Janene Dixson
Lake Charles,LA
Summary
Healthcare professional with extensive experience at United Healthcare, specializing in care coordination and case management. Demonstrated success in improving patient outcomes through effective communication and collaboration across disciplines. Proficient in medical documentation and compliance monitoring, ensuring adherence to healthcare regulations while advocating for patient needs.
Overview
16
16
years of professional experience
1
1
Certification
Work History
HSS Clinical Care Coordinator
United Healthcare
Baton Rouge, LA
08.2023 - Current
- Support members with condition education, medication reviews and connections to resources.
- Provide case management services for disabled members approved for EPSDT PCS, PDN, and PDHC
- Full management of prior authorization requests for EPSDT PCS, PDN and PDHC
- Healthy First Steps Case Manager
- Pediatric Specialty Team Case Manager
MDS Nurse
Landmark Nursing Homes
Lake Charles, LA
02.2023 - 08.2023
- Oversee the assessment and care planning process for residents
- Ensure compliance with federal and state regulations regarding patient care documentation and reimbursement
Health and Wellness Director
Brookdale Assisted Living
Lake Charles, LA
06.2022 - 02.2023
- Responsible for the direct supervision of community-based licensed, certified, and non-certified clinical associates.
- Supervises, directs, and motivates clinical leadership staff in supervision of clinical care associates and resident care.
- Assigns and directs work of clinical leadership team and subordinates.
Registered Nurse
CARC
Lake Charles, LA
09.2018 - 06.2022
- Displayed effective communication skills in initiating therapeutic relationships with patients.
- Works in collaboration with the interdisciplinary team to assess the needs of the resident.
- Managed and treated health problems, ranging from common to serious, chronic, and complex for adults with IDD by continuously fostering improvement.
Registered Nurse - Health Service Director
ResCare
Lake Charles, LA
01.2016 - 01.2018
- Coordinate communications and actions of various disciplines as it relates to health and safety supports.
- Maintain communication with inpatient nursing and discharge coordinators when individuals served are hospitalized.
- Ensure that there are policies in place that address medication administration, medication errors, medication storage / access and medication destruction, and that these policies are reviewed at least annually and revised as necessary.
Registered Nurse - Clinical Coordinator Wound Care Clinic
Healogics
Lake Charles, LA
01.2013 - 01.2016
- Coordinated patient care plans with multidisciplinary teams for optimal recovery.
- Oversaw daily operations of clinical staff to ensure quality service delivery.
- Implemented best practices in wound care management to improve patient outcomes.
- Facilitated communication between patients, families, and healthcare providers effectively.
Registered Nurse - Case Manager
Evergreen Home Health
Lake Charles, LA
01.2012 - 01.2016
- Conducted comprehensive assessments to identify patient needs and develop strategies.
- Educated patients and families on treatment plans and self-care techniques.
- Monitored patient progress and adjusted care plans as necessary for optimal outcomes.
- Collaborated with community resources to facilitate patient access to services.
- Documented patient information accurately in electronic health records systems.
Registered Nurse - Wound Care Liaison
Synergy Home Health
Lake Charles, LA
01.2010 - 01.2012
- Administered medications and treatments as per physician orders and care plans.
- Collaborated with interdisciplinary teams to develop comprehensive patient care strategies.
- Monitored vital signs and assessed patient conditions for timely interventions.
- Educated patients and families on health management and preventive care practices.
- Documented patient progress and care activities in electronic health records accurately.
- Utilized critical thinking skills to assess clinical situations quickly and accurately.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Education
Bachelor of Science - Nursing
Lamar University
Beaumont, TX01.2014
Associate of Applied Science - Nursing
Lamar State College Orange/Port Arthur
Orange/Port Arthur, TX01.2004
Skills
- Preauthorization processes
- Care coordination and case management
- Medical documentation and prior authorization
- Patient assessment and condition education
- Compliance monitoring
- Electronic health records management
- Interdisciplinary collaboration
- Clinical oversight and problem solving
- Effective communication skills
- Time management strategies
- Patient advocacy and care planning
- Team leadership and organizational standards
- Insurance practices and quality improvement
- Patient education and health literacy
- Physical assessment techniques
- Healthcare regulations compliance
- Supervision in nursing practices
- HIPAA compliance expertise
- Multidisciplinary team collaboration strategies
- Claims and billing knowledge in healthcare
- Home health and hospice services expertise
- Treatment planning strategies in rehabilitation
- Geriatrics and behavioral health nursing experience
Certification
Louisiana RN Multistate Compact
Credentials
BSN, RN
Timeline
HSS Clinical Care Coordinator
United Healthcare
08.2023 - Current
MDS Nurse
Landmark Nursing Homes
02.2023 - 08.2023
Health and Wellness Director
Brookdale Assisted Living
06.2022 - 02.2023
Registered Nurse
CARC
09.2018 - 06.2022
Registered Nurse - Health Service Director
ResCare
01.2016 - 01.2018
Registered Nurse - Clinical Coordinator Wound Care Clinic
Healogics
01.2013 - 01.2016
Registered Nurse - Case Manager
Evergreen Home Health
01.2012 - 01.2016
Registered Nurse - Wound Care Liaison
Synergy Home Health
01.2010 - 01.2012
Bachelor of Science - Nursing
Lamar University
Associate of Applied Science - Nursing
Lamar State College Orange/Port Arthur