Kirsten D Email & Phone Number

United States

Reduce emergency services by curtailing medically unnecessary admissions. Manage over 450 Chronic Care patients at 8 different practices and over 10 providers on a monthly basis to perform telephonic follow-ups. Assess & Document patient goals, expectations, symptoms, vitals, Rx, Dx, Hx, allergies, & treatment plan in EHR Care Plan.Maintain a successful team of Care Managers by being accessable in team chat throughout workday to assist CMs & holding Weekly Team Meetings to discuss goals, areas of needed strengths, & achievements.Assign and Remove patients to CMs within the guidelines of company policy. Monitor CMs workflow daily and create daily, weekly, & monthly spreadsheets of metrics. Review CMs Care Plans & ensuring compliance to company's guidelines for reimbursement.

United States

Top performing Case Manager during Classified Operation by successfully meeting critical deadlines & following company protocols.Conduct clinical intake screenings, utilizing clinical knowledge to determine eligibility for PAPs.Coordination between patient, physicians, insurance, ensuring the plan has the desired result.Review patient screening criteria and communicate changes in status designation to ordering physician, PBM, and patient access.Provide resolution to complex situations using good judgement while in compliance with company policies.Handle organizational secure/private information about company processes, budgets, costs, forecasts, and client info maintaining confidentiality of data.Ins Verification, Credit Check, Prior Auths for PMP & Drug Tier 1-5

Dover, Delaware, United States

Geriatric and Pediatric injections such as Pneumovax 23, Influenza, and XolairProper Immunization Documentation, Storage, Inventory, & LogisticsPrior Auths, Claims, & DenialsPatient TriagePatient Education and Counseling on PFT, PST, Sleep Study, Treatment Plan, RxRetrieve Patient’s MRI, CT, Labs, and other documents needed prior to apptAssist with Pulmonary Function Test/Pulmonary Stress TestSchedule or Set up Appointments and Sleep StudiesPulmonary/Sleep Medication Refills forSpecialty Drugs Tier 1-5 Manage coordination of Medication Logistics, Delivery, Inventory, Proper Documentation, Storage & Handling

Work closely with patients in a clinical setting prior and after receiving care.Insurance verification and prior authorization.Ensuring the patient is educated and understands the physician’s instructions for care, answering follow-up questions from patient.Patient TriageDraw up injections prior to proceduresPatient Pre-Op & Post-OpPrepare referrals & documents for necessary scans, procedures, or therapy Record patient progress and new symptoms Scribe treatment plan in EHRAssist provider with procedures such as using fleuroscopy & ultrasound to guide Epidural Inj, Nerve Block, & Steroid Inj as well as assist with Spinal Cord Stimulator placement & Nerve Conduction StudiesPerform EKGsPatient Education prior & after procedures

Swansea, Illinois, United States

Billing, Coding, Insurance Claims, Workman's CompUrine Specimens & Blood Draws with Proper Labeling & Documentation Manage Medical Records, Upload CT, MRI, Labs to EHRManage Meetings and Lunchs with Pharmaceutical RepsPatient Triage Medication RefillsPatient PMP (Prescription Monitoring Program)Patient Scheduling, Phones, Filing, FaxPharm Tech Tasks for Office's In House Pharmacy

Manage the staffing process, including recruiting, interviewing, hiring and onboarding new hires.Ensure job descriptions are up to date and compliant with all local, state and federal regulations.Develop training materials and performance spreadsheets to ensure employees understand their job responsibilities. Investigate employee issues and conflicts and configure to resolution.Maintain organization charts, spreadsheets and employee directory.Conduct performance reviews of reps and provide feedback.

Bachelor Of Science - Bs, Health Sciences

Clinical Medical Assistant Diploma, Medical/Clinical Assistant, 4.0

Activities and Societies: Dean’s List Maintaining 4.0 GPA & Volunteered at Medical EventsMedical Administrative Procedures, Medical.

Human Biology

Human Anatomy, Physiology, & Biology

Hs Diploma, Dual Enrollment - Ap Sociology, Ap Human Anatomy, Ap Chemistry, Ap Government