Manager Case

Natasha Mccoy

CASE MANAGER/UTILIZATION REVIEW

Jacksonville, FL

***********@*****.*** - 904-***-****

Registered Professional Nurse with specific focus in assessing educational needs and assisting in the development of educational programs, presentations and staff education materials. Conducting informatics research and testing, in conjunction with key stakeholders. Care Coordination, Case Management and Utilization Review. Accountable for coaching, planning and project direction for members of the Care Management team.

WORK EXPERIENCE

Case Manager

UF Health Jacksonville - Jacksonville, FL - August 2015 to Present

•Continued stay medical necessity review

•Facilitating the inpatient plan of care

•Coordinating alternative placement, such as nursing home, assisted living, hospice, etc.

•Arranging home medical equipment and/or home health care services

•Coordinating referrals for community, financial and/or medical resources UTILIZATION REVIEW COORDINATOR/CASE MANAGER

MCCI Group Holdings, LLC - March 2012 to January 2015 Provide initial and concurrent Utilization Review using Milliman Care Guidelines®. Ensures appropriate levels of health care services are provided.

• Discharge Planner ensuring to close the gap of hospitalization and PCP continuum of care.

• Staff Development Coach.

CASE MANAGER-PRN

Apex Home Health Care - Jacksonville, FL - 2013 to July 2014 PRN

• Provide Start of Care Coordination

• Perform patient education, treatment, and emotional support to assist individuals in recovering from injuries and illnesses.

• Work collaboratively with doctors and all other healthcare professionals in overseeing home health patients.

• Effectively coordinate patient medications between the pharmacists and doctor to consistently ascertain patients' proper management of precise dosages.

INFORMATICS CONSULTANT/POST SERVICE MEDICAL REVIEW COORDINATOR/ SENIOR CLINICAL ANALYST/ICD

FLORIDA BLUE - Jacksonville, FL - December 2009 to March 2012 10 IMPLEMENTATION TASK FORCE

BLUE CROSS BLUE SHIELD OF FLORIDA

2009-2012

• Provide front line Medical Policy Review support and leadership.

• Ensures appropriate levels of health care services are provided.

• Responsible for initial and concurrent UR utilizing InterQual Evidence-Based Criteria ®.

• Continuous Process Improvement Consultant.

• Ensures the EMR and documentation training needs of all staff. Other responsibilities include fostering good public relations, patient & employee satisfaction, and maintaining open communications with leadership, staff, physicians, and the public.

PERITONEAL DIALYSIS COORDINATOR

FRESENIUS MEDICAL CARE - 2009 to 2010

Provides safe and effective training and oversight of the delivery of home dialysis.

• Admissions, care and discharge for new PD patients.

• Assist in the identification, evaluation and selection of Home Dialysis training candidates, and Home Partners as appropriate for the FMS Home Dialysis Program.

• Educate the patient/Home Partner and family regarding ESRD and the availability of the FMS Treatment Options Program (TOPs).

• Perform assessment of the Home Dialysis training candidate's home environment for suitability in the ongoing delivery of home dialysis therapy.

• Assess the Home Dialysis patient and Home Partner/family readiness and potential ability to perform dialysis treatments at home.

CLINICAL TRANSPLANT COORDINATOR - CERTIFIED

SHANDS JACKSONVILLE - 2004 to 2009

In collaboration with physicians and other health professionals, coordinates the evaluation process of potential transplant candidates.

• Educate patients and families about the transplant process, evaluation and waiting phases, and long-term follow-up and care.

• Ensure the most current practices of transplantation nursing are utilized.

• Ensure referring physician is kept informed about all phases of the transplant process. EDUCATION

Bachelor's in Nursing

Florida State College at Jacksonville - Jacksonville, FL 2008 to 2009

Associate in Nursing

FLORIDA STATE COLLEGE AT JACKSONVILLE

2003

SKILLS

Transplant Coordinator, Informatics, Care Management, Utilization Review, Certified Occupational Hearing Conservationist

Contact this candidate