LTSS Coordinator Resume Example Amerigroup

LTSS COORDINATOR

Professional Summary

Self-motivated LPN with a variety of experience in different areas bringing proven leadership, organizational and customer relations skills. Independently solve problems , team player, help improve the lives of individuals in need of personal care in their homes, follow all NCQA and TennCare guidelines, easy to do business with, and easily adapt to change.

Accomplishments

Collaborated with team of 10 in an ongoing staff retention committee.
Used Microsoft Excel to develop scheduling tracking spreadsheets.
Promotion to MFP team lead to oversee other teammates and ensure compliance with required visits in a TennCare program

Skills

File and Data Retrieval Systems
Scheduling
Insurance Knowledge Medicare and Medicaid
Training and team preceptor
Scheduling and calendar management

Team Leadership
Schedule Coordination
HEDIS and Population Health
Staff Management

Work History

LTSS Coordinator Oct 2014 - Current
AmerigroupNashville, TN

Establish positive working relationships with colleagues, manager, people we serve in CHOICES program for TennCare, case managers in hospitals, and in nursing facilities through regular communication and effective anticipation of needs.
Keep all contact with our CHOICES individuals on schedule by managing deadlines and adjusting workflows as needed.
Train new employees. Provide guidelines to teammates regarding our processes and help interpret SOP's, continued education for teammates complex problems by applying motivational and analytical strategies.
Assess newly enrolled CHOICES individuals who require assistance with activities of daily living/personal care needs then create a person centered support plan and obtain appropriate services to meet their needs. Also responsible for ensuring that CHOICES individuals who choose to receive services in a nursing facility are getting the appropriate care and assess for any abuse or neglect and employ our transition process if they choose to return home with family or secure housing if needed by collaborating with colleagues on our transition team
Extract information from medical charts for HEDIS measures, follow NCQA guidelines for all home members when establishing their person centered plan
Enter pertinent information into our EMR platform, reassess our CHOICES individuals to continue services and make changes as appropriate, follow TennCare guidelines, participate in work groups to initiate change or update SOP's when necessary.

LPNMay 2013 - Oct 2014
Accountability HealthcareCovington , TN

Monitored, tracked and conveyed important patient information to the staff NP to help optimize treatment planning and care delivery by reviewing the nursing staff report log every morning
Collaborated with the staff nurses and nurse managers to assess patient needs, plan and modify care in order for the staff NP to effectively treat the residents
Monitored for lab reports on residents who were evaluated and treated by the staff NP
Entered pertinent clinical information into our EMR system, assigned ICD 10 codes for billing, pulled random notes written by the staff NP in order for her MD preceptor to review

LPNFeb 2013 - May 2013
Lauderdale County Medical ClinicRipley, TN

Obtained biological specimens for ordered tests and prepared for laboratory transport.
Supported physicians during examinations and to assist with diagnostic procedures.
Applied interpersonal communication skills to comfort and counsel patients and families throughout care process.
Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
Managed patient care through closely monitoring respiration, blood pressure and blood glucose levels, and ran ECG tests
Administered antibiotic injections, flu vaccinations, and other vaccinations
Answered incoming phone calls from patients to provide basic assistance and triage medical concerns.
Documented accurate and complete patient information to address patient problems and expected outcomes.
Educated clients, patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.

Patient Care CoordinatorMay 2010 - Oct 2012
Home Choice Home HealthRipley, TN

Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
Reviewed medical charts and served as liaison between patient, doctor and hospital.
Upheld confidentiality requirements and regulatory compliance guidelines in all areas.
Maintained confidentiality of patient data and condition at all times to safeguard health information.
Scheduled all clinician visits in Allscripts and then Homecare Homebase EMR
Obtained authorization from MCO's and Medicare Advatage companies in order for our RNs and PT to evaluate our new patients
Supervised field staff
Reviewed our field staff's schedules daily to ensure all visits were made in a timely manner

Education

Practical Nurse Diploma: Practical NursingOct 1991
Crockett County Vocational SchoolAlamo, TN

Graduated with the second highest GPA in our class

Resume Overview

Companies Worked For:

Amerigroup
Accountability Healthcare
Lauderdale County Medical Clinic
Home Choice Home Health

School Attended

Crockett County Vocational School

Job Titles Held:

LTSS Coordinator
LPN
Patient Care Coordinator

Degrees

Practical Nurse Diploma : Practical Nursing Oct 1991

LTSS Coordinator Resume Example

Resume Score: 80%

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