Crystal Osborne

Experience

• 

  American Senior Communities

  May 2010 - Jun 2011

  Charge Nurse

  Developed, implemented, and evaluated care plans.Served as a liaison between patients, families, case managers, physical therapists, and physicians.Educated patients on medications, procedures, and provided discharge teaching.

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  Franciscan St. Francis Health

  Jun 2011 - Sept 2013

  Surgical Nurse

  Coordinated patient care with surgeons and anesthesiologists to ensure safety and proper procedure.Preserved sterile fields, circulated in the operating room, maintained medical records, and ensured count accuracy during surgical procedures.

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  HERITAGE HOME HEALTH CARE

  Sept 2014 - Sept 2015

  Registered Nurse

  Provided healthcare to home-bound clients, collaborating with a multidisciplinary team.Conducted patient admissions, discharges, and ensured proper transition back to residence after hospital discharge.Initiated physician orders, performed head-to-toe assessments, and educated patients on disease processes, medications, and procedures using the teach-back method.

• 

  Centene Corporation

  Nov 2015 - Jun 2021

  Developed, revised, implemented, and oversaw departmental training and onboarding for all new hires across all lines of business.Successfully trained new hires to implement and execute Case Management processes across all lines of business, achieving a 95% orientation completion rate meeting or exceeding job expectations. Supervised day-to-day operations of the case management function, ensuring compliance with established policies and procedures.Facilitated ongoing communication between case management staff, utilization management staff, and contracted providers. Provided care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum.Maintained a 100% average audit score and managed an active caseload of 45-62 cases, collectively and independently worked with over 900 plan members.Coordinated services between Primary Care Physicians (PCP), specialists, medical providers, and non-medical staff. Assisted in development of chase logic.Reviewed, revised, and implemented training program to educate HEDIS nurses on NCQA measures. Executed HEDIS chase to evaluate health plans clinical and member engagement. Maintained a productivity level with less than a 5% error rate in record abstraction and overreading.

  • Case Manager III

    Feb 2019 - Jun 2021

  • Supervisor Complex Case Management

    Dec 2017 - Feb 2019

  • Case Manager

    Jun 2016 - Dec 2017

  • Quality Improvement Coordinator

    Nov 2015 - Jun 2016
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  Dignity Health

  Jul 2021 - now

  Manager Care Coordination

  Oversee daily operations of care coordination.Ensure efficient and compliant execution of case management functions, including staff performance management, departmental and employee performance improvement, and length of stay (LOS) reduction.Collaborate with other departmental managers, physicians, administrators, and community-based partners to ensure quality patient care and safe transitions of care.Directly manage 52 employees across three disciplines.