Interim Case Management / Utilization Review Consultant | DNP, RN Last Updated: June 20, 2018 (26 days ago)
Interim Case Management / Utilization Review Consultant | DNP, RN
Currently Available
Leadership & Acute Care Experienced

Outstanding Case Management professional with over 20 years of clinical experience that includes Case Management, Inpatient Rehabilitation, and Education. She is a hands-on, “boots on the ground” contributor who possesses expertise in quality process improvement. She is skilled in utilization review, medical auditing, and clinical practice. Her knowledge includes insurance regulations and standards, including MOON compliance, laws, policies, and HIPAA requirements.

References & Reviews

• “She really focuses on what's best for the patient, she's a communicator and an educator.”
• “She has excellent verbal communication skills and makes sure everyone understands her expectations.”
• “She has a strong leadership style based on what's best for the patient.”
• “She shared the organizational mission, set goals, and served as a resource to her team”

• Implemented quality improvement process for patient throughput and barrier rounding with multidisciplinary team
• Achieved average length of stay on Medical Telemetry Unit of 3. 8 days
• Developed education tools for patients, families, communities, case managers, and physicians on services provided
• Established collaboration with physicians and staff to improve time management with patient care and throughput to reduce the length of stay
• Collaborated with Director to trend, evaluate, and develop a process to improve patient flow in outpatient areas and direct admissions
• Develops and implements effective Case Management programs
• Establishes sustainable plans for ED Case Management
• Develops and implements new policies & procedures
• Collaborates with insurance providers to deliver appropriate level care for patients
• Quality Improvement
• Process Development
• Budget Planning & Implementation
• Policy & Program Development
• Compliance Reporting
• Strategic Planning
• Team Building
• Scheduling & Payroll
• Utilization Review
• Discharge Planning
• Interim Director of Case Management | 45 Bed Critical Access Hospital
• Director of Care Management | 60 Bed Acute Care Hospital
• Case Manager | 400 Bed Acute Care Hospital
• Doctor of Nursing Practice (DNP)
• Registered Nurse (RN) - Compact License

Resume Content

Title:

Interim Case Management / Utilization Review Consultant | DNP, RN

Date Available:

Currently Available

Summary:

Leadership & Acute Care Experienced

Outstanding Case Management professional with over 20 years of clinical experience that includes Case Management, Inpatient Rehabilitation, and Education. She is a hands-on, “boots on the ground” contributor who possesses expertise in quality process improvement. She is skilled in utilization review, medical auditing, and clinical practice. Her knowledge includes insurance regulations and standards, including MOON compliance, laws, policies, and HIPAA requirements.

References & Reviews

• “She really focuses on what's best for the patient, she's a communicator and an educator.”
• “She has excellent verbal communication skills and makes sure everyone understands her expectations.”
• “She has a strong leadership style based on what's best for the patient.”
• “She shared the organizational mission, set goals, and served as a resource to her team”

Qualifications & Achievements:

• Implemented quality improvement process for patient throughput and barrier rounding with multidisciplinary team
• Achieved average length of stay on Medical Telemetry Unit of 3. 8 days
• Developed education tools for patients, families, communities, case managers, and physicians on services provided
• Established collaboration with physicians and staff to improve time management with patient care and throughput to reduce the length of stay
• Collaborated with Director to trend, evaluate, and develop a process to improve patient flow in outpatient areas and direct admissions
• Develops and implements effective Case Management programs
• Establishes sustainable plans for ED Case Management
• Develops and implements new policies & procedures
• Collaborates with insurance providers to deliver appropriate level care for patients

Expertise:

• Quality Improvement
• Process Development
• Budget Planning & Implementation
• Policy & Program Development
• Compliance Reporting
• Strategic Planning
• Team Building
• Scheduling & Payroll
• Utilization Review
• Discharge Planning

Experience:

• Interim Director of Case Management | 45 Bed Critical Access Hospital
• Director of Care Management | 60 Bed Acute Care Hospital
• Case Manager | 400 Bed Acute Care Hospital

Education:

• Doctor of Nursing Practice (DNP)
• Registered Nurse (RN) - Compact License

Contact Candidate

  • Featured Candidate Information Request Form