close
  • Dashboard
  • Resumes
  • Cover Letters
  • Resumes
    • Resumes
    • Resume Builder
    • Resume Examples
      • Resume Examples
      • Nursing
      • Customer Service
      • Education
      • Sales
      • Manager
      • View All
    • Resume Search
    • Resume Templates
      • Resume Templates
      • Microsoft Word
      • Professional
      • Modern
      • Traditional
      • Creative
      • View All
    • Resume Services
    • Resume Formats
      • Resume Formats
      • Chronological
      • Functional
      • Combination
    • Resume Review
    • How to Write a Resume
      • How to Write a Resume
      • Summary
      • Experience
      • Education
      • Skills
        • Skills
        • Hard Skills
        • Soft Skills
    • Resume Objectives
  • CV
    • CV
    • CV Examples
    • CV Formats
    • CV Templates
    • How to Write a CV
  • Cover Letters
    • Cover Letters
    • Cover Letter Builder
    • Cover Letter Examples
      • Cover Letter Examples
      • Customer Service
      • Marketing
      • Sales
      • Education
      • Accounting
      • View All
    • Cover Letter Services
    • Cover Letter Templates
    • Cover Letter Formats
    • How to Write a Cover Letter
  • Questions
  • Resources
  • About
    • About
    • Reviews
  • Contact
  • jane
    • Settings
    • Help & Support
    • Sign Out
  • Sign In
Member Login
  • LiveCareer
  • Resume Search
  • Population Health Care Coordinator RN
Please provide a type of job or location to search!
SEARCH

Population Health Care Coordinator RN Resume Example

Love this resume?Build Your Own Now
LF
POPULATION HEALTH CARE COORDINATOR RN
Summary

Skilled Case Manager experienced in coordinating care for Medicare, Medicare Advantage, and ACO members. Proactive and resourceful professional able to make appropriate decisions for high-quality and cost-effective care.

Skills
  • Healthcare management
  • Healthy learning environments
  • Healthcare facility coordination
  • Healthcare delivery systems management
  • Strong clinical judgement
  • High level of autonomy
  • Extensive knowledge of Medicare, Medicare Advantage Plans, and ACO's.
  • Ability to work as a team and independently per job requirements.
  • 20 years plus in the nursing field.
Experience
Avalon Health Care Group | Roseburg , ORPopulation Health Care Coordinator RN03/2019 - Current
  • Earned reputation for good attendance and hard work.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Performed site evaluations for SNF patients under our ACO (NEXT GEN), BPCI Medicare Bundle patients, and Medicare advantage lives to facilitate a smooth transition to the next level of care.
  • Worked with assigned skilled nursing facilities to reduce SNF length of stays.
  • Performed Transition of Care calls ensuring that all services were in place and appointments were made within a timely manor.
  • Provided patient education to reduce the need for rehospitalization.
  • Linked patients with resources to assist with their success at home. Including but not limited to social services and medication financial assistance.
  • Developed strong professional relationships with assigned skilled nursing facilities.
Cvs Health | Costa Mesa, CAMDS Coordinator06/2014 - 03/2019
  • Verified quality of assessments in accurately reflecting physical, mental and psychosocial status of each resident.
  • Trained and supervised health care workers conducting resident assessments.
  • Helped develop comprehensive resident assessment and care plans for 72 bed facility.
  • Managed comprehensive, interdisciplinary assessments for patient admissions and annual reviews.
  • Coordinated completion of resident assessments in accordance with current federal and state regulations.
  • Reviewed and validated care plan reports and monitored follow-up actions to identify systemic deficiencies.
  • Completed all Managed Care continued stay updates to insurance companies.
  • Completed Medicare appeals on behalf of company.
  • Assess and determine if clients meet CMS skilled nursing criteria for continued stay.
  • Responsible for managing facility quality measures and maintaining our 5 star through CMS.
Aetna | City , STATEUtilization Management Nurse Consultant10/2012 - 06/2014
  • Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
  • Reviewed inpatient hospital, SNF, and LTACH cases to determine if patient met criteria for medical necessity.
  • Performed triage to maximum team productivity and effectiveness.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Assisted with retro review cases as needed.
  • Precepted new staff.
  • Assisted with preauthorization cases as needed.
  • Worked cases up to be sent to Medical Director as needed.
  • Communicated with providers on case determinations in a timely fashion.
AlterCare | City , STATELPN/RN/MDS Coordinator06/1996 - 01/2012
  • Educated clients, patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management.
  • Managed wound care, gave respiratory treatments and helped with non-invasive procedures.
  • Documented patient intake information, including medical histories, current symptoms and vitals such as height and weight.
  • Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
  • Documented patient intake and dietary requirements and assisted with feeding.
  • Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
  • Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
  • Examined and addressed lacerations, contusions and other physical symptoms in need of further attention.
  • Responded to patient alarms and needs-assessment requests to identify course of treatment.
  • Delivered high-quality direct and indirect nursing care to up to 72 patients per day.
  • Trained new staff on quality control procedures.
  • Participated in unit based Quality Assurance Program
  • Developed, implemented, and updated nursing care plans
  • Filled in for DON as needed
  • Completed MDS assessments
Education and Training
Hocking College | City, StateAssociate of Applied Science in Nursing12/2006
Hocking College | City, StateLPN Certificate12/1996
Build Your Own Now

DISCLAIMER

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

85Good
Resume Strength
  • Word choice
  • Typos

Resume Overview

School Attended

  • Hocking College

Job Titles Held:

  • Population Health Care Coordinator RN
  • MDS Coordinator
  • Utilization Management Nurse Consultant
  • LPN/RN/MDS Coordinator

Degrees

  • Associate of Applied Science in Nursing
    LPN Certificate

Create a job alert for [job role title] at [location].

×

Advertisement

Similar Resumes

View All
Population-Health-Nurse-resume-sample

Population Health Nurse

Eastern Connecticut Health Network

Manchester , CT

Population-Health-Manager-resume-sample

Population Health Manager

Amita Health

Skiatook , OK

RN-Population-Health-resume-sample

RN-Population Health

Medical Search International

Helena , MT

  • About Us
  • Privacy Policy
  • Terms of Use
  • Sitemap
  • Work Here
  • Contact Us
  • FAQs
  • Accessibility
  • EN
  • UK
  • ES
  • FR
  • IT
  • DE
  • NL
  • PT
  • PL
customerservice@livecareer.com
800-652-8430 Mon- Fri 8am - 8pm CST
Sat 8am - 5pm CST, Sun 10am - 6pm CST
  • Stay in touch with us
Site jabber winner award

© 2022, Bold Limited. All rights reserved.