vivica montgomery-gibson

Performed supervisory, managerial, and administrative duties for Assisted Living Division, Alzheimer’s unit, Rehabilitation unit, and Long Term Care Facility (i.e., Reports, Admissions, Discharges, Staffing, and Facility Tours).

Planned, implemented and evaluated patient’s condition using data analysis and trending for optimal medical outcomes.

Honorable Discharge, Desert Storm Veteran, Petty Officer 3rd Class, Navy Commendation & Good Conduct Medal. USN Hospital, Camp Pendleton, CA

* Responsible for building provider relationships. * Maintains positive relationships with internal and external customers. * Assess care opportunities for member and provider action. * Performs ongoing analysis of gaps in clinical care and barriers to care. * Designs and implements member engagement and provider specific interventions. * Tracks provider and member engagement responses, and analyze findings and improvements to quality of care. * Performs ongoing analysis of gaps in clinical care and barriers to care. * Supports the collection of HEDIS supplemental data for inclusion in the HEDIS Supplemental Database * Assist with HEDIS Hybrid medical record review.

* Assess health status of caller and direct caller to the most appropriate level of care. * Critical listening and thinking skills. * Decision making and problem solving skills. * Ability to work independently and within a team environment.

* Monitor and promote utilization of healthcare resources in accordance with Medicare and Medicaid guidelines. * Provide information and education to patients and family related to community resources, patient safety, disease processes, diet, and medication compliance. * Provide direct leadership and supervision to LPNs and HHAs. * Provide accurate and detailed written documentation to Oasis and 485’s (Start of Care, Recertification, and Resumption of Care packets) to deliver proper level of care to ensure accurate compensation and reimbursement of services.

* Frequent Charge Nurse for Surgical Telemetry Unit, Cardiovascular Care Unit (CCU), and Advance Care Unit (ACU). * Data analysis and trending to ensure quality patient care. * Provide education and discharge training to cardiovascular patients and families. * Collaborate with physicians, pharmacists, and other disciplines of the healthcare and management team.

CareSource, a nonprofit health plan, is one of the nation's largest Managed Medicaid Plans. Headquartered in Dayton, CareSource serves more than 1.5 million consumers in Ohio, Kentucky, Indiana and West Virginia. CareSource is living its mission to make a lasting difference in its members' lives by improving their health and well-being. CareSource understands the challenges consumers face navigating the health system and works to put health care in reach for those it serves.

Activities and Societies: Sigma Theta Tau International Nursing Honor Society. Golden Key International Honor Society