RHONDA ACOX

Assisted with data collection and implementation of the delivery of health care services. Assisted other members of the health care team with providing the highest quality personalized patient care. Encouraged and provided educational resources to the patient to promote optimal health, which reduces or minimizes acute exacerbations of chronic conditions, that affect quality outcomes and costs. Promoted timely access to appropriate patient care providers, through scheduling office visit appointments. Maintained the disease registry database. Conducted pre-visit chart reviews of patients, to promote the increase utilization of preventative care. Adhered to the patient's care plan, that was developed in coordination with the patient, primary care provider, and family/caregiver(s). Assisted with enhancing the patient's ability for self-management and shared decision-making. Provided patients relevant community resources, with the goal of enhancing patient health and well-being, which fosters patient satisfaction.

Provided direct nursing care under the supervision of the physician, which included obtaining vital signs and other pertinent physical measurements, initiating fetal monitoring as directed, assisting with office procedures, such as colposcopies, insertions of intrauterine devices, transvaginal/abdominal obstetric ultrasounds, and updating patients' electronic health records. Performed telephonic triage functions, by assessing the patient to identify emergent and non-emergent situations, and determine the course of action. Responsible for collecting specimens(blood and urine), completing urine screenings and accurately package the specimens to be forwarded to a laboratory for additional screening. Performed phlebotomy duties. Administered medications via oral and injectable forms, also administered immunizations, such as Influenza, Tetanus/Diphtheria/Pertussis, and Gardasil 9, in accordance with nursing standards and clinic policies. Managed phone, electronic, and fax prescriptions along with forwarding refills to pharmacies. Advocated as a liaison between the patient and their insurance provider (private, commercial, or Medicaid/Medicare). Conducted insurance verifications. Responsible for processing prior authorizations, scheduling patient hospital admissions(outpatient or inpatient), and submitting accurate ICD-10, CPT, and HCPCS codes for procedures or services rendered to assure reimbursement.

Remote and mobile position. Collaboratively assisted in the coordination of the care, services, and healthcare benefits for selected member populations. Monitored and promoted effective utilization of healthcare resources, claims analysis, and assisted with the coordination of prior authorizations. Accurately identified gaps in care and assisted with facilitating a resolution. Ensured compliance with state Medicaid program guidelines. Contributed to the development and implementation of the member's disease specific care treatment plan, identifying specific barriers, goals, and interventions. Assisted with the education of the member/caregiver in relation to disease specific processes, HEDIS measures, post discharge education/follow-up, appropriate healthcare access, and benefits, via telephonic and/or face-to-face contacts. Participated in provider outreach, establishing a rapport with a designated point of contact. Served as a new hire partner/preceptor to new hires, and participated in the new hire general orientation.

Supervised a team of three healthcare professionals. Coordinated monthly work schedules to ensure adequate coverage. Computed data entry of timekeeping. Completed appropriate documentation in relation to job orientation, probation, merit increases, and disciplinary actions. Managed the daily operations of the medication (Methadone) dispensing area to assure compliance, according to the governance of JCAHO, SAMSHA, HIPAA, and the organization's policies and procedures. Delegated appropriate tasks to staff members, which produced favorable outcomes and expedited successful productivity. Participated in team care conferences and provided pertinent data in relation to the client's reactions and progress. Provided clients with education of the substance abuse disease process, which included medications used for detoxification, active withdrawal symptoms, recovery, and coping skills. Assisted with obtaining urine and blood samples, and completing the screening process and preparing the specimens for shipment.