Martha Melinda Hebron

As a seasoned Hospice Outpatient Nurse Case Manager with extensive experience in hospice care (8 yrs) and case management (17 yrs), I excel in developing and implementing individualized care plans, coordinating multidisciplinary teams, and providing compassionate patient support. Proficient in triaging patient needs, conducting HEDIS reviews, and managing chronic conditions like diabetes and hypertension, I bring a wealth of knowledge in health insurance case review, utilization management, and telephonic patient support. Skilled in InterQual and Milliman criteria, I ensure accurate utilization review and medical necessity determinations, alongside expertise in ventilator management, medication administration, and critical care interventions. My commitment lies in delivering high-quality, patient-centered care while maintaining compliance standards.