KATHY J GOODMON
Sherman
Summary
To find a company or organization that will respect my credentials as a hard working prompt caring person and Nurse.
Professional with strong background in nursing and case management. Skilled in patient assessment, care coordination, and healthcare planning. Focused on collaborative team efforts and adaptable to changing needs, ensuring optimal patient outcomes. Known for effective communication, problem-solving, and results-driven approach.
Experienced with telephonic nurse case management, ensuring effective coordination and patient care. Utilizes strong communication and organizational skills to facilitate treatment plans and patient recovery. Track record of problem-solving and adapting to dynamic healthcare needs, ensuring quality outcomes.
Healthcare professional with extensive experience in telephonic nurse case management, adept at coordinating comprehensive care plans and facilitating patient recovery. Valued for team collaboration and achieving positive outcomes in patient health. Highly adaptable, with strong communication and critical-thinking skills, ensuring seamless care continuity.
Telephonic Nurse Case Manager acts as intermediary to drive appropriate and cost-effective healthcare services for medically rehabilitated individuals by developing patient-centered case management plans. Leverages effective, independent nursing judgment and skills and evidence-based clinical decision-making criteria to optimize and improve health for individuals across care continuum. Demonstrated experience in management of chronic disease process, nursing process and collaborative care planning.
Overview
16
16
years of professional experience
Work History
Telephonic Nurse Case Manager
Well Med Medical Management
08.2010 - Current
- Audit charts. Compliance with Hedis Measures. Documenting in charts, Faxing Hedis Measures to Corporate to get measures found removed from the patient’s chart. Going to the Dr. Offices to find missing Hedis measures. This position will be dedicated to clinical quality and risk adjustment efforts. Provides clinical support and professional nursing care to patients under the direction of physicians and nursing personnel using established standards of care to close the gaps on clinical quality measures and screenings. Coordinates patient care as directed by physicians, company standards and policies including referrals, medication needs, etc. Screens patient for chief complaint and history of the condition necessitating the visit and records the information in the patient's medical record. Conducts appropriate educational communication to patients. Gmail.
- In patient admits, calling for discharge planning, review for continuing stays. Calling facilities for social worker and verification of admission and verify still in house. Issuing NOMNC'S when needed for patients that have progressed in therapy and ready to be discharged according to Medicare guidelines.
- Out patient calls to patients for discharge needs. Helping patients with finding help for medication assistance, food assistance, Finding a new PCP, transportation assistance, and any other need they may have.
Case Manager-Nure Navigator
Evolution Health
04.2015 - 07.2015
- Outbound calls to patients. Inbound Triage calls. Pharmacy refills. Transfer calls to the providers and other departments. Patient Education.
- 214-754-8700
Case Manager LPN/Health Coach LVN
United Health Care Corporation
08.2009 - 04.2015
- Outbound calls to members, Post Hospital calls, leveling member for Case Management, Complete Assessments, Provide education as needed on disease processes, Set up transportation, provide information on disease processes, send information to the members through fulfillment, education on medications, Calls to Primary Care Doctors for appointments, facilitate getting Durable Medical Equipment, facilitate Home Health going to the home, Providing member’s with Specialists in their area to call for appointments or to obtain a referral from the PCP, Prior Authorization for medications, Call placed to Pharmacies as needed. Locating members through multiple systems. Call member that are In Patient in the hospital to assess discharge needs.
- Placing HEDIS calls to parents and Members. Updating the UTD system when completed a call for a HEDIS measure. Hedis Measures are important in making sure that their preventive services have been completed or helping to schedule appointments.
- Working collaboratively with operations leads within our northeast team and specialized solutions, the Medicaid CM team has developed a high risk CM triage team to solution for a gap that has historically existed within the CM team. A proposal to launch a HRCM Triage Unit was approved by the Community and State change management team on November 1, 2012 and we are set to go live on November 12, 2012. This team of health coaches will receive internal referrals to High Risk Case Management (HRCM) from CMO’s, health plans and other business segments. They will be responsible for completing Health Risk Assessments to assess the needs for HRCM, and making sure the members referred that do not meet the criteria for HRCM have access to the appropriate services to meet their identified needs.
- 800-561-0861
Education
Associate of Science - Nursing
Health Education
Arlington, Tx05-1999
Skills
- Clinical judgment
- Healthcare systems navigation
- Clinical assessment
- Data entry
- Critical Thinking
- Patient Education
- Client Communications
- Medical terminology
- Health promotion
- Assessing needs
- Ethical Practice
- Case Management
- Case management
- Ethical practice
- Quality improvement
- Care coordination
- Treatment plans
- Nursing process
- Medical correspondence
- Telephonic triage
- Teamwork
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Reliability
- Excellent communication
- Critical thinking
- Organizational skills
- Team collaboration
- Active listening
- Effective communication
- Adaptability and flexibility
- Decision-making
- Patient education
- Patient confidentiality
- Relationship building
- Patient support
- Clinical documentation
- Documentation and recordkeeping
- End-of-life care
- Team building
- Task prioritization
- Coaching and development
Timeline
Case Manager-Nure Navigator
Evolution Health
04.2015 - 07.2015
Telephonic Nurse Case Manager
Well Med Medical Management
08.2010 - Current
Case Manager LPN/Health Coach LVN
United Health Care Corporation
08.2009 - 04.2015
Associate of Science - Nursing
Health Education
Summary of Qualifications
I am a well-qualified, punctual, hardworking individual that is looking for a permanent full time position. Prior to Nursing I was an Office Manager and a Customer Service Supervisor. I have also done A/R A/P, Inventory, Cashier, Set up Computer Programs