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Case Manager Home Care

Location:
Winter Park, FL
Salary:
70,000-72,00
Posted:
December 10, 2023

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Resume:

Diane Howard

**** **** ****

Orlando, FL *****

407-***-**** ad1uwf@r.postjobfree.com

PROFESSIONAL SKILLS

Case Management Disease Management Patient Education Medical Review

Telephonic Nursing Chronic Illness Medication Management Medicine Research

PROFESSIONAL EXPERIENCE

United Healthcare Optum Oct 2022 to Present

Coordinate healthcare for patients under Medicare replacement plans as well as other insurance plans. Devising a personal care plan for each patient addressing their physical, medical and emotional needs.

Develop assessment plans for patient condition and providing education to the patient and their families

Coordinated care plans with referrals to DME companies and specialists

Participate in conferences with providers and other necessary team members ensuring the best wellness plan was utilized

Coordinated hospitalization to home from illness to recovery

Encompass Rehabilitation Hospital Jan 3 2021 to Sept 14 2022

Performed case management and monitoring duties for 14 patients during hospital stay and assist at discharge.

Worked closely with doctors & therapist, and medical staff to monitor patients progress in rehabilitation Assisted patients and families to facilitate discharge placement to home by ordering home care services and DME.

Also facilitated placements of patients with assisted living or nursing homes after discharge if required.

Home Care Connect 2020-2021

Medical Case Coordinator

Manage and coordinate care for injured workers

MSA Home Care 2016 – 2020

RN Case Manager

• Case manager coordinating with Health Care services, between doctor’s, therapist, families and DMC companies on healthcare for seniors with chronic illnesses

• Instruct patients and families on medication actions and possible side effects plus disease processes

• Set goals and wellness plans with patients and their families

Towers Home Care & Rehabilitation Services, Inc. 2011 – 2016

RN Case Manager

• Case manager under Medicare service and coordinated healthcare for seniors with chronic illnesses

• Instructed patient and families in medication actions and side effects plus disease processes

• Set goals and wellness plans with patient and their families

CORVEL Corporation 2007 - 2011

Telephonic Nurse Case Manager

• Coordinated healthcare services for Workers Compensation claims

• Processed claims and scheduled patient's appointments and recovery

• Made follow up calls to patients to assure appropriate action was taken

Towers Home Care & Rehabilitation services 2004 - 2007

RN Case Manager

• Coordinated healthcare services between doctors, therapists, families, DME and Ancillary Services

• Case Manager for Medicare Homecare Services

Quest, Inc. Health Care Coordinator 1999 - 2003

Nursing Supervisor

• Coordinated care of developmentally disabled adults residing in eight group homes.

• Supervised the nursing and residential staff. Developed and participated in orientation in-service for new existing staff.

• Acted as a liaison between physicians, Medicare wavier, support coordinators and family members.

• Educated staff on medication administration and medical procedures.

Visiting Nurse Association 1993 - 1999

Referral-intake Case Manager/ Field Case Manager

• Telephonic case manager for intake and referral calls, coordinate care of patients in their homes, under Medicare reimbursement, supervision of physical therapy, home health aides and other nurses

• Medication management and providing education on disease and pain management

Orlando Regional Medical Center 1989 – 1993

RN Nurse

• Member of Wound Management Support Team. Extensive experience in wound and ostomy care.

• Education of patients and staff in wound care healing and prevention, R.N. relief charge nurse neurological step down unit and Orthopedics

Education

• Valencia Community College- A.S. in Nursing May of 1983



Contact this candidate