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
