Driven and compassionate healthcare professional with 18 years hands-on experience in Integrated Case Management, Utilization Management, Home Health Care, Nurse management and hospital environments. Accountable and responsible with a strong focus on patient wellness.
Skilled cardiac care nurse
Proficient in implementation of Assessment Tools
Psych and mental health care proficiency
DLA-20, OASIS and ICM-CAG
• Coordinates care of members enrolled in Humana's Medicaid HMO products and who have diabetes, congestive heart failure, hypertension, asthma, and/or HIV/AIDS.
• Utilize nursing skills to triage, assess, monitor, evaluate, instruct, intervene and document goals and outcomes.
• Provide coordination of medical management efforts with other Humana departments including, but not limited to Medicaid Administration, Health Services Onsite, Case Management, Quality Improvement and Provider Relations.
• Collaborate with Team Leader and Health Services Manager for data collection, reporting and Quality Improvement initiatives on clinical programs, including evaluating ongoing effectiveness and improvement opportunities.
Healthcare: Diabetes, HTN, Asthma,CHF and STD/HIV counseling.
People skills: enthusiastic people person, advanced problem-solving, great organizational skills and skilled and trained in mentoring new staff members.
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