PERIS MATHANGANI
Katy
Summary
Dynamic case manager with extensive experience at Humana Insurance, excelling in care coordination and patient advocacy. Proven ability to enhance health outcomes through effective communication and critical thinking. Skilled in clinical documentation and risk assessment, ensuring optimal patient safety and continuity of care. Committed to empowering patients in their healthcare decisions.
Overview
26
26
years of professional experience
Work History
Case manager
Humana Insurance
Louisville
01.2018 - Current
- Identify the most medically appropriate therapeutic intervention to maximize the clinical outcomes associated with chronic medically complex diseases with potentially catastrophic outcomes.
- Conducted ongoing telephonic consultations with patients to ensure optimal care quality and address their healthcare needs.
- Monitored and adjusted the patient's plan of care to ensure optimal health outcomes.
- Ensure patients have follow-up appointments with their primary care physicians and specialists post-discharge, thus reducing readmissions.
- Coordinated medication reconciliation post-discharge with clinical pharmacist to enhance patient safety and care continuity.
- Coordinate the care of a member with the involvement of the member, their PCP, Specialist, and other providers.
- Coordinate community care and services.
- Coordinated member resource allocation to prevent negative outcomes.
- Applying critical thinking skills when assessing patients to ensure positive outcomes.
- Apply clinical knowledge to educate and empower patients to take charge of their own healthcare decisions.
- Identified, monitored, managed, and evaluated health service delivery for community members with chronic, medically complex, or catastrophic conditions across acute and non-acute settings to improve health outcomes.
- Address STAR gaps such as colon cancer screening, annual wellness visit, kidney health evaluation, etc.
- Address STAR gaps such as colon cancer screening, annual wellness visit, kidney health evaluation, etc.
Staff Nurse
Methodist Hospital
Houston
10.2008 - 05.2018
- Managed post-recovery care for arrhythmia, post-ablation therapy, vascular, and cardiac surgery patients, ensuring optimal recovery outcomes.
- Assessed patient status and promptly notified physicians of clinical changes, facilitating timely interventions.
- Maintained and monitored newly inserted pacemakers, defibrillators, and life vests, ensuring patient safety and device functionality.
- Educate patients/families on health care needs, conditions, options, etc.
- Communicate with IDT on patient progress.
- Interact with departments regarding patient care.
- Processed patient admissions and discharges at the hospital front desk.
Staff Nurse
Memorial Hermann
Katy
10.2016 - 12.2017
- Coordinated interdisciplinary team efforts to implement comprehensive nursing care plans.
- Coordinate treatment plans, develop/implement discharge and/or transfer plans.
- Delivered safe, patient-centered care, ensuring adherence to established protocols.
- Promoted a culture of safety and accountability, ensuring compliance with Memorial Hermann policies and resource stewardship.
Charge Nurse
Behavior Hospital of Bellaire
Houston
03.2008 - 10.2008
- Designed crisis intervention plans to address immediate threats and assess need for long-term treatment.
- Established treatment programs by setting schedules, coordinating services, and arranging necessary resources.
- Set goals for behavioral changes, monitored the client, assessed progress, and modified behavioral plans.
- Assisted behavioral interventionists in gathering information to develop tailored intervention plans.
- Assessment through psychological tests, observation, and interviews with clients and their support systems.
Staff Nurse
St. Joseph Care Center
South Bend
01.2004 - 01.2008
- Administered medications to patients in accordance with prescribed schedules.
- Assess patient conditions and advise of changes in status.
- Monitored and maintained accurate patient charts to support effective treatment planning.
- Provided compassionate care to patients in memory unit, enhancing their quality of life.
- Educated patients and family members on health care needs.
- Assisted with patient admissions and discharges, ensuring smooth transitions and adherence to protocols.
- Perform clinical tasks according to hospital policies.
- Assist in the orientation of new staff members.
Program Counselor
Durngavin Inc
South Bend
01.2000 - 01.2003
- Developed personalized goals for patients to enhance their development and independence.
- Supported patients with developmental disabilities in activities of daily living to enhance their independence.
- Coordinated community outings to foster social interaction and engagement among patients, contributing to their overall wellbeing.
- Administered medication to patients according to prescribed schedules and protocols, ensuring adherence to care plans.
Education
Bachelor's - Nursing
The University of Texas at El Paso
El Paso, TX06-2025
Associates - Nursing
Ivy Tech State College
South Bend, INSkills
- Case management
- Care coordination
- Patient assessment
- Risk assessment
- Clinical documentation
- Telemetry monitoring
- Heart rhythm management
- 12-lead ECG placement
- ECG interpretation
- Cardiac drip titration
- IV management
- Dialysis
- Central line care
- Urinary device management
- Wound staging
- Wound dressing
- Blood draws
- Lab interpretation
- LVAD training
- Tube feeding
- Ostomy care
- Epic software
- Care4 plus
- Microsoft Office
- Genesys
- Effective communication
- Communication skills
- Motivational interviewing
- Patient advocacy
- Teamwork
- Interdisciplinary teamwork
- Bedside manner
- Patient listening
- AIDET familiarity
- Time management
- Financial management
Additional Information
Star Performer Award, 06/01/16, Employee of the Month, 04/01/16, Perfect Attendance, 01/01/14, Team Player of the Year, 01/01/13, Patient Satisfaction Most Mentioned Employee, 01/01/12, ETRM Sunday School teacher, 2014 - Present, Lakewood Church Medical Team, 2013 - 2014
Profile
Eight years of RN experience at Methodist Hospital, Houston Medical Center, in chest pain, observation, medicine, telemetry, and cardiac care units. Cross-trained in the ER. Case manager experience with Humana Insurance., Demonstrates leadership and preceptorship skills in training and mentoring new hires and interns., Compassionate care to achieve customer satisfaction and high patient satisfaction scores.
Timeline
Case manager
Humana Insurance
01.2018 - Current
Staff Nurse
Memorial Hermann
10.2016 - 12.2017
Staff Nurse
Methodist Hospital
10.2008 - 05.2018
Charge Nurse
Behavior Hospital of Bellaire
03.2008 - 10.2008
Staff Nurse
St. Joseph Care Center
01.2004 - 01.2008
Program Counselor
Durngavin Inc
01.2000 - 01.2003
Bachelor's - Nursing
The University of Texas at El Paso
Associates - Nursing
Ivy Tech State College