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Click here or scroll down to respond to this candidateCandidate's Name
Chicago, IL Street Address
EMAIL AVAILABLEHome: PHONE NUMBER AVAILABLE Mobile: PHONE NUMBER AVAILABLESUMMARY OF EXPERIENCECase management in the acute care settingUtilization review in the acute care setting and in the Payer settingHEDIS auditingPatient and staff educationOutpatient health managementDischarge planning, placement and referralsPhone triageIntake and DON assessmentsAppointment schedulingDispensing of detoxifying and maintenance doses of MethadoneHealth fair activities: BP checks, onsite Hgb testing, vaccinations, patient counselingSUMMARY OF SKILLSWorked with EPIC, Amisys, Meditech, InterQual, Allscripts, MIDAS, Microsoft OfficeFamiliarity with ICD-10 and DRG codingSuperior telephonic communication skillsFlexible and creative problem-solving abilities and critical thinking skillsWORK HISTORYLife Plans-LTCG 04/2021 to presentIn-home face-to-face interviewing of applicants and claimants for long-term care insurance coverage. Gather information such as medications, diagnoses, recent hospital stays, caregiver information, assistive devices in the home, and personal contacts. Observing them demonstrate various ADL/IADL. Administer MMSE and other cognitive tests. Write objective reports of their competencies, any physical deficiencies, environments, personal appearance. Advise on Claimant safety concerns.Independent contractor for MedExpress Urgent Care via Judge Group Perform COVID-19 nasal swab tests for employees at their job site.Advanced Resources and Medix temp agencies at Weiss Memorial Hospital, St. Mary of Nazareth Hospital, and Loyola University Hospital 02/18 to 03/2020Case ManagementProvide recommendations to doctors about patients readiness for discharge or status changebased upon initial concurrent review process and integrated daily roundsAdvise ED physicians on appropriateness of admissions and admit statusConduct admission assessments to help begin discharge planning processCollaborate with other care team members in managing inpatient progressFacilitate safe discharges by working with patients and care team membersAttend daily inpatient rounds to monitor progress towards dischargeConfer with fellow care team members throughout the day as requiredGenerate referrals for aftercarePerform social worker tasks as neededSt. Bernard Hospital 07/11 to 12/17Outpatient Surgery Coordinator, Utilization Review, Readmissions CoordinationEDUCATIONHampton UniversityBachelor of Science in NursingAFFILIATIONSCase Management Society of America-Chicago Chapter |
