Katherine Young

• I am responsible for telephonically and/or face to face assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Educated members, caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
• Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
• I use my clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
• Managed care from admission to discharge.

1/2022 - 10/2023: During my career with CVS/ABHO I took a position as a Transition of Care RN, CM. Where i worked remotely from home.

My Responsibilities:

Complete outreach calls and post-discharge questionnaires within required compliance driven timelines. Facilitates Interdisciplinary Care Team Meetings with Social Services, Care Management, PCP and other key players to discuss service needs and support safe transitions. Followed members identified as inpatient in hospitals (whether planned or unplanned admission) and then throughout the subsequent care continuum until member can return to prior level of functioning in the community. Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization and 30-day hospital readmissions.

I held various positions during my employment at The Knolls of Oxford: RN supervisor conducting assessments of patients, admissions, discharges. Overseeing staff.

Wound Nurse, MDS (Medical Data Set): worked closely with physicians managing residents health care.

• Managed critical situations calmly and efficiently, providing guidance to the nursing team during emergencies.
• Served as an approachable leader who consistently addressed concerns raised by both nursing staff and families regarding patient care issues or operational challenges within the unit effectively resolving them promptly whenever possible.
• Consistently acted as a strong advocate for patients and their families, ensuring that their needs were met while navigating complex healthcare systems.
• Improved patient satisfaction scores by fostering a collaborative and supportive team environment.