Sirri Tume

1. Carries a client caseload, completes Health Risk Assessments in the community, develops individualized Support Plans and assists in preventing unnecessary hospital and nursing home admissions allowing the member to remain in their community with all the necessary supports available.

Evaluated, documented, and monitored member health and wellbeing through annual and interim assessments and phone calls across the continuum of care.

• Executed delegation agreement between Managed Care Organization and health system, ensuring compliance with CMS, State regulatory, and MCO requirements.
• Assists in the education and development of family medicine clinics and residents
• . Performs other duties including Performance Goals developed by manager and employee and reported in the employee’s Performance Review as part of UMPhysicians’ Performance Management tools

• Coordinated with healthcare providers to ensure client needs are met.
• Collaborated with interdisciplinary teams to optimize client care strategies.
• Conducted regular follow-ups to monitor client progress and satisfaction.
• Facilitated communication between clients and family members regarding care options.
• Educated clients about available health resources and services in the community.
• Managed case files for clients receiving home health care services.