Kaitlyn Alongi
- Role
- Inpatient Case Manager Lead Analyst at Cigna Healthcare
- Location
- Phoenix, AZ, US
- LinkedIn followers
- 500 followers
About Kaitlyn Alongi
Currently working to improve the health and vitality to those we serve through evaluating…
Experience
Inpatient Case Manager Lead Analyst
May 2022 — Present
Plans, implements and evaluates appropriate health care services in conjunction with the physician treatment plan.\\\\n• Handles more complex, high acuity cases and /or account sensitive cases.\\\\n• Performs prospective, concurrent and retrospective reviews for inpatient acute care, rehabilitation, referrals and select outpatient services including DME (durable medical equipment).\\\\n• Ensures that inpatient case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.\\\\n• Excellent time management, organization and negotiation skills. Strong research and analytical skills. Ability to assess complex issues, recommend changes and resolve problems. Knowledge of managed care preferred.\\\\n• Works independently, receiving direction from manager or team leader for new or unprecedented situations.\\\\n• Manages own caseload and coordinates all assigned cases.\\\\n• Acts as a resource to others.\\\\n• Utilizes Cigna\'s approved guidelines and tools to rigorously assess the clinical status of the member, the level of care and the services the member is receiving as clinically appropriate covered services.\\\\n• Anticipates care needs along the continuum of inpatient and outpatient services and facilitates coordination across the network of providers, participants and caregivers to assure timely discharge/transfer to an alternate level of care.\\\\n• Consults with manager and medical director to resolve any issues related to delay of services or barriers to discharge in a timely manner.\\\\n \\\\n\\\\n \\\\n \\\\n\\\\n \\\\n
Skills
- Nursing
- Nursing Process
- Patient Safety
- Medication Administration
- Direct Patient Care
- Patient Assessment
- Crisis Prevention Intervention
- Crisis Prevention Intervention
- Bls
- Epic Systems
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