Laura Busbee

Performed various clinical and operational processes assisting members preparing for transition to post-acute care. Assisted with Care Coordination, resource utilization and worked with Cigna Case Management. Members were usually transitioning from acute care, SNF or Inpatient Rehab facilities to Home Health care. Managed daily caseload by implementing, evaluating and coordinating plan of care for all assigned patients. Developed care plan by utilizing Case Management tools and participating in frequent discussions with the post-acute care facilities. Reviews care plans with patient in conjunction with direct care providers. Collaborates with all care providers to obtain favorable patient outcomes and reduce readmissions. Assigned to LEA Team in addition to regular Care Coordination team duties.

• Managed over 150 patients from admission to discharge.
• Completed client forms and submitted in timely manner and ensured proper Prior Authorizations were completed per Medicaid guidelines.
• Counseled patients and caregivers, providing emotional, psychological and spiritual support.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care.
• Audited all charts and reviewed clinical documents to verify accuracy.

• Effectively managed over 400 student records and confirmed immunization compliance.
• Conducted staff health monitoring for over 65 staff members and assisted staff with Workers Compensation claims.
• Educated school staff in CPR, AED and First Aid, Chronic Disease Management and provided Staff In-Service.
• Performed random DOT Drug testing of bus drivers and over 350 students.
• Effectively utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
• Managed infection control and critical incidents and made procedural changes and improvements.
• Administered medications via oral, IV and intramuscular injections and monitored responses.
• Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Led successful team comprised of RNs, LPNs and ancillary staff.
• Participated in professional growth programs to support special education improvement efforts.
• Monitored student progress and reviewed and revised IEP to meet emerging student needs.
• Developed positive relationships with parents to foster communication and encourage involvement for student growth.
• Collaborated with external agencies to meet educational and transitional needs of students.

• Consistently communicated with patient, family, physicians, DME companies and health care team to provide quality in home care.
• Led team of Home Health LPN's and Aides.
• Completed and electronically entered all OASIS data and ICD-9 codes.
• Performed frequent chart reviews for Medicare and Medicaid compliance.
• Utilized effective interpersonal, writing and active listening skills to build and cultivate positive relationships with patients, caregivers and physicians.
• Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
• Maintained compliance with guidelines such as HIPAA and OSHA.
• Provided physical assessments, medication and chronic disease management to home health patients.
• Advised and coached patients progressing from hospitals, rehab facilities and other medical organizations to at-home treatment settings.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
• Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
• Evaluated patient histories, complaints and current symptoms.
• Educated family members and caregivers on patient care instructions.
• Accurately documented treatment, medications and IVs administered, discharge instructions and follow-up care.

• Coordinated care with over 75 patients, family, doctors, and health care team to provide quality in home care.
• Completed OASIS assessments, entered data and ICD-9 codes in EHR.
• Performed accurate chart reviews for Medicare and Medicaid compliance.
• Provided patients with Chronic Diseases Management and acute illness and injury education.
• Oversaw admission and discharge processes to coordinate related paperwork.
• Promptly answered questions and addressed concerns from employees, patients, care team and providers through email, phone and in person.
• Maintained compliance with guidelines such as HIPAA and OSHA.
• Oversaw delivery of care for patients in home health setting, providing direct care, delegating nursing assignments, and supervising team comprised of nurses, LPNs, aides and unit clerks.
• Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use and disease management.