Melody Layne

Experience

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  Humana at Home

  May 2013 - Nov 2020

  Manager, Care Management-Transitions Services

  Responsible for implementation and oversight of the Tricare 30-Day Post-Facility Discharge In-Home Program, Transitions Services. Manage and evaluate all aspects of care for the enrolled beneficiaries in the Tricare Transitions population as part of Humana's 2018 Tricare contract.

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  Humana

  May 2013 - Nov 2020

  Manager, In Home Care Management
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  UnitedHealthcare

  Nov 2020 - Jan 2022

  Manager, Health and Social Services
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  New Directions Behavioral Health (now Lucet)

  May 2022 - Jan 2024

  Care Manager

  Assess members’ general, medical and behavioral health needs, including Social Determinants of Health, community resources, support groups and provider/facility referral needs. Coordinate and implement discharge planning with psychiatric acute inpatient, substance abuse rehabilitation and outpatient facilities to promote effective aftercare plans and member compliance. Summarize and present cases monthly to internal and health plan multi-disciplinary team to enhance the quality of members’ health management, treatment and satisfaction. Evaluate members’ progress periodically and make adjustments to plan of care as needed to improve outcomes. Show less