Compassionate Nurse Case Manager offering 12 years of experience working with patients and families to facilitate smooth transitions following discharge from medical facilities. Committed to working collaboratively with health plan, leadership, and department coordinators to achieve highest quality of patient satisfaction. Well-versed in developing individualized care plans and advocating patient welfare.
Manages a panel of medically complex patients to ensure individual needs are met.
complete transition of care calls to ensure members receive the necessary services and resources according to transition plan
Create individualized care plans and follow up
Engage members telephonically to assure that a well coordinated action plan is established.
Continually assess health status
Make referrals to community resources and programs identified for members