Experienced professional registered nurse with a strong background in coordinating comprehensive case management services. Utilizes strong organizational skills to streamline processes and enhance client outcomes. Adaptable and dependable, excels in fast-paced environments that demand precise decision-making, attention to detail, and effective communication.
Responsible for performing concurrent review in accordance with accepted department criteria.
Performs discharge planning and identifies alternate treatment programs that provide medically necessary potentially cost- effective services.
Consults with physicians, providers, members and other resources, as appropriate.
Assesses, plans, facilitates, implements, coordinates, monitors, and evaluates options and services required to meet an individual's health needs.
Uses effective communication and available resources to promote quality cost effective outcomes.
Serves as a liaison to physicians, and members.