Janine Phillips
@janinephillips
I’m an RN nurse case manager and board-certified nurse coach improving outcomes through complex care transitions.
United StatesWhat I'm looking for
I’m an analytical, compassionate Registered Nurse and Board Certified Nurse Coach with extensive experience in complex case management, utilization review, and transitions of care. I support Medicare and Medicaid populations by assessing needs proactively, advocating effectively, and coaching patients toward better outcomes.
I manage high-acuity caseloads using comprehensive assessments to determine appropriate services and coordinate care planning across interdisciplinary teams. I’m especially skilled in waiver & LTSS programs, chart review and documentation, and ensuring regulatory compliance through detailed, accurate follow-through.
Known for calm, solutions-oriented communication and exceptional organization, I build clear outcome targets, set goals with patients and teams, and track results to improve continuity of care. I also coordinate DME and service requests to reduce barriers and strengthen care delivery.
Experience
Work history, roles, and key accomplishments
RN Senior Case Manager
Buckeye Health Plan
Jan 2023 - Dec 2025 (2 years 11 months)
Managed a complex caseload across WELL, Waiver Under 60, UTR, and transitions of care (TOC) populations by completing medical and psychosocial assessments to match members to appropriate services. Coordinated proactive reviews, advocacy, and interdisciplinary service planning to drive clear outcomes and regulatory compliance.
RN Care Partner
Commonwealth Care Alliance
May 2022 - Dec 2022 (7 months)
Managed a high-volume caseload of 220 members, coordinating daily care and transitions of care to support outcome-focused service delivery. Partnered with physicians, NPs, and clinical and social services teams to ensure accurate documentation, waiver support, and implementation of treatment plans.
RN Case Manager II
Buckeye Health Plan
Feb 2019 - Feb 2022 (3 years)
Owned transitions of care responsibilities with timeliness and accuracy, coordinating hand-offs to ensure continuity of care with minimal oversight. Assessed patient needs and collaborated with interdisciplinary teams to support informed problem-solving and ongoing care planning.
RN Care Manager
Greene County Council on Aging
Feb 2017 - Feb 2019 (2 years)
Conducted assessments and managed direct patient care while documenting all care activities, supporting older adults to maintain safe independence in the community. Assisted clients with Medicaid/Medicare processes and paperwork (including Passport Waiver, PIPP, HEAP, GMHA, and QMB) and collaborated on individualized care programs.
Education
Degrees, certifications, and relevant coursework
Fortis College of Nursing
Associate Degree in Nursing, Nursing
2012 - 2014
Associate Degree in Nursing from Fortis College of Nursing from 2012 to 2014.
CedarCliff High School
High School Diploma, General Education
High School Diploma from CedarCliff High School in 2000.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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