donna schilling

Initially recruited as Brach Manager for St. Louis Office, then transferred to Edwardsville, IL with additional responsibility for Bloomington, IL office. Managed operations and service delivery for this home care company specializing in nursing care for children with complex medical needs and home health services for elderly. Conducted pre service admission assessments, worked with doctors to ensure effective management of care plans and provided updates on changes in clients’ condition. Secured authorization and payment for services, working closely with Medicaid and oversaw care and state programs for the elderly. Managed hiring and supervised home health staff, coordinators and on-call staff, closely monitoring performance to ensure delivery of high quality care. Provided training to staff, including training of manager for the Chicago, IL office.

* Collaborated and liaised with medical teams, physicians and other health professionals to effectively manage physical and emotional needs. * Proficiently processed appeals for denied requests, compiling and collating relevant documentation. * Managed the development of discharge planning for injured and sick workers covering a broad spectrum of conditions including musculoskeletal injuries, head injuries, cancer, cardiopulmonary disorders, and neurological injuries. * Competently evaluated hospital length of stay, acute rehab, SNF and home health by applying detailed knowledge of Milliman guidelines. * Effectively utilized Official Disability Guidelines (ODG) to conduct assessment for procedures, therapy and medications together with alignment with California Labor Code Requirements. * Managed and extensive case file, closely monitoring patients through their hospital treatment including outpatient services, until patient care plan was completed.

Classes completed Rhetoric & Composition I and II English Literature I General Psychology US History Since 1877

Classes completed include; Death & Dying Bio-Medical Ethics Pathophysiology Statistics