Interim Director of Case Management | MSN, MBA, RN, CCM Last Updated: April 11, 2018 (15 days ago)
Interim Director of Case Management | MSN, MBA, RN, CCM
Currently Available
Leadership & Acute Care Experienced

Galileo Search is representing a highly experienced professional skilled in utilization review, medical auditing, and clinical practice with knowledge of insurance regulations, standards, laws, policies and HIPAA requirements. She is an excellent communicator who is very comfortable interfacing with all staff levels and believes in promoting the mission and values of the organization she is representing. 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

• “When something needed attention, she was very fast to act. She believes in team involvement and is very open and honest in her management style.”
• “Before she joined us, there was a lot of turnover. She helped to stabilize the staff. She knows how to hire, train and motivate her staff."
• "She showed transparency in all aspects of business and encouraged input from staff. Her employees would readily share knowledge and information with each other that would benefit the department."

• Implements strategies to facilitate timely and appropriate admissions, discharge planning, and transitions of care
• Educates physicians and hospital administration of ongoing regulatory changes and requirements
• Collaborates with the Business Office and Health Information Management for billing and coding accuracy as well as reimbursement and denials management
• Measures, analyzes, and reports outcome data
• Collaboratively identifies opportunities for improvement and education related to cost effective resource consumption and fiscal responsibility
• Oversees performance improvement initiatives
• Establishes processes to ensure appropriate and timely physician admission status orders
• Experienced in Studer Best Practices
• Develops and institutes structured processes to guides patients through an appropriate system of care, to include the identification of their future ‘medical home’, and provider of health and wellness needs
• Effective communicator with a variety of internal and external stakeholders; physicians, nurses, social workers, medical records, administration, and outside agencies
• Discharge Planning
• Patient Advocacy
• Case Management Methodologies
• Community Resources
• Reimbursement
• Utilization Review
• Interim Director of Case Management | 250+ Bed Acute Care Hospital
• Interim Manager of Care Coordination | 350+ Bed Acute Care Hospital
• Interim Regional Director Case Management | 140+ Bed Acute Care Hospital & CAH
• Interim Director Case Management | 240+ Bed Acute Care Hospital
• Director of Case Management | 580+ Bed Acute Care Hospital
• Master of Science in Nursing (MSN)
• Master of Business Administration (MBA)
• Registered Nurse (RN)
• Certified Case Manager (CCM)

Resume Content

Title:

Interim Director of Case Management | MSN, MBA, RN, CCM

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

Galileo Search is representing a highly experienced professional skilled in utilization review, medical auditing, and clinical practice with knowledge of insurance regulations, standards, laws, policies and HIPAA requirements. She is an excellent communicator who is very comfortable interfacing with all staff levels and believes in promoting the mission and values of the organization she is representing. 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

• “When something needed attention, she was very fast to act. She believes in team involvement and is very open and honest in her management style.”
• “Before she joined us, there was a lot of turnover. She helped to stabilize the staff. She knows how to hire, train and motivate her staff."
• "She showed transparency in all aspects of business and encouraged input from staff. Her employees would readily share knowledge and information with each other that would benefit the department."

Qualifications & Achievements:

• Implements strategies to facilitate timely and appropriate admissions, discharge planning, and transitions of care
• Educates physicians and hospital administration of ongoing regulatory changes and requirements
• Collaborates with the Business Office and Health Information Management for billing and coding accuracy as well as reimbursement and denials management
• Measures, analyzes, and reports outcome data
• Collaboratively identifies opportunities for improvement and education related to cost effective resource consumption and fiscal responsibility
• Oversees performance improvement initiatives
• Establishes processes to ensure appropriate and timely physician admission status orders
• Experienced in Studer Best Practices
• Develops and institutes structured processes to guides patients through an appropriate system of care, to include the identification of their future ‘medical home’, and provider of health and wellness needs
• Effective communicator with a variety of internal and external stakeholders; physicians, nurses, social workers, medical records, administration, and outside agencies

Expertise:

• Discharge Planning
• Patient Advocacy
• Case Management Methodologies
• Community Resources
• Reimbursement
• Utilization Review

Experience:

• Interim Director of Case Management | 250+ Bed Acute Care Hospital
• Interim Manager of Care Coordination | 350+ Bed Acute Care Hospital
• Interim Regional Director Case Management | 140+ Bed Acute Care Hospital & CAH
• Interim Director Case Management | 240+ Bed Acute Care Hospital
• Director of Case Management | 580+ Bed Acute Care Hospital

Education:

• Master of Science in Nursing (MSN)
• Master of Business Administration (MBA)
• Registered Nurse (RN)
• Certified Case Manager (CCM)

Contact Candidate

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