Kari Seagraves
Waynesville,NC
Summary
Versatile Case Manager with expertise in Home Health and Hospital environments. Hardworking and dedicated to top outcomes. Excellent time manager, communicator and problem solver. Talented Case Manager adept at handling high caseloads without sacrificing quality of care. Operates in high-pressure environments while recommending best resources and courses of action to benefit patient needs and return each to optimal quality of life.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Field Medical Case Manager
Southern Rehabilitaion Services
01.2020 - Current
- Foster communication between Injured Worker, Adjuster and Attorneys.
- Partnered with physicians, physical therapist and occupational therapist, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Coordinated care of injured workers by liaising with adjusters and attorneys to organize treatments and program resources.
- Reported plans, findings and results to employers and insurance carriers.
- Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
- Managed complex cases involving multiple chronic conditions, resulting in improved quality of life for patients.
- Streamlined case management processes for increased efficiency and better patient outcomes.
- Advocated for patients'' needs within the healthcare system, securing necessary resources and accommodations for optimal recovery experiences.
- Collaborated with multidisciplinary teams to optimize patient care and treatment plans.
- Coordinated with insurance providers to secure coverage for necessary treatments, minimizing out-of-pocket expenses for patients.
- Educated patients on self-care techniques, promoting independence in managing their medical conditions.
- Maintained detailed documentation on each case, ensuring accuracy and compliance with legal requirements.
- Developed strong relationships with community resources to improve access to essential support services for patients in need.
- Evaluated clinical data and adjusted treatment plans as needed, leading to improved patient health outcomes.
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Documented case notes daily and coordinated follow-up for seamless case management.
- Provided ongoing counseling to help patients deal with conditions and processes
- Preserved and prepared reports and treatment records.
- Assessed risk factors of patients and made referrals for further services.
- Collaborated with healthcare providers to drive continuity of care.
- Managed caseload to satisfy multiple patients with diverse needs.
- Developed individual treatment plans and assess treatment plans after medical visit.
- Enhanced patient care by conducting comprehensive assessments and developing individualized care plans.
- Increased referral rates by providing excellent service and building meaningful relationships with patients, caregivers, adjusters and medical staff.
Case Manager
Haywood Regional Medical Center
08.2017 - Current
- Worked with different disciplines to provide cohesive care to patients
- Reported plans, findings and results to employers and insurance carriers
- Maintained hospital costs through review of options and standards of care
- Evaluated treatment plans against individual goals and healthcare standards
- Helped patients receive appropriate, high-quality care with reasonable results
- Documented patient information obtained from interviews
- Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards
- Analyzed patient and family feedback to identify opportunities for staff recognition as well as areas for improvement
- Ensured HIPAA compliance.
RN Supervisor
Home Care Free and Pro Temp Staffing
07.2016 - 08.2017
- Copied, logged and scanned supporting documentation
- Assisted various business groups with document organization and dissemination during acquisitions
- Developed new process for employee evaluation which resulted in marked performance improvements
- Supported Chief Operating Officer with daily operational functions
- Verified data integrity and accuracy
- Obtained documents, clearances, certificates and approvals from local, state and federal agencies
- Performed initial client assessment and analysis to begin research process
- Updated policies and procedure
- Supervised CNA and In Home Aides Responsible for yearly education and new hire education according to the State of North Carolina.
Floor Nurse
Mission Hospital
08.2015 - 07.2016
- Investigated and reported issues relating to patient care or conditions that might hinder patient well-being
- Documented patient information obtained from interviews
- Managed care for post-operative patients through discharge
- Initiated audit process to evaluate thoroughness of documentation and maintenance of facility standards
- Monitored fluid intake and output levels
- Assessed patients and documented their medical histories
- Completed all daily living tasks to enhance the quality of life of elderly patients
- Implemented new floor assignments based on evaluation of staffing requirements
- Routinely retracted patient throat cultures and prepared for lab submission
- Ensured HIPAA compliance.
Home Health Nurse
Haywood Regional Medical Center
08.2014 - 08.2015
- Pharmacological and non-pharmacological management and treatment of various disorders and diseases
- Interviewed patients to obtain medical information, weight and height measurements and vital signs
- Facilitated an on-going assessment of patient/family needs and implementation of interdisciplinary team care plan
- Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards
- Developed patient care plans, including assessments, evaluations and nursing diagnoses
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
- Followed infection control procedures
- Performed vitals/glucose testing and assisted in administering injections and urinalysis
- Documented patient information obtained from interviews
- Assessed patients and documented their medical histories
- Provided patient education.
Education
Associate of Science - Nursing
Haywood Community College
Clyde, NC01.2014
Skills
- Documentation proficiency
- Treatment planning
- Progress evaluations
- Interdisciplinary collaboration
- Needs assessment
- Strategic decision-making
- Patient evaluation
- Strong clinical judgment
- Medicaid statutes and regulations
- Palliative care awareness
- Hospice philosophy understanding
- High level of autonomy
- Medicaid management information systems
- Policy and program development
- Interdisciplinary Collaboration
- Clinical Documentation
- Assessing needs
- Interdisciplinary Coordination
- Rehabilitation Services
- Managing records
- Discharge Planning
- Problem-Solving
- Critical Thinking
- Case Management
- Quality Assessment
- Medical Advocacy
Certification
Certified Case Manager
Timeline
Field Medical Case Manager
Southern Rehabilitaion Services
01.2020 - Current
Case Manager
Haywood Regional Medical Center
08.2017 - Current
RN Supervisor
Home Care Free and Pro Temp Staffing
07.2016 - 08.2017
Floor Nurse
Mission Hospital
08.2015 - 07.2016
Home Health Nurse
Haywood Regional Medical Center
08.2014 - 08.2015
Associate of Science - Nursing
Haywood Community College
Certified Case Manager
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