● Oversee and direct daily activities and functions of case management for an elite employer group with performance guarantees totaling more than $1 billion.● Manage a multidisciplinary team of social workers, nurses, and customer service representatives, creating and updating job aids and workflows for daily processes and training new hires.● Created and implemented an employee retention change plan, resulting in a 30% increase in survey participation and 76% increase in employee satisfaction.

● Perform concurrent reviews, discharge planning, and alternate treatment programs, consulting with physicians, hospital utilization review coordinators, and discharge planners.● Collaborate with providers, patients, and families to develop and implement high-quality, cost-effective care plans, determining medical necessity and appropriateness for all levels of care as required by group contracts.● Facilitated member transitions of care, reducing readmission rates by 15% and minimizing ER visits by 10%.● Discovered a claim exclusion related to Hospital at Home claims resulting in more than 500k in takebacks.

• ● Telephonically outreach members to discuss case management benefits, wellness needs, and program enrollment, using predictive modeling and medical histories to identify complex cases.● Assisted members in obtaining equipment, medical supplies, and medication, empowering them to create S.M.A.R.T goals and providing educational material.● Presented complex member cases during integrated grand rounds to formulate solutions for best member outcomes.

● Act as a resource in clinical, patient-related, and system problems, ensuring optimal patient care and effective utilization of resources.● Collaborate with providers, staff, nurse managers, department managers, medical staff, and hospital administration to facilitate the provision of quality care.● Identify trends in system problems and notify unit and/or department managers, assisting with patient admissions, transfers, and discharges to facilitate timely processes.● Provide direction on patient transfers and reassign staff to accommodate admissions as needed, responding to internal and external public relations issues.● Act as the incident commander in the absence of the AOC or Administrative Leader, intervening as needed during conditions that threaten life, health, equipment, or buildings.

● Participated in planning, implementation, and daily operations of a $1.5 million grant-funded countywide Pandemic Health Navigator Program.● Built relationships with clients to assess social determinants, assist with access to care, and provide education, coordinating with Will County Health Department to utilize local database systems and IPHA resources.● Planned and hosted community vaccine clinics and health events, collecting and analyzing program data for state recording purposes.

● Developed and maintained nursing service objectives, standards of practice, and policies and procedures to provide comprehensive care on the skilled care unit.● Assisted the Director of Nursing in interviewing and selecting staff and residents, completing and reviewing required record-keeping upon admission, discharge, and transfer.● Provided orientation, training, and in-services to RNs and CNAs, monitoring quality assurance, safety, and infection control protocols.

• Ensure adequate care coverage by coordinating staffing, monitoring the flow of patients in and out of the facility, and supporting staff.• Guide and advise nursing staff with clinical instructions• Communicate updated information to departments and staff.

• Responsible for tasks including staffing, extensive phone contact, data entry, and sending physicians’ orders to physicians.• Perform a variety of duties as requested by client, such as running errands, accompany clients to doctors' offices and on other trips outside the home.• Develop constructive and cooperative working relationships with clients and involved family.• Monitors patient condition by observing physical and mental condition, intake and output, and exercise.

• Responsible for pediatric vital measurements, ADL’s, assisting with other tasks as directed by the RN.• Responsible for daily stocking and maintenance of patient, treatment rooms and other areas of the unit.• Initiated and improved inventory and supply ordering procedure for department.• Served as infection Prevention and Control Liaison for the department.