Leonia Warfield

Compassionate registered nurse that values patient centered care while attentive to details, time management, organization and quality care

Remote Care Manager - Share Care

(2025-09 - 2026-05)

• Facilitated program enrollment using motivational interviewing
• Provided telephonic care coordination to support chronic disease management
• Performed patient and caregiver medication education and reconciliation
• Developed individualized care plans with monthly evaluations
• Completed care collaboration with members, caregivers and providers
• Educated members on health plan covered benefits, out of pocket cost and community resources
• Facilitated referrals and tracked referral outcomes
• Performed care coordination with medical providers, pharmacy and vendors

RN Care Manager Hybrid - Monogram Health

(2021-02 - 2025-03)

• Conducted telehealth, telephonic and in-home visits
• Provided care management for Medicare Advantage plan members
• Developed individualized care plans addressing social determinants of health (SDOH)
• Educated chronic kidney disease members on treatment options and co-morbidities
• Educated on Medication management and facilitated adherence
• Participated in Interdisciplinary team meetings for care plan reviews
• Care Coordination with Team Medical director and community dialysis centers
• Facilitated case rounds focusing on high-risk populations
• Mentored newly hired care managers
• Completed care plan audits and quality reviews
• Performed review of clinical notes and care plan review
• Managed care team schedules to support productivity goals and program cadences
• Approved care team expense reports
• Participated in utilization reviews for high-risk members
• Provided transitional care support for hospitalized members

Case Manager - Area Agency on Aging, Central Mississippi

(2020-01 - 2021-02)

• Completed initial and recurrent comprehensive assessments to determine Medicaid waiver eligibility
• Assisted patient with application completion and tracked waiting list
• Developed individualized care plans addressing SDOH and barriers
• Coordinated community-based resources and referrals
• Care Coordination with local providers to establish homemaker service and activities of daily living support

Travel Home Health RN - Medical Solutions / Core Medical Group

(2017-06 - 2019-03)

• Completed physical comprehensive assessments
• Developed patient-centered care plans for adult and geriatric populations
• Educated patient and caregivers on self management tools
• Biometric telehealth equipment set up and monitoring
• Performed skilled nursing care for acute and chronic disease management, vital sign monitoring, medication education
• Assessed clinical status and facilitated appropriate level of care

Team Lead RN - MS Homecare Home Health

(2016-09 - 2017-06)

• Reviewed clinical documentation for CMS and Medicare/Medicaid compliance
• Completed ICD-10 coding for OASIS assessments
• Coordinated post-acute transitions with hospital case management, discharge planners and ancillary services: home health, physical therapy, DME, pharmacy services, dietary counseling
• Participated in interdisciplinary team meetings for care plan evaluations
• Outreach to insurance payer sources for service authorizations

Quality Assurance RN - Mid Delta Home Health

(2015-10 - 2016-09)

• Completed documentation review/ audit of clinical records / care plans prior to submission for billing
• Educated nursing staff on OASIS documentation and CMS guidelines
• Participated in quality improvement initiatives and corrective action plans
• Responded to Medicaid denials for skilled home health services

RN to BSN - Nursing - University of Mississippi Medical Center – School of Nursing

Associate Degree in Nursing - Nursing - Alcorn State University – School of Nursing