Katie Sorensen
Summary
Compassionate and highly skilled Registered Nurse and Certified Case Manager with years of experience in ambulatory setting, specializing in managing individuals with complex medical and behavioral health needs. Commitment to improving patient outcomes through exceptional communication, care coordination, and advocacy. Skilled at collaborating with interdisciplinary teams to develop and implement effective care plans, ensuring optimal health and wellness for diverse patient populations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Telephonic Triage Nurse
Commonwealth Care Alliance- Primary Care
01.2022 - Current
- Field and triage incoming medical calls, assessing the need for urgent provider visits.
- Outreach to patients to complete post discharge/ED follow up to identify and address any barriers that would lead to readmission.
- Evaluate and refer patients to paramedic teams for urgent home visits, reducing unnecessary emergency department visits/hospitalizations.
- Identify and connect patients with internal resources for additional support services.
- Communicate effectively with the care team to relay relevant patient needs and updates.
- Refer homebound patients to field teams for nursing visits, including lab work, medication management, and vaccinations.
- Conduct chronic disease follow-ups via telephone to support gap closure in patient care.
- Assist and arrange medical transportation for complex patients, ensuring timely and appropriate follow-up care.
HEDIS Abstractor- Seasonal
Optum
01.2023 - Current
- Review medical records for assigned HEDIS measure groups to ensure compliance with NCQA HEDIS requirements.
- Identify and extract relevant data from medical records in alignment with HEDIS guidelines.
- Enter abstracted data into proprietary company software, ensuring completeness and accuracy.
- Maintain quality assurance standards by adhering to Optum's accuracy requirements.
- Ensure compliance with HIPAA regulations while handling and abstracting sensitive patient data.
Care Partner
Commonwealth Care Alliance
06.2019 - 01.2022
- Conduct post-hospital discharge follow-ups and medication reconciliation to reduce complications and improve community-based recovery.
- Assess members telephonically to identify unmet needs that may lead to preventable hospitalizations and emergency department visits.
- Refer members to CCA community providers post-discharge and routinely to minimize avoidable readmissions.
- Collaborate with members and providers to address gaps in care and reduce emergency department utilization.
- Participate in case conferences with CCA clinical staff to enhance patient outcomes.
- Coordinate with interdisciplinary teams, including PCPs, LTSCs/GSSCs, and vendors, to ensure high-quality care delivery for high-risk members.
- Provide ongoing education to members and their families to promote positive health outcomes.
Charge Nurse
Brockton Neighborhood Health Center
11.2017 - 06.2019
- Triage incoming phone calls and patients to ensure timely and appropriate care.
- Execute provider-ordered tasks, including initiating VNA services, coordinating with specialists, obtaining urgent referrals, and following up on patient health status.
- Optimize practice workflow to enhance efficiency and patient care delivery.
- Train and orient new staff, providing guidance on clinic procedures and expectations.
- Participate in supervisor and clinic meetings to align with practice goals and improve patient care outcomes.
Registered Nurse
Compass Medical
07.2014 - 11.2017
- Serve as the primary nurse for the office’s Nurse Practitioner and Physician Assistant, providing direct clinical support.
- Triage patient phone calls, assessing medical concerns and determining the need for an office visit or immediate medical attention.
- Deliver routine and preventive care, promoting overall patient wellness.
- Communicate with patients regarding health concerns, lab results, and education on new diagnoses or treatment plans.
Registered Nurse
Genesis Healthcare
11.2012 - 12.2014
Registered Nurse
Roger Williams Medical Center-Elmhurst Extended Care
11.2013 - 07.2014
Education
Bachelor of Science - Nursing
Southern New Hampshire University
Associate of Science - Nursing
St. Joseph School of Nursing
Bachelor of Science - Marine Biology
University of New Haven
Skills
- Problem-solving abilities
- Multitasking Abilities
- Team collaboration
- Excellent communication
- Adaptability and flexibility
- Care coordination
Certification
- Registered Nurse License (RN) - MA
- Registered Nurse License (RN) - RI
- Certified Case Manager (CCMC)
- Basic Life Support (BLS)
Timeline
HEDIS Abstractor- Seasonal
Optum
01.2023 - Current
Telephonic Triage Nurse
Commonwealth Care Alliance- Primary Care
01.2022 - Current
Care Partner
Commonwealth Care Alliance
06.2019 - 01.2022
Charge Nurse
Brockton Neighborhood Health Center
11.2017 - 06.2019
Registered Nurse
Compass Medical
07.2014 - 11.2017
Registered Nurse
Roger Williams Medical Center-Elmhurst Extended Care
11.2013 - 07.2014
Registered Nurse
Genesis Healthcare
11.2012 - 12.2014
Bachelor of Science - Nursing
Southern New Hampshire University
Associate of Science - Nursing
St. Joseph School of Nursing
- Registered Nurse License (RN) - MA
- Registered Nurse License (RN) - RI
- Certified Case Manager (CCMC)
- Basic Life Support (BLS)
Bachelor of Science - Marine Biology
University of New Haven
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