Reliable Director of Case Management balancing clinical and financial interests with community member needs. Identifies treatment plans that serve family needs and strive towards creating higher qualities of life.
Overview
5
5
years of professional experience
Work History
Case Management Coordinator
Aetna Better Health of Kansas
Chanute, KS
06.2021 - Current
Defined and applied utilization review methods to guarantee conformance with medical coverage plans.
Created and implemented case management programs after analyzing quantitative data about patient intake and discharge.
Demonstrated expertise in creating accountable teams which closely followed corporate healthcare strategies.
Planned and directed nursing services in high-specialized patient care areas in accordance with state and federal guidelines.
Health Information Management Coordinator
Diversicare of Chanute
Chanute, KS
06.2019 - 06.2021
Worked with physicians and nurses to find methods to improve quality of patient health documents and records.
Took part in meetings and committees to discuss such topics as electronic health records and communicate best ways to improve workflows.
Interviewed and hired talented performers, bringing exemplary expertise and knowledge to job positions within organization.
Arranged and managed medical record filing, retrieval and transfers per established guidelines.
Maintained accurate records and reports regarding patients' histories and progress, services provided and other required information.
Completed timely uploads of medical records to patient vaults.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Evaluated the quality and integrity of electronic chart data.
Social Services Director
Diversicare of Chanute
Chanute, KS
06.2019 - 06.2021
Developed and incorporated community-based programs to meet various needs and monitored each program's effectiveness.
Assessed each resident's psychosocial needs.
Enabled each member of staff to receive development opportunities by implementing workshops, seminars and regular training.
Implemented social services care plan for each resident and updated plan annually in consultation with resident and family.
Assisted residents in adjustment to new environments and provided counseling for resident and family to assure psychosocial health and contentment.
Managed resident admissions and discharge and referrals to other facilities, home health agencies and hospice based on resident and family needs, preferences and resources.
Handled or delegated resident support concerns respectfully to preserve residents' dignity, health and safety.
Education
Cosmetology
Fort Scott Community College
Fort Scott, KS
01.2008
Some College (No Degree) - Registered Medical Assistant
Neosho County Community College
Chanute, KS
Skills
Marketing
Collections
A/P
A/R
Insurance Verification
Maintaining Client records
Payroll
Organize, Oversee and Protect patient a health Information Records
Community outreach
Customer support and assistance
Client meetings
Effective customer communication
Customer service
Affiliations
Employee and Resident record management
Payroll
Department Manager
Collections
A/P
A/R
Timeline
Case Management Coordinator
Aetna Better Health of Kansas
06.2021 - Current
Health Information Management Coordinator
Diversicare of Chanute
06.2019 - 06.2021
Social Services Director
Diversicare of Chanute
06.2019 - 06.2021
Cosmetology
Fort Scott Community College
Some College (No Degree) - Registered Medical Assistant