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Sidnie Jacobs Allen

Sidnie Jacobs Allen

Transitional Care/ Skilled Nursing Coordinator

Health Partners Plans

Wilmington, DE

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Health Partners Plans

Transitional Care/ Skilled Nursing Coordinator

Transitional care coordinator serves as a liaison between the insurance company and an assigned group of hospitals. In this position I facilitate communication between the company, members, hospitals, physicians, social workers, care coordinators, special needs and ancillary.

Responsibilities are to:

Complete assessments by telephone, utilizing the language line ( if needed) and CCMS software immediately after a member's hospital discharge in an effort to maintain prompt follow up care and prevent readmittance.
Identify problems/potential problems and seek appropriate solutions to decrease hospital readmittance by members.
Assist with members request for medication, pharmaceuticals, DME, home health support, therapy, scheduling of appointments and transportation.
Attaching hospital discharge documents to members EHR in CCMS.
Data manipulation and distribution of excel spreadsheet reports to internal and external staff.

Skilled Nursing Coordinators serve as a liaison between hospital discharge planners, case managers, medical directors, ancillary, hospice and skilled nursing facilities.

Responsibilities are to:
Assist with the initial request of hospital discharge planners seeking skilled nursing facility placement for insured members.
Attach initial request for authorization documentation to EHR for review and approval.
Organize and distribute electronic fax requests.
Attach skilled nursing facility discharge documents to member's EHR in CCMS.
Confirm admission date of members transferred to approved facilities.
Answer calls and inquiries of discharge planners to assist with benefit coverage, level of care and prompt authorization for admission.
Follow benefit guidelines for Medicare and Medicaid plans.

Career medium 04
Career
Career medium 05

University o Pennsylvania Hospital

New Patient Coordinator/ EHR

Responsibilities were to:

Assist with general insurance issues, disputes, patient questions and concerns
Act as a liaison between nurses, providers and patients
Ensure and assist with smooth check-in process
Interact with patients, family members, insurance companies, physician offices and hospitals in an effort to facilitate best possible care of patients by providers
Obtain, review and organize electronic health records of patients for providers
Schedule appointments in Epic EHR system
Verify the Insurance before patient was seen in the office
Accurately record the patients insurance details into the system
*Knowledge of insurance guidelines especially Medicare and state Medicaid

Career

Virtua Hospital

Event Coordinator

Responsibilities were to:

· Create and implement calendar activities for long term care residents
· Collect assessment data/medical information to better assist rehab patients
· Ensure that basic requirements for safety of residents were met
· Adhere to the Star Standards to achieve core competency

Career medium 05
Career
Career medium 06

Kelsch Associates

Residential Manager

Responsibilities were to:

· Assist in the management of three group homes
· Delegate assignments, conduct meetings to discuss goals, behavioral health and recreational activities
· Coordinate meetings and conferences
· Administer daily medication and conducting med count
· Maintain confidential documents and reports, write letters and proof read written documents
· Act as a liaison with state providers, medical doctors and social workers to ensure quality care
· Meet the requirements for CPR, First Aid, Epilepsy, Diabetes and Crisis intervention
· Maintain client information and continually assessed their behavior for monthly reports

Career

Manor College

Course Completion Certificate, Project Management Essentials, CAPM Prep

Network Learning Institute

Certificate of Completion, Medical Administrative Assistant

Medical Billing and Coding, ICD-9, CPT, Anatomy and Physiology

Metropolitan College of New York

Masters of Science, Administration

Metropolitan College of New York

Bachelors, Human Services