Interim Director of Case Managment | RN, MSN, CCM Last Updated: November 15, 2017 (about 1 month ago)
Interim Director of Case Managment | RN, MSN, CCM
Immediately
Our candidate is a highly knowledgeable Case Management professional with over 10 years of experience at the Director level. She has worked in multiple health care settings including Acute Care, LTACH, SNF, Rehab, Behavioral Health, Workers Comp, and long-term care insurance. She specializes in utilization review, discharge planning and transitional care with care coordination. She’s adept in managing daily operations for the Case Management team while ensuring high quality outcomes with the coordination of care. We’ve verified her credentials and I’ve included excerpts from her references. When you’ve had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

REFERENCES & REVIEWS
• “She is very good with processes, designing and implementing them to achieve set goals.”
• “She possesses a unique set of qualifications, from clinical nursing to revenue cycle, and that gives her an advantage that really provides a huge benefit in being able to understand the big picture.”
• “She is an excellent collaborator, she ran two departments successfully and she's very good at collaborating with all team members.”
• “She started a centralized site coordination center, got it up and running, staffed, completed training and made sure the center was integrated seamlessly.”
• “She implemented a number of new procedures including "real time eligibility", allowing for information verification within 24 hours of admission.”

• Manages daily operations, budget planning, employee relations, staff training, staff productivity, performance appraisals, policy management compliance with regulatory requirements, denials, and appeals
• Successfully merged a Utilization Review department and Social Services department to create Case Management for a 240-bed acute care hospital
• Implemented a care coordination model change that added interdisciplinary rounds to each unit
• Served on the ED Redesign team and implemented an entirely new ED process and renovation to improve throughput
• Built a centralized patient advocacy program
• Promoted interdisciplinary collaboration, fostering teamwork and interfaced with physicians, nurses, social workers, medical records staff, and administration
• Transistion of Care
• Case Management
• Medical Auditing
• Utilization Management
• Quality / Process Improvement
• Change Management
• Denial Management
• Care Coordination
• Length of Stay Reduction
• Staff Assessment
• Emergency Department redesign
• Patient Access
• Director of Care Management | 500+ bed acute care hospital
• Director of Case Management & Patient Access | 200+ bed acute care hospital
• Supervisor of Case Management | 150 bed acute care hospital
• Master of Science in Nursing – Case Management (MSN)
• Registered Nurse (RN)
• Certified Case Manager (CCM)

Resume Content

Title:

Interim Director of Case Managment | RN, MSN, CCM

Date Available:

Immediately

Summary:

Our candidate is a highly knowledgeable Case Management professional with over 10 years of experience at the Director level. She has worked in multiple health care settings including Acute Care, LTACH, SNF, Rehab, Behavioral Health, Workers Comp, and long-term care insurance. She specializes in utilization review, discharge planning and transitional care with care coordination. She’s adept in managing daily operations for the Case Management team while ensuring high quality outcomes with the coordination of care. We’ve verified her credentials and I’ve included excerpts from her references. When you’ve had a chance to review the details below, please email or give me a call to discuss this outstanding interim professional.

REFERENCES & REVIEWS
• “She is very good with processes, designing and implementing them to achieve set goals.”
• “She possesses a unique set of qualifications, from clinical nursing to revenue cycle, and that gives her an advantage that really provides a huge benefit in being able to understand the big picture.”
• “She is an excellent collaborator, she ran two departments successfully and she's very good at collaborating with all team members.”
• “She started a centralized site coordination center, got it up and running, staffed, completed training and made sure the center was integrated seamlessly.”
• “She implemented a number of new procedures including "real time eligibility", allowing for information verification within 24 hours of admission.”

Qualifications & Achievements:

• Manages daily operations, budget planning, employee relations, staff training, staff productivity, performance appraisals, policy management compliance with regulatory requirements, denials, and appeals
• Successfully merged a Utilization Review department and Social Services department to create Case Management for a 240-bed acute care hospital
• Implemented a care coordination model change that added interdisciplinary rounds to each unit
• Served on the ED Redesign team and implemented an entirely new ED process and renovation to improve throughput
• Built a centralized patient advocacy program
• Promoted interdisciplinary collaboration, fostering teamwork and interfaced with physicians, nurses, social workers, medical records staff, and administration

Expertise:

• Transistion of Care
• Case Management
• Medical Auditing
• Utilization Management
• Quality / Process Improvement
• Change Management
• Denial Management
• Care Coordination
• Length of Stay Reduction
• Staff Assessment
• Emergency Department redesign
• Patient Access

Experience:

• Director of Care Management | 500+ bed acute care hospital
• Director of Case Management & Patient Access | 200+ bed acute care hospital
• Supervisor of Case Management | 150 bed acute care hospital

Education:

• Master of Science in Nursing – Case Management (MSN)
• Registered Nurse (RN)
• Certified Case Manager (CCM)

Contact Candidate

  • Featured Candidate Information Request Form