Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Keenah Lynch

Holly Spring

Summary

Diligent Nurse Care Manager with solid background in clinical care management. Proven expertise in coordinating patient care and collaborating with multidisciplinary teams to ensure optimal outcomes. Demonstrated problem-solving skills and proactive approach in streamlining care processes and enhancing patient satisfaction.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Clinical Care Manager

VNS HEALTH
07.2022 - Current
  • Make timely telephonic care management calls based stratified risk levels.
  • Complete care management and disease specific assessments.
  • Resolves and coordinates complex issues and member complaints impacting the delivery of services/
  • Provide health education to member/caregiver.
  • Assess SDOH and provide care coordination to reduce/remove barriers of care to include ability to allow for changing levels of care based on assessments, trigger events and program data/reports.
  • Identifies member safety issues and intervenes as necessary to refer to appropriate resources, such as community linkages, dietary (PT/OT/ST) HHA services, behavioral Health, and DME.
  • Coordinates the delivery of high quality, cost-effective care based on customized population model of care supported by evidence based clinical practice guidelines.
  • Increases utilization of primary care, specialty care, preventive health and guideline- based treatments including proper pharmacotherapy within network as appropriate.
  • Participates in interdisciplinary team (IDT) meetings and provide input on customer service-related activities.

Registered Nurse Case Manager

MAGELLAN HEALTH INC.
10.2018 - 07.2022
  • In an MLTC setting, telephonically coordinate and provide care that is safe timely, effective, efficient, equitable, and client centered.
  • Manage a case load of over 200 members, initiate service plans, review case progress and determine if attainable close are met.
  • Assist members to achieve wellness and autonomy.
  • Help members make informed decisions by acting s their advocate regarding there clinical status and treatment plan.
  • Record cases information, complete accurately all necessary forms, while adhering to professional standards as outlined by protocols , rules and regulations.
  • Assess and address motivational and psychosocial issues.
  • Completes comprehensive UAS assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgement, changes in member’s health or psychosocial wellness, and triggers identified in the assessment.

Registered Nurse Case Manager

ARCHCARE COMMUNITY LIFE.
05.2017 - 10.2018
  • Maintained on-going telephonic communication with members and care givers, with care plan centered around the needs of members.
  • Participates and assists as necessary in development of the reassessment plan of care and makes changes in the plan of care based upon findings.
  • Maintains oversight for the member's care management during inpatient acute episodes necessitating hospital admission. Ensuring effective discharge planning for transfer to the community and resumption of services.
  • Ensures that utilization of services is reasonable and necessary to member's health and well being.

UAS Assessment RN.

GREATER NEW YORK HOME CARE
11.2015 - 10.2017
  • Perform UAS routine, reassessments and initial visits for various contracted agencies.
  • Ongoing monitoring and assessment of members functional and cognitive status, review members UASNY assessments and clinical documentation, appropriateness of person-centered care plan and services provided by MLTC program.
  • Competent with the ATSP tool to determine needed service hours.

Registered Nurse Care Coordinator

VISITING NURSE SERVICE OF NEW YORK CHOICE MLTC
12.2008 - 10.2015
  • Assessed and monitored members in the community for effectiveness and compliance with prescribed Plan of Care.
  • Provided intensive and continuous care management across acute, home, hospital and long term settings.
  • Identified members needs to develop a safe comprehensive plan with sensitivity to cultural diversities.
  • Communicated and collaborated with Primary Care Physicians and other disciplines related to members needs.
  • Consult and educate patient, families and caregivers on disease processes, self care techniques and prevention strategies
  • Provide nursing services and authorizations within a capitated managed care system.
  • Proficient with UAS, OASIS and SAAM assessment tools.

Emergency Room Registered Nurse

METHODIST HOSPITAL
08.2007 - 01.2010
  • Assessed and monitored members in the community for effectiveness and compliance with prescribed Plan of Care.
  • Provided intensive and continuous care management across acute, home, hospital and long term settings.
  • Identified members needs to develop a safe comprehensive plan with sensitivity to cultural diversities.
  • Communicated and collaborated with Primary Care Physicians and other disciplines related to members needs.
  • Consult and educate patient, families and caregivers on disease processes, self care techniques and prevention strategies
  • Provide nursing services and authorizations within a capitated managed care system.
  • Proficient with UAS, OASIS and SAAM assessment tools.

Education

BACHELORS OF SCIENCE - NURSING

University Of Phoenix -Online
Salt Lake City, UT
10.2024

Skills

  • Critical Thinking
  • Effective customer communication
  • Public Safety and Security
  • Proficient evaluation and intervention
  • Patient assistance and service
  • Patient care
  • Patient engagement
  • Patient and family advocate
  • Electronic health records
  • Clinical assessment
  • Chronic disease management
  • Procedure implementation

Certification

  • 9-12-2007 Registered Professional Nursing 591890 BLS and ACLS certified through AHA.
  • 6-4-2024 Registered Nurse 369091-Multistate/Compact

Timeline

Clinical Care Manager

VNS HEALTH
07.2022 - Current

Registered Nurse Case Manager

MAGELLAN HEALTH INC.
10.2018 - 07.2022

Registered Nurse Case Manager

ARCHCARE COMMUNITY LIFE.
05.2017 - 10.2018

UAS Assessment RN.

GREATER NEW YORK HOME CARE
11.2015 - 10.2017

Registered Nurse Care Coordinator

VISITING NURSE SERVICE OF NEW YORK CHOICE MLTC
12.2008 - 10.2015

Emergency Room Registered Nurse

METHODIST HOSPITAL
08.2007 - 01.2010

BACHELORS OF SCIENCE - NURSING

University Of Phoenix -Online
Keenah Lynch