Care Coordinator
CurrentTelephonic case management for disabled and/or elderly Medicare population in metrics-driven environment. Provides patient education, identifies gaps and barriers in care, facilitates referrals to specialists, home medical, mental health services, and other community resources. Reviews claims and health data across four different platforms. Collaborates with healthcare providers, social workers, and other specialists for care planning. Leading role in discharge planning and transitions of care. Daily implementation of of person-center and trauma-informed care.