Melissa Madaris
Ringgold,GA
Summary
Diligent LPN offering 24 year background providing attentive care in geriatrics. Successful in anticipating and meeting needs of patients, colleagues and supervisors alike. Expertise in Home Health/ Case Management. As a case manager for Humana, I have set up appointments with physicians, obtained DME, ensured HEDIS information was accurate and assisted with medication management and reconciliation. In a liaison position I have transitioned patients from hospital and rehab setting to home, answered questions and provided feedback to patient, family and physicians. Work effectively within interdisciplinary teams to develop, implement and adjust interventions. Strong attention to detail. Team player.
Overview
26
26
years of professional experience
Work History
LPN / Care Transitions Coordinator
Camellia Home Health/ Encompass Home Health
Ooltewah , TN
06.2015 - Current
- Ensured HIPPA compliance
- Consulted with patients regarding disease prevention strategies to encourage optimal health
- Reviewed patient history to verify conditions and current medications
- Responded to patient requests with appropriate clinical and personal assistance
- Gathered patient data, cleaned wounds and changed catheters as part of comprehensive support
- Took samples such as blood and urine to complete diagnostic and routine assessment tests
- Worked with multidisciplinary team to carry out successful treatment plans for acute /chronic conditions
- Documented patient vitals, behaviors and conditions and communicated concerns to supervising RN
- Clearly explained diagnoses, treatment options and procedures to patients and verifying understanding
Case Manager Brightstar
Brightstar
Chattanooga , TN
03.2014 - 06.2018
- Educated 3 long term clients and love ones about different treatment options and outside care approaches to prevent re-hospitalization
- Educated patients about their treatment
- Took active role in patient /family planning process, and responding to questions /concerns
- Weekly visits in person and follow up high risk calls to patients with potential for re-hospitalization
- Explain course of care and medications including side effects to patients and caregivers and easy to understand terms
- HEDIS measures experience with 3 clients.
LPN Charge Nurse
Hutcheson Medical Center
Fort Oglethorpe , GA
03.2014 - 05.2015
- Took samples such as blood and urine to complete diagnostic and routine assessment test
- Implemented effective strategies and care plans to improve patient outcomes and meet recovery objectives
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count of end of the shift
Care Transition Coordinator
Amedisys
Ringgold, GA
09.2009 - 03.2014
- Volunteered at local charity events to increase experience and social engagements in public speaking
- Participated in weekly meetings to develop better plans and revise proper protocols to meet objectives
- Met with patient same facilities and transitioned home with durable medical equipment and home health services
Intake Coordinator
Hutcheson Home Health
Fort Oglethorpe, GA
08.1999 - 09.2009
- Developed productive working relationships with numerous insurance company representatives
- Performed ICD-9 coding for all referrals. Obtained pre-authorization, pre-certification and benefit eligibility prior to start of care. Faxed initial start of care along with follow up calls for additional visits from private insurance companies. Managed 130 referrals a month with average 40 plus calls a day using multi function phone system
Education
LPN - Nursing
Walker Technical
2 1994
Skills
- Proficient in Home Health and Hospice rules and regulations
- Have 24 years of nursing with 3 years in Case management and 20 plus years in geriatric nursing
- Efficient in pre-certification, insurance benefits and eligibility
- Knowledgeable in Home Health and Case Management for Managed Care, Medicare and Medicaid
- Insurance company knowledgeable
- HEDIS Measures with Humana
Accomplishments
- United States Army Veteran
- Desert Storm/Shield
- Two Army Achievement Medals
- National Defense Service Medal
- Bronze Service Star
- Chairmans club 4 years with Amedisys ( Company top 10 percent)
- Employee of the quarter 2 times with Hutcheson
Timeline
LPN / Care Transitions Coordinator
Camellia Home Health/ Encompass Home Health
06.2015 - Current
Case Manager Brightstar
Brightstar
03.2014 - 06.2018
LPN Charge Nurse
Hutcheson Medical Center
03.2014 - 05.2015
Care Transition Coordinator
Amedisys
09.2009 - 03.2014
Intake Coordinator
Hutcheson Home Health
08.1999 - 09.2009
LPN - Nursing
Walker Technical
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