Tamara Agner
North Lewisburg,OH
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Registered Nurse Case Manager
Anthem
Indianapolis, Indiana
07.2020 - 04.2024
- Coordinated patient care plans with multidisciplinary teams.
- Assessed patient needs through comprehensive evaluations and interviews.
- Provided education on disease management and preventive care strategies.
- Facilitated communication between patients, families, and healthcare providers.
- Reviewed medical records to ensure compliance with treatment protocols.
- Developed discharge plans to support patient transition to home care.
- Documented patient progress in electronic health record systems accurately.
- Participated in team meetings to discuss treatment options for complex cases.
- Provided education and counseling on health promotion, risk reduction strategies, disease prevention and self-care techniques to patients and their families.
- Utilized critical thinking skills when assessing new information or changes in a patient's condition.
HEDIS Nurse
Molina Healthcare
Long Beach, California
07.2016 - 01.2019
- Conducted comprehensive chart reviews for HEDIS quality measure compliance.
- Collaborated with interdisciplinary teams to develop care improvement plans.
- Educated members on preventive care and health management strategies.
- Facilitated training sessions for staff on HEDIS guidelines and best practices.
- Analyzed clinical data to identify gaps in care and recommend interventions.
- Supported outreach efforts to engage members in preventive health services.
- Assisted with the development and implementation of policies and procedures related to HEDIS compliance.
- Reviewed medical records to identify and gather necessary data for HEDIS measures.
- Ensured accuracy of collected data by performing regular audits on abstraction forms completed by auditors.
- Provided education and training to staff related to HEDIS measures and standards.
- Performed quality assurance reviews on all chart abstractions before submitting final analysis report.
Nurse Case Manager
Molina Healthcare
Long Beach, CA
07.2007 - 07.2016
- Assess patient needs through comprehensive health evaluations and care plans.
- Coordinate with healthcare providers for effective treatment and support services.
- Educate patients on chronic conditions and self-management strategies.
- Monitor patient progress and adjust care plans as necessary.
- Facilitate communication between patients, families, and medical teams.
- Advocate for patient resources within Molina Healthcare's network of services.
- Participate in interdisciplinary meetings to improve patient care strategies.
- Attended continuing education courses related to case management topics such as chronic illness management, utilization review techniques and ethical considerations.
Education
Associate of Science - Nursing
Clark State Community College
Springfield, OHSkills
- Data collection techniques
- Health plan operations
- Medical record review
- Audit preparation
- HEDIS compliance
- HIPAA
- Health information systems
- EHR training
Miltistate Registered Nurse Licensed
- Multistage Registered Nurse License.
Certified Registered Nurse Liscence
Nurse Case Manager Certification
Timeline
Registered Nurse Case Manager
Anthem
07.2020 - 04.2024
HEDIS Nurse
Molina Healthcare
07.2016 - 01.2019
Nurse Case Manager
Molina Healthcare
07.2007 - 07.2016
Associate of Science - Nursing
Clark State Community College