Jennifer Allen

• RN Case Manager for 16 -25 patients from 2019 to 2023.
• Directly worked with Physicians and facilities, as well as families, with a plan of care for the hospice patient and their loved ones.
• Admissions RN for 2024, 2025 with providing comprehensive information on hospice care and coverage to patients along with their families, incorporating a plan of care that aligns with the patient's goal and comfort.

• Reviewed authorization requests that require criteria for coverage, including preparing reviews for the Medical Director
• Performed evaluation of the medical necessity, appropriateness and efficiency of the use of health care services, procedures, and facilities
• Base knowledge of health care service delivery systems and third-party reimbursement
• Set up "Peer to Peer" reviews with Medical Director and requesting providers
• Ability to read, analyze, and interpret common scientific and technical journals, documents and criteria
• Trained new hires in Utilization Review
• Coordinated with physician's offices for chart review for utilization and quality appropriateness
• Analyzed and authorized inpatient and outpatient referrals
• Liaison between health plans and physicians

• Was responsible of direct supervision of a hospice team including RNs, SNA, MSWs, Chaplains, and Volunteer Coordinator
• Performed in-filed evaluations of staff, annual reviews
• QI review of nursing orders, POCs, and hospice admissions
• Participated in QUAPO to develop PIPs and remain in compliance to Medicare Guidelines
• Participated in Michigan State review and assisted in developing improvement plans to meet conditionals
• Lead monthly staff meetings, IDGs, in-services for staff

• Admission and management of hospice patients including hospice education
• Coordinated comprehensive care plans for patients, ensuring alignment with interdisciplinary team objectives.
• Educated families on disease management and end-of-life options, fostering informed decision-making.
• Enhanced interdisciplinary team collaboration through proactive communication and coordination of patient services.

• Met with patients and family for hospice education and admission within the three levels of care settings
• Demonstrated expertise at end of life symptom management
• Monitored medication administration, the needs and supplies to patient and family including skilled teaching
• Trained new nurses in the field with teaching of hospice guidelines and benefits
• Conducted comprehensive patient assessments to determine eligibility for admission.

Floated on Cardiac, Medical, Neuro/Trauma, Open Heart intensive care units

• Delivered comprehensive patient assessments and critical care interventions in high-acuity environments.

• Administered medications and monitored patient responses to treatments in fast-paced surgical environment.
• Supervised LPNs on shift, including passing LPN patients' medication
• Alternated charge nurse duties