Melissa Hall

Ensured accurate and timely documentation in client records according to CalAim standards and performed daily audits of medical office documentation to ensure nursing staff adhered to medication documentation policies. Administered medications according to MD orders to improve client outcomes and performed necessary nursing assessments, creating personalized care plans to prevent hospitalizations.

Responsible for accurate medical necessity screening and concurrent reviews for Anthem, Molina, Medicare and Medicaid LOB. Utilizes MCG criteria for appropriateness of inpatient care and provides Authorization for inpatient hospitalization, home health, and outpatient specialist. Collaborates with case managers, hospitalists, discharge planners and physicians in creating appropriate Discharge Plan

Managed oral and injectable medication administration for high-risk clients, ensuring accurate documentation and adherence to regulations. Utilized strong communication skills to meet with clients daily, assess concerns, and update care plans, resulting in improved client compliance and better health outcomes. Improved monthly JCAHO documentation process, reducing completion time and ensuring comp

Obtained lab and imaging reports for providers to ensure efficient ongoing care and administered medications while observing therapeutic responses. Performed blood draws, EKGs, and specimen collection, and obtained, transcribed, and placed orders for medications within indicated deadlines. Assessed clients in immunization clinics and tracked data to ensure appropriate dose administration.

Administered medications and observed therapeutic responses, and assessed current health status of students. Conducted regular assessments of students under medical care, guiding them on appropriate health interventions to prevent complications. Provided appropriate education to support staff to reduce knowledge deficit and maintain open communication.