Tracey Cruz, LPN

• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
• Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

• Abstracted medical records from Athena EMR to Epic EMR.

• Met or exceeded daily chart quotas and accuracy requirements

• Proven ability to work in remote Hipaa compliant workspace independently with no supervision.

•Abstracted complex medical records from Next Gen EMR to Epic EMR.

• Maintened ability to adhere to deadlines with accuracy.

• Ability to work in remote Hipaa compliant area with no supervision.

• Used nursing knowledge to organize charts, remove duplicate information, and request clarification of information as needed.

• Educated members regarding plan benefits, assisted with prior authorizations, and writing appeals letters
• Educated members regarding complex chronic conditions and importance of compliance.
• Created and maintained care plans.
• Medication reconciliation with pharmacist and members.
• Updated providers on changes in member status and coordinated care.
• Assisted in sourcing needed community resources such as food, transportation, and medicaid waivers.
• Attended appointments with members in need of advocacy.

• Provided compassionate and competent skilled nursing care to long-term care and hospice residents.

• Assessed residents for change in status notifying provider's and obtaining new orders if needed.

• Medication administration and monitoring for need for reorders.

• Completed wound and other treatments as ordered.

• Completed and arranged admissions and discharges.

• Managed supporting nursing staff.

• Completed monthly recaps to ensure correct medication and plan of care accuracy.

• IV insertion medication administration and monitoring

• Provided support and education to family members.

• Roomed patients and obtained vital signs.
• Safe and competant phone triage to both OB and Gyne patients.
• Supported physicians during examinations and scans to assist with diagnostic procedures.
• Managed appointment calendar for scans, lab tests, and evaluations.
• Gathered lab specimens, ordered testing and interpreted results, alerting physicians.
• Verified insurance information, obtained pre/prior authorizations, and appeals.