Duties and Responsibilities
* . Assessed, planned, and implemented care strategies that are individualized by the patient and directed
toward the most appropriate, least restrictive level of care
* Utilized both company and community-based resources to establish a safe and effective case management
plan for members
* Advocated for patients and families as needed to ensure that the patient's needs and choices are fully
represented and supported by the healthcare team
* Documented all member assessments, and care plans, and provided referrals
* Participated in interdisciplinary team meetings and Utilization Management rounds and provided
information to assist with safe transitions of care
* Understood insurance products, benefits, coverage limitations, insurance, and governmental regulations as
it applies to the health plan
Achievements
* Developed standard outreach program in Duro rural area.
* Increased the number of people who received proactive assistance from the health department by 70%.
* Initiated condom distribution program to lower the incidence of disease among high risk populations.
* Developed consumer friendly written materials on STDs and disease transmission and prevention