L. Michele Jansons

• Assessed patient health status through detailed evaluations and developed individualized treatment goals.
• Educated patients and families on disease management, medication adherence, and preventive care practices.
• Conducted comprehensive assessments of patients'' physical, emotional, social, and environmental needs to develop individualized care plans.
• Documented treatments delivered, medications and IVs administered, wound care, discharge instructions, and follow-up care.

• Managed comprehensive patient care plans, ensuring continuity and quality of services provided.
• Coordinated multidisciplinary team meetings to discuss patient progress and adjust care strategies.
• Reduced hospital readmissions by providing thorough patient education and comprehensive discharge planning.
• Took samples to complete diagnostic and routine assessment tests.
• Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.

• Maintained Medicaid licensure by planning, organizing, developing and maintaining all processes, policies and training of all Administrative and Clinical staff.
• QAPI program oversight, as well as, orientation, evaluation and competency programs for all Clinicians.
• Promoted and built the agency to serve the community and patients in Madison, Delaware and surrounding counties.
• Administrative on call coverage/management.
• Educated Clinical field and office staff, including weekly Case Conference for all Nurses.
• OASIS completion and review.
• Skilled Nurse Case Management visits.

• Supervision, educating, hiring, terminating, promoting and evaluating all Clinical Field staff, including RN, PT, OT, ST, CHHA.
• Supervision of Certified Home Health Aides.
• Administrative and Field Nurse on call coverage.
• OASIS completion, review and submission.
• Chart audits for compliance and timeliness.
• Monitor Clinical Outcomes and Performance Scores

• Supervision, educating, training, hiring, terminating, promoting and evaluating all staff according to the organizational chart.
• Monitor Intake/Referrals and medical records for compliance and timeliness.
• Conduct weekly Clinical Case Conference.
• Monitor Outcome and Performance scores
• Worked closely with the Administrator and Clinical Supervisor to achieve growth and maintain 5 Star Rating.
• Previous work experience with this agency includes Intake Coordinator and field RNCM.

Two different contracts completed with this employer:

• IU Health University Hospital inpatient transplant, GI/Hepatology Case Manager
• FSSA Medical Review Team for Medicaid Disability applicants

• Assisted U.S. Veterans with the application and awards process for VA Special Pension Aid & Attendance Benefits. (Temporary Position)

• Prior Authorization for Medicaid and HMO members.
• Identified members for Complex Case Management and Disease Management programs.