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Care Coordinator Managed

Location:
Baltimore, MD
Posted:
December 16, 2023

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Resume:

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Tammy Tracey

Parkton, MD, US ad10zf@r.postjobfree.com 410-***-****

SUMMARY

Highly experienced Managed Care Coordinator with 20 years of experience as a Registered Nurse. Experienced in Medsurg, Hospice, long-term care, geriatrics, and managed care. Well-versed in regulatory compliance, reimbursement systems, and utilization management. EXPERIENCE

Managed Care Coordinator

Maryland Masonic Homes March 2023 -December 2023, Cockeysville, MD

• Coordinated care for managed care residents, liaising with insurance companies for care continuation approvals.

• Responsible for clinical documentation submission and accuracy, and conducted MDS pain evaluations and physician certifications for new admissions.

Interim Unit Manager, Skilled Rehabilitation Unit

Maryland Masonic Homes February 2022 - March 2023, Cockeysville, MD

• Oversaw daily unit management, including staff scheduling, education, and care plan development.

• Conducted weekly wound rounds, patient rounding, and attended care plan meetings, ensuring patient and family needs were addressed. Charge Nurse/Weekend Supervisor

Maryland Masonic Homes March 2021 - March 2023, Cockeysville, MD

• Addressed shift-based issues, including patient condition changes and family concerns, collaborating with providers for necessary orders and resolution.

• Implemented nursing interventions and facilitated communication with the Director of Nursing and Social Work for follow-up on family issues. Skilled Rehabilitation Unit Floor Nurse

Maryland Masonic Homes March 2021 - November 2021, Cockeysville, MD

• Completed comprehensive head to toe physical assessments of all admissions. Including a full body skin assessment, placement and interpretation of PPD skin tests.

•Supervised implementation of admission orders and communication with the pharmacy to ensure timely delivery of ordered medications.

•Responsible for dispensing medications and treatments as ordered, addressing any issues discovered during daily assessment and coordination with the provider for appropriate treatment.

• Addressed any pharmacy issues that may arise. Daily communication regarding coordination of care with the PT/OT department.

• Admitted approximately 30 people per month, administered timely medications and treatments, improved communication between physical and occupational therapists for timelier care, and oversaw resolution of pharmacy related issues. Resident Care Supervisor

Spiritrust Lutheran March 2019 - February 2021, US, PA, Shrewsbury

• Hired as a full-time Charge Nurse, in charge of for the care of patients residing on the Rehab Unit. Responsibilities included timely medication administration, physical assessment, close monitoring for change in condition and coordination of care with the Medical Director and CRNP.

• Promoted to the role of Resident Care Supervisor. Responsibilities included supervision of the entire building containing three units, two Long Term Care units and one Rehab unit. The position required working closely with a care team inclusive of Medical Director, CRNP, RNAC, Social Worker and Director of Nursing.

• Coordinated and supervised the Charge Nurses on the care of their assigned residents, assisting with any medication issues, change in condition of their residents that require communication with the on call provider or the pharmacy.

• Received the orders from the providers and assured the accurate transcription into the electronic record. Met with patient family or POA contact as required in any situation requiring change in the Plan of Care.

• Completed the assessments required for Medicare or Medicaid to ensure all state and federal requirements achieved.

• Assisted with resolving staffing issues, admission and discharging of residents and assisting families with care concerns.

• In the event of death of a resident, the RCS works with the Medical Examiners team to determine the need for investigation. Health Manager

Stella Maris Senior Day Center February 2017 - February 2019, MD, Timonium

• Oversaw the general wellbeing of the enrolled clients including a monthly physical assessment, quarterly ADCAPS assessments, care plans and biannual primary care physicians order renewal.

• Completed time sensitive documentation reflated to members with Medical Assistance, including reportable event forms and Interal reports required throughout the year.

• Performed assessments, distributed medications, phone contact with family and primary care physicians in the event of concerns.

• Documented and reported any changes in physical or mental status to the patient's PCP and the family to ensure adjustments be implemented as needed in the plan of care.

• Assisted the Program Manager and the Director in monitoring and guiding the daily performance of the Program Assistants and educating staff as needed.

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Home Hospice Case Manager

Gilchrist January 2014 - January 2017, Baltimore, MD

• Performed assessments in home, hospital or care facility settings. Utilized independent critical thinking abilities and organization in order to provide a high quality of care when working with highly emotional patients and family members.

•Assessed patients for hospice eligibility and completing the admission process.

• Formed advanced interpersonal skills to work effectively with a group of Medical Directors and Practitioner's.

• Successfully managed caseloads of 15-20 patients while maintaining a high satisfaction rate with patients and family. Inpatient Staff Nurse

Gilchrist November 2010 - January 2014, US, MD, Towson

• Oversaw patient care from Admission to discharge. Assisted families in various stages of grief, showing personalized empathy and kindness.

• Ensured personalized care and communication based on patient cultural diversity.

• Executed personalized care plans for each patient to meet individual needs and ensured all relevant information was communicated across the care team.

Obesity Management Staff Nurse

GBMC Hospital December 2008 - November 2010, US, MD, Towson

• Assisted in the Comprehensive Obesity Management Program in all areas.

• Evaluated preoperative lab and diagnostic reports to determine if the patient required dietary supplementation or further testing for surgical clearance.

• Autonomously fulfilled duties alongside a CRNP and 2 doctors to provide complete care.

• Educated patients in both Pre and Post Operation procedures. Endoscopy Staff Nurse

GBMC Hospital July 2007 - December 2008, US, MD, Towson

•Assist physicians with endoscopy, colonoscopy, ERCP and other GI procedures.

•Provide patient care from admission to recovery within the testing area. Chemotherapy Staff Nurse

GBMC Hospital July 2005 - July 2007, US, MD, Towson

• Obtained ONS certification for Chemo infusion.

• Performed the duties and responsibilities of a charge nurse as needed for GBMC.

• Provided all aspects of patient care from admission to discharge including IV infusion of chemotherapy.

• Strong IV therapy skills inclusive of Port-a-catheter use, IV placement, phlebotomy, and infusion. Oncology/Rheumatology Unit Staff Nurse

Good Samaritan Hospital May 2003 - July 2005, US, MD, Baltimore

• Trained and familiar in Chemotherapy & Chairperson for the Operations Committee unit 4 east.

• Provide all aspects of patient care from admission through discharge. EDUCATION

Bachelor of Science in Nursing

Stevenson University • Owings Mills, Maryland • 2010 • 3.8 Associates Degree in Nursing

CCBC • Essex, MD • 2003 • 3.8

• Awarded scholarship based on GPA from the Maryland State Board of Nursing CERTIFICATIONS

Registered Nurse

Maryland Board of Nursing • 2003

• License #: R162623, Valid through 1/28/2025

Registered Nurse

Pensylvania Board of Nursing • 2020

• PA License #: RN728682. Valid Through 4/30/2025

Case Management/Delegating Nurse

CCBC • 2021

Hospice and Palliative Care

Maryland Board of Nursing • 2011



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