Case Management Acute Care

LAURA ARNETT BSN

Chicago, IL *****

**********@*****.***

Home: 773-***-**** Mobile: 773-***-****

SUMMARY OF EXPERIENCE

■Case management in the acute care setting

■Utilization review in the acute care setting and in the Payer setting

■HEDIS auditing

■Patient and staff education

■Outpatient health management

■Discharge planning, placement and referrals

■Phone triage

■Intake and DON assessments

■Appointment scheduling

■Dispensing of detoxifying and maintenance doses of Methadone

■Health fair activities: BP checks, onsite Hgb testing, vaccinations, patient counseling

SUMMARY OF SKILLS

■Worked with EPIC, Amisys, Meditech, InterQual, Allscripts, MIDAS, Microsoft Office

■Familiarity with ICD-10 and DRG coding

■Superior telephonic communication skills

■Flexible and creative problem-solving abilities and critical thinking skills

WORK HISTORY

Life Plans-LTCG 04/2021 to present

In-home face-to-face interviewing of applicants and claimants for long-term care insurance coverage. Gather information such as medications, diagnoses, recent hospital stays, caregiver information, assistive devices in the home, and personal contacts. Observing them demonstrate various ADL/IADL. Administer MMSE and other cognitive tests. Write objective reports of their competencies, any physical deficiencies, environments, personal appearance. Advise on Claimant safety concerns.

Independent contractor for MedExpress Urgent Care via Judge Group

■ Perform COVID-19 nasal swab tests for employees at their job site.

Advanced Resources and Medix temp agencies at Weiss Memorial Hospital, St. Mary of Nazareth Hospital, and Loyola University Hospital 02/18 to 03/2020

Case Management

■Provide recommendations to doctors about patients’ readiness for discharge or status change

based upon initial concurrent review process and integrated daily rounds

■Advise ED physicians on appropriateness of admissions and admit status

■Conduct admission assessments to help begin discharge planning process

■Collaborate with other care team members in managing inpatient progress

■Facilitate safe discharges by working with patients and care team members

■Attend daily inpatient rounds to monitor progress towards discharge

■Confer with fellow care team members throughout the day as required

■Generate referrals for aftercare

■Perform social worker tasks as needed

St. Bernard Hospital 07/11 to 12/17

Outpatient Surgery Coordinator, Utilization Review, Readmissions Coordination

EDUCATION

Hampton University

Bachelor of Science in Nursing

AFFILIATIONS

Case Management Society of America-Chicago Chapter

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