Stacy Bazyn

Coordination of care for Medicaid members within nursing facilities for managed care organization. Provided direction to non-RN clinicians participating in the member's care in accordance with applicable state law and contract; developed, monitored, evaluated, and revised the member's care plan to meet the member's needs. Completed chart audits and data abstractions into data base for State of Texas Audits.

• Performed telephonic and face-to face clinical assessments for identification, evaluation, coordination, and management of members needs, including physical health, behavioral health, social services, and long-term services and supports.
• Assists in problem solving with providers, claims and services issues.
• Chart review and audits to ensure members care and safety as well as best practice of Medicaid benefits utilization.
• Manages members with chronic diseases and behavioral health needs.
• Manages members in nursing facilities with chronic illnesses, co-morbidities, and disabilities to insure cost effective and efficient utilization of health benefits.
• Identified core measures from quarterly chart audits to report infections, falls, wounds, therapy, hospitalizations, weight loss, behaviors and interventions for the State of Texas.

• gather,analyze, and prepare all reportable data
• Present issues and corrective actions plans to Quality Council and dept. leaders
• Provide supplemental training ,educating staff in core measures and best practices
• Contributed to core measure performances improvement from 94% to 99.8%
• Assist in Joint Commission and CMS preparedness and response
• Performs environmental, medication, surgical procedures, and high risk practice audits
• Assists in developing Corrective Action Plans, and subsequent execution
• Assist Risk Manager in investigating and handling complaints

• Improved patient outcomes by providing high-quality nursing care and implementing evidence-based practices.
• Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
• Administered medications accurately and safely, reducing medication errors and adverse reactions.
• Handled above average patient load, yet delivered outstanding patient care and education.
• Floated and cross trained in med surg, pre-op, post partum and tasked in ED.

• Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
• Assessed patient conditions promptly upon admission to determine appropriate interventions and prioritize care needs.
• Coordinated discharge planning efforts with social workers, case managers, and other multidisciplinary team members for smooth transitions posthospitalization.
• Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.