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Caroline BrownCB
Open to opportunities

Caroline Brown

@carolinebrownrn

Remote RN Care Coordinator specializing in Utilization Management, Chronic Care Mgmt, & Medicare Adv/D-SNP care coordination and CMS MOC compliance.

United States
Message

What I'm looking for

I’m looking to continue remote care coordination where I can run high-volume CMS MOC assessments, close care gaps, and strengthen care transitions and SDoH referrals—within a quality- and member-satisfaction-focused team.

I’m a Remote RN Care Coordinator specializing in Medicare Advantage/D-SNP populations, consistently completing 20–25 comprehensive CMS MOC assessments weekly while maintaining 100% member satisfaction and audit-ready documentation. I focus on chronic disease management, behavioral health screening, SDoH coordination, and care transitions to help reduce risk and improve outcomes.

Previously, I served as an RN Case Manager for Home Health & IV Infusion, completing OASIS assessments and Medicare-compliant care plans while coordinating medication reconciliation and specialty services. Earlier experience includes acute post-operative care on a Post-Surgical GI/GU unit and an extended Nursing IT Research Specialist role supporting care coordination and population health workflows.

Experience

Work history, roles, and key accomplishments

SA
Current

RN Care Coordinator

Sagility

Nov 2025 - Present (7 months)

Conducted 4–5 telephonic CMS Model of Care (MOC) assessments daily (20–25 weekly) to assess risk and close care gaps for Medicare Advantage/D-SNP members. Maintained 98% member satisfaction with CMS-compliant documentation while coordinating chronic disease management, behavioral health screening, SDoH barriers, and care transitions.

HH

RN Case Manager (Home Health)

Haven Home Healthcare

Jan 2025 - Jan 2026 (1 year)

Completed OASIS assessments and Medicare-compliant care plans, coordinating medication reconciliation and specialty services. Connected patients to SDoH resources and facilitated safe care transitions.

FH

Pediatric RN Case Manager

FamilyFirst Homecare

Jan 2023 - Jan 2024 (1 year)

Managed high-acuity pediatric cases, including care for ventilator-dependent patients. Coordinated ongoing home healthcare needs and ensured appropriate care planning and documentation.

BR

Nursing IT Research Specialist

BlackBook Research

Jan 2015 - Jan 2024 (9 years)

Conducted healthcare IT research focused on care coordination and population health workflows. Supported remote research activities related to population health and coordination processes.

Education

Degrees, certifications, and relevant coursework

University of Florida logoUF

University of Florida

Bachelor of Science in Nursing, Nursing

Pursuing a Bachelor of Science in Nursing at the University of Florida, expected to complete in 2026.

Jersey College of Nursing logoJN

Jersey College of Nursing

Associate of Science in Nursing, Nursing

Earned an Associate of Science in Nursing from Jersey College of Nursing in 2023.

University of Sheffield logoUS

University of Sheffield

Bachelor of Arts

Completed a Bachelor of Arts at the University of Sheffield in 2017.

Tech stack

Software and tools used professionally

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