Michelle Remines
POUNDING MILL,USA
Summary
8 years of experience as an energetic care coordinator dedicated to efficient and effective collaboration between teams, patients, and families. Outgoing professional with collaborative and flexible approach to reaching mutually beneficial resolutions.
Overview
20
20
years of professional experience
Work History
Patient Care Coordinator
Magellan Complete care/ Molina Health Care
08.2017 - Current
- Works collaboratively with Service Facilitators, Transition Coordinators and other team staff member to address and identifies the member’s needs.
- Responsible for the coordination of all the member’s needs medical and non-medical services, including transportation and environmental modifications to the home to meet the member’s needs.
- Primary point of contact for the Interdisciplinary Care Team (ICT) and coordinates outside resources to ensure the members needs are met.
- Follows up with clients after hospitalizations or emergency room visits to reduce the number of er/ed visits.
- Developed and monitored individualized person-centered plan of care to ensure the members needs were met.
- Works with Ltss services authorization for the past 7 years to ensure correct hours are appropriate for the members and works with Service Facilitators to ensure the members needs are met
- Works with the Utilization review team to ensure that patients receive appropriate and necessary healthcare services while managing healthcare costs. Care coordinator collaborates with healthcare teams to determine the level of care that meets a member’s needs. Works to find available resources while maintaining quality of care.
Home Health Field Case Manager
Preferred Home Health/ MSA Home Health and Hospice
05.2013 - 08.2017
- Preformed all tasks with a patient-centered focus while seeking opportunities for improvement of process and treatment.
- Developed positive relationships with patients, and family members and other healthcare professionals.
- Utilized critical thinking skills to assess patient’s conditions and developed care plans.
- Skilled in Oasis documentation for accurate assessment and care planning.
- Strong clinical background with experience in Oasis and Coding.
ICU Float Nurse
Mountain States Health Alliance
05.2005 - 05.2013
- Provided high quality care for acute patients with diverse needs
- Performed assessments and appropriate medical interventions
- Effectively communicated and collaborated with interdisciplinary team members to ensure desired outcomes.
Education
Bachelors of the Science of Nursing - undefined
University of Mary Hardin Baylor
Baylor, Texas05.2004
Skills
- Microsoft excel
- PowerPoint
- Teams
- OneDrive
- Outlook
- Qnxt
- Salesforce 360
- Clinical Care Advanced
- Optum Impact Pro
Timeline
Patient Care Coordinator
Magellan Complete care/ Molina Health Care
08.2017 - Current
Home Health Field Case Manager
Preferred Home Health/ MSA Home Health and Hospice
05.2013 - 08.2017
ICU Float Nurse
Mountain States Health Alliance
05.2005 - 05.2013
Bachelors of the Science of Nursing - undefined
University of Mary Hardin Baylor