- Coordinated patient care plans with interdisciplinary team at Sovah Health Danville.
- Conducted assessments to identify patient needs and develop appropriate interventions.
- Monitored patient progress and adjusted care plans as necessary for optimal outcomes.
- Educated patients and families on health management and available resources effectively.
- Collaborated with healthcare providers to ensure seamless transitions of care for patients.
- Documented patient interactions and care plans accurately in electronic health records system.
- Advocated for patients' rights and needs within the healthcare system consistently.
- Participated in quality improvement initiatives to enhance care delivery processes regularly.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
- Educated patients on disease prevention strategies, wellness promotion techniques and lifestyle modifications.
- Maintained accurate documentation of patient progress in the electronic health record.
- Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
- Facilitated referrals to community resources for additional support services.
- Ensured compliance with regulatory standards concerning utilization review, ethical decision making and legal aspects of case management practice.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Facilitated transitions between levels of care through effective coordination of resources within a managed care environment.
- Identified high-risk cases requiring intensive monitoring or specialized interventions.
- Reviewed clinical data including lab results, radiology reports and vital signs to assess appropriateness of treatments.
- Participated in quality improvement initiatives related to case management processes.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Analyzed financial information related to insurance coverage eligibility prior to initiating services.
- Attended continuing education seminars relevant to case management practices.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
- Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
• Discharge planning including arrangements for any equipment, home health or referrals to other providers and/or hospitals.
• Insurance authorizations for inpatients.
• Multi-tasked between talking with patients, healthcare providers and insurance companies all while doing Utilization Review.
• Have a vast knowledge of helping patients transition home vs. other facilities for further care needed.
• Have lots of experience in talking with multiple family members and determining what the patient will need in order to transition to home and prevent further hospitalizations and arranging those services for a smoothe transition.