsible for ensuring the program goals are being properly executed within territory
- Conduct educational programs in primary care and endocrinology offices for HCPs and office staff to ensure all diabetes education knowledge is current
- Implement customized educational programs based upon needs
- Implement Diabetes curriculum and direct overall staff training, programs
- Serve as a trusted advisor in diabetes education for targeted healthcare professionals
- Achieve and exceed territory goals
- Work closely with management giving insight and gaining knowledge of the providers, staff and patients educational needs
- Adjust territory routing to help ensure that targeted providers receive exposure to Education Program
- Prioritize budget resources to drive access and overall program strategy
- Work closely with ACO Care Coordinators within assigned Health Systems to improve MACRA/MIPS goals within provider offices
- Motivational Interviewing trainer for staff and providers
- Communicate effectively (verbal and written) with field counterpart to leverage collaborative opportunities for injectable treatment optimization and overall market access/growth
- Involve health systems, employers and other community stakeholders to capitalize on emerging opportunities to meet MACRA/MIPS goals
- 2017 CIRCLE OF EXCELLENCE WINNER RANKED TOP 8% IN NATION
- 2019 role changed to Health System Educator with greater emphasis on Population Health Management as it relates to the total health system needs. Territory changed to Chicago 202 with 3 health systems assigned(University of Chicago, University of Illinois at Chicago Hospital, Northwestern Hospital)
Clinical Liaison
Golden Living
10.2012 - 11.2013
Clinical Liaison
HCR Manor Care
03.2011 - 10.2012
Clinical Liaison
Regency LTACH
03.2009 - 09.2011
Education
Bachelor of Science in Nursing - undefined
Purdue University Calumet
Hammond, IN01.2008
Bachelor of Science in Organization Management - undefined
Calumet College of St. Joseph
Whiting, IN01.2005
Skills
- Direct patient care
- Goal setting
- Emotional intelligence
- Care coordination
Certification
- Indiana Registered Nurse 28182844A Issued 2009-02-06 Current
- Indiana Registered Nurse Compact License 28182844C Issued 2021-06-03 Current
- Illinois Registered Nurse 041.595303 Issued 2025-10-01
- MI Registered Nurse License pending review
- Licensed Practical Nurse 27053021A Issued 2003-10-20 Expired 2010-10-31
Timeline
TOC RN Case Manager
Cityblock Health
08.2024 - Current
Case Manager
IU Health Methodist Hospital
09.2022 - Current
Hospice Care Consultant
Gentiva Hospice
06.2022 - 07.2023
Marketing- Physician's Relations Manager
Advanced Centers for Cancer Care
10.2019 - 07.2020
Health System Diabetes Educator II
Novo Nordisk
11.2013 - 10.2019
Clinical Liaison
Golden Living
10.2012 - 11.2013
Clinical Liaison
HCR Manor Care
03.2011 - 10.2012
Clinical Liaison
Regency LTACH
03.2009 - 09.2011
Bachelor of Science in Nursing - undefined
Purdue University Calumet
Bachelor of Science in Organization Management - undefined
Calumet College of St. Joseph