Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ann "Michele" Randolph

Gilbert

Summary

Accomplished RN with a proven track record at Arizona Care Network, adept in patient education and chronic disease management. Leveraged clinical judgment and compassion to enhance patient satisfaction and health outcomes. Skilled in care plan development and patient evaluation, significantly improving care coordination and documentation accuracy. Demonstrates exceptional emotional awareness and patient counseling abilities.

Overview

30
30
years of professional experience

Work History

RN Care Coordinator/HCC Team

Arizona Care Network
08.2015 - Current

RN Care Coordinator

  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
  • Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.

RN Value Based Coder

  • Identify, assess, monitor coding opportunities via review of patient's medical records.
  • Ensure diagnosis c odes are accurate for chronic medical conditions.
  • Educate providers on opportunities for improved documentation on medical diagnosis' as to support CMS Risk Adjustment guidelines.


RN Auditor, Clinical Referral Specialist

Banner Healthcare
01.2012 - 01.2016

RN Auditor

  • Reviewed patients written and electronic records to determine if proficiencies were performed according to compliance measures.
  • Prepared audit reports based on accounts of the company.

RN Quality Analyst

Pioneer ACO
01.2012 - 01.2013

RN Quality Analyst

  • Clinical Data Abstractor
  • Facilitate data abstraction utilizing ongoing data analysis. Enhanced medical practices performance improvements resulting in outcome initiatives.
  • Assist with data presentation and outcome initiatives.

Back/Front Office Nurse

Robert C. Milam, MD
01.1995 - 01.2013
  • Completed paperwork including prior authorizations, health insurance verification, scheduling appointments for patients.
  • Educated patients on self-care techniques, empowering them to manage their own health effectively.
  • Streamlined office procedures for increased efficiency, resulting in shorter wait times for patients.
  • Provided compassionate care during sensitive situations, fostering trust between patients and healthcare providers.
  • Administered PO/IV/IM/SQ medications as ordered.

Education

Associate of Science - Nursing

Maryland General Hospital of Nursing
Baltimore, MD
01-1985

Bachelor of Arts - Human Development/Social Work

St. Mary's College of Maryland
St. Mary's City, MD
05-1982

Skills

  • Clinical judgment
  • Compassion and empathy
  • Discharge planning
  • Geriatric care
  • Health promotion
  • Patient assessments
  • Patient education and counseling
  • Licensed RN
  • Care plan development
  • Patient evaluation
  • Chronic disease management
  • Emotional awareness

Timeline

RN Care Coordinator/HCC Team

Arizona Care Network
08.2015 - Current

RN Auditor, Clinical Referral Specialist

Banner Healthcare
01.2012 - 01.2016

RN Quality Analyst

Pioneer ACO
01.2012 - 01.2013

Back/Front Office Nurse

Robert C. Milam, MD
01.1995 - 01.2013

Associate of Science - Nursing

Maryland General Hospital of Nursing

Bachelor of Arts - Human Development/Social Work

St. Mary's College of Maryland
Ann "Michele" Randolph