Amber Russo

Coordinated interdisciplinary discharge planning to reduce length of stay (LOS) and performed clinical assessments. Collaborated with providers and the clinical team to ensure timely transitions across the continuum of care.

Assessed patient and clinical documentation for appropriate acute admission and level of care, performing admission reviews based on medical necessity. Initiated appropriate referrals and collaborated regularly with medical providers regarding patient interventions and care plans.

Directed day-to-day operations of the Medicare case management team, monitoring performance metrics and using data analytics to drive efficiency. Trained and supported staff on policy changes and complex case resolutions.

Triaged urgent patient needs, symptom reports, and care escalations during after-hours coverage. Reviewed and approved discharges and transfers, including non-emergent ambulance forms.

Identified and managed members in need of additional home care or support to improve quality of life, focusing on complex case management and utilization management. Responsible for service authorizations, creating care plans, and coordinating services for high-risk populations.

Managed caseloads of 35+ clients, providing education and administering medications and treatments. Coordinated care within a multi-disciplinary team and assessed, planned, and evaluated patient care needs.

Completed a comprehensive Bachelor of Science in Nursing program. Gained foundational knowledge and practical skills essential for a nursing career.