Donna Solis Email & Phone Number

Wilmington, Delaware, United States

Care coordination and education for high risk Congestive Heart Failure patients.

Wilmington, Delaware, United States

Embedded Care Coordinator at Wilmington Primary Care which includes Adult Medicine Clinic and Family Medicine. Case management for high risk populations.

Newark, De

Assess and establish discharge plan for patients with post acute care needs, through collaboration with the interdisciplinary team, the patient, their family/primary caregiver(s), and third-party payers.Worked as a Heart Failure Nurse Navigator for 2 years. This included HF education to patients, review of Medical Records to ensure that Core Measures for Heart Failure are communicated in the Medical Record and collaborating with Provider to ensure appropriate documentation if measures not achieved.Case management in the ED - discharge planning, resource management, and Interqual review to determine appropriate status for Medicare admissions. Medication Prior authorization and cost evaluation to determine appropriate medications based on patient’s financial viability.Served on Focus On Excellence (FOE) committee that evaluated readmissions

Medical case management and home care for patients in the Wilmington, DE areaReview of Medicare cases for compliance, quality, and risk management issuesPerformance Improvement initiatives such as quarterly review and analysis of acute inpatient hospitalizations, clinical record reviews, and value care team facilitatorIdentification of opportunities to improve documentation quality, reduce patient re-hospitalization and limit risk exposure to Christiana Care

Timmonium, Md

Workman’s compensation medical case manager responsible for Delaware, Eastern Shore and Northeast MarylandIntervention between the patient, employer, physician, and workman’s compensation insurance to ensure quality care in a cost effective way that allowed for a safe return to work

Wilmington, Delaware

Case manager for high risk, diabetic, asthmatic and cardiac patients in a Managed Medicaid ProgramOnsite utilization review at CCHS and Kent General Hospital Telephonic utilization review both concurrent and retrospectiveDischarge planning which included facilitating transfer to appropriate care facility, setting up home care and appropriate DME