Claudine Auguste Arnp Email and Phone Number

BSN Case management, discharge planning•Establishes patient referrals with other health services such as skilled nursing, rehab or home health•Initiates discharge planning procedures. •Initiates specific care plans with the patients’ families, providers

• Oversees RNs, LPNs and nursing aides, and support staff• Oversees acute care, memory care, and long-term care unit• Responsible for performance evaluations and performing employees• Establishes employee policies and procedures• Mentors nursing staff as needed• Sets unit goals and standards

Halifax Health Medical Center RN, BSN Case management, utilization review (February 2016 to April 2017)• Complete Initial, concurrent, Peer, and retrospective reviews in a timely manner to ensure continuous coverage.• ‪Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.• Conduct and manage initial, concurrent, and discharge reviews to optimize benefits and utilization.• Consistently demonstrate excellent communication, prioritization, and multi-tasking skills.• ‪Maintains contact with the clients’ families and keeps them updated on current insurance authorization updates, Peer Reviews, and Denials.• Document all activities in a detailed manner in applicable EMR.• Participate in weekly Treatment Team and Continuing Care Meetings as appropriate.• ‪Prepares and submit Appeal documentation (including rationales) to the appropriate entities as indicated• Coordinate, schedule, and complete Peer-to-Peer and Appeal reviews.• Works with team members. For instance, they might delegate duties to the patient’s co-assigned nurse, or they might request necessities from the patient’s physician. They are the link between in-patient and out-patient care.• Responsible for requesting clinical information for concurrent review with strict adherence to INTERQUAL guidelines