MELISSA HALL

Delivered coordinated care for members by collaborating with healthcare teams and monitoring treatment plans.

Communicate with healthcare providers or members to facilitate care and treatment.

Collaborated with healthcare teams to evaluate treatment necessity and appropriateness.

Reviewed patient care plans, verifying alignment with utilization management guidelines.

• Use established criteria to make determinations based on information provided by healthcare providers.
• Conducted utilization reviews, concurrent reviews, authorization requests and discharge planning.
• Use clinical nursing skills to interpret and support the coordination,documentation and communication of medical services benefit administration determinations.
• Adhered to evidence-based standards when making decisions regarding resource utilization.
• Discussed care delivery with physicians and providers, ensuring adherence to clinical guidelines.
• Ensured compliance with organizational policies and procedures related to utilization management processes.
• Facilitated transfer of patients across different levels of care based on their changing needs.
• Analyzed patient data to identify trends in resource utilization and care patterns.
• Conducted retrospective reviews of medical records for quality assurance purposes.
• Coordinated with external agencies, facilitating patient placement in home health or skilled nursing facilities.

• Delivered skilled patient care in home setting, conducting assessments, administering medications, monitoring patient safety, and coordinating care.
• Administered medications and treatments according to established protocols.
• Monitored patient vital signs and reported changes to the healthcare team.
• Educated patients on health management and disease prevention strategies.

• Conducted patient assessments, administered medications, completed 15-minute safety checks, monitored restraints, and performed contraband searches to ensure patient safety and compliance.
• Administer medications and treatments according to physician orders.
• Collaborate with healthcare team to develop patient care plans.
• Monitor vital signs and assess patient conditions regularly.

• Conducted patient assessments, administered medications including IV therapy, managed wound care, and maintained accurate documentation.
• Administered medications and monitored patient responses in a fast-paced environment.
• Collaborated with healthcare teams to create and implement patient care plans.
• Educated patients and families on health management and post-discharge care.

• Conducted patient assessments and administered medications while ensuring safety through 15-minute checks, restraint monitoring, and contraband searches.
• Provided direct patient care and monitored vital signs consistently.
• Assisted in developing and implementing individualized care plans.
• Educated patients and families on health management and wellness strategies.

• Provided focused and full assessments, medication administration, tracheostomy care/suctioning, G-tube care, feeding, medication management, maintenance, and ADL assistance.
• Administered medications and treatments to patients in home care settings.
• Monitored vital signs and reported changes to healthcare teams.
• Assisted with daily living activities, ensuring patient comfort and safety.

• Provided focused and full assessments, medication administration, tracheostomy care/suctioning, G-tube care, feeding, medication management, maintenance, and ADL assistance.
• Administered medications and treatments as prescribed by healthcare providers.
• Monitored vital signs and documented patient health status regularly.
• Assisted patients with daily living activities to ensure comfort and care.