Maryellen Brock

Review medical records and assess the appropriateness, necessity, and efficiency of healthcare services

Communicate with healthcare providers to gather additional information as needed

Evaluate the patient's treatment plan and identify any potential gaps in care

Ensure that patients receive the most effective and cost-efficient care

Ensured that the requested durable medical equipment item,

procedure or therapy was covered under SC Medicaid guidelines

Clinical Assessment: Evaluated patient charts to identify mobility risks and determine medical necessity for specialized surfaces.

Account Support: Partner with sales and account teams to manage clinical and financial aspects of hospital accounts.

Quality & Compliance: Ensure adherence to medical and regulatory guidelines during product evaluations. [1]

Staff nurse on a medical surgical unit.

• Patient Assessments: Perform head-to-toe physical evaluations and monitor vital signs.
• Medications & Treatments: Administer prescribed medications, start IV lines, change surgical dressings, and manage medical equipment.
• Care Coordination: Collaborate with doctors, specialists, and therapists to implement and update patient care plans.
• Patient Education: Teach patients and their families about post-discharge care, new medications, and managing chronic conditions.
• Monitoring: Spot early signs of physical decline and respond quickly to changing patient needs. [1, 2, 3, 4, 5, 6]