Caroline Brown
@carolinebrownrn
Remote RN Care Coordinator specializing in Utilization Management, Chronic Care Mgmt, & Medicare Adv/D-SNP care coordination and CMS MOC compliance.
What I'm looking for
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
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.
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.
Staff RN - Post-Surgical GI/GU
BayCare Health System
Jan 2024 - Jan 2025 (1 year)
Delivered acute post-operative care for a GI/GU unit, managing IV therapy and blood products while monitoring central lines. Focused on safe clinical management to support recovery and continuity of care.
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.
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
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
Associate of Science in Nursing, Nursing
Earned an Associate of Science in Nursing from Jersey College of Nursing in 2023.
University of Sheffield
Bachelor of Arts
Completed a Bachelor of Arts at the University of Sheffield in 2017.
Availability
Location
Authorized to work in
Job categories
Skills
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