Erika De Jesus

No Degree

Nursing

Aetna a CVS Health Company

TOC Coach LVN

- Contractor. Remote Position - Complete post-discharge questionnaire, which may be market specific - Providing comprehensive discharge planning - Ensures the member has filled/received their medication(s) and has an understanding on how to take - Benefit education - Provides clinical assistance to determine appropriate services and supports due to member's health - Evaluation of health and social indicators - Identifies and engages barriers to achieving optimal member health - Uses discretion to apply strategies to reduce member risk - Presents cases at case conferences for multidisciplinary focus to benefit overall member management - Facilitates overall care coordination with the care team to ensure member achieves optimal wellness within the confines of the member's condition(s) and abilities to self-manage - Coordinates post-discharge meal delivery, assists with securing DME, and helps to ensure timely - Understands Payer/Plan benefits, policies, procedures, and can articulate them effectively to providers - Updates the Care Plan for any change in condition or behavioral health status