Experience

Lower Keys Medical Center

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• • Jun 2018 - Present

  Oversee the Case Management . Administrative oversight of the KPHA.

• • Mar 2017 - Jun 2018

  Collaborative model, performing discharge planning and utilization review.Internal reviewsMIDAS documentation system



AMN Healthcare

• United States
• Staffing and Recruiting
• 700 & Above Employee

• RN Case Manager

  • Aug 2015 - Mar 2017

  Care Managers perform the job per the directive and system design of the institution. Nov 2016-Feb 2017 Havasu Regional Medical Center Lake Havasu City, AZ Performed admission assessments and execution of tasks (50 %). Performed admission and concurrent reviews in Interqual (50%). Physician-Social Worker-Care Manager teams. 170 bed facility. Med Host documentation system. Morrisey UR platform. April 2016-July 2016. Florida Hospital Heartland Sebring, FL. Performed admission/discharge assessments and execution of tasks (50 %). Performed admission and concurrent reviews in Interqual (50%). Physician-Social Worker-Care Manager teams. 170 beds Regional referral hospital. Cerner Powerchart documentation system. Aug 2015-Nov 2015 Good Samaritan Hospital in Puyallup, WA.Performed admission assessments, and discharge planning & execution of tasks (100%). Physician-Case Manager-Social Work teams 260 beds EPIC documentation system Show less



Cross Country Nurses

• United States
• Staffing and Recruiting
• 700 & Above Employee

• RN Case Manager

  • Nov 2015 - Feb 2017

  Case managers perform the job per the directive and system design of the institution. Dec 2015- Mar 2016 Baylor Scott & White Hospital in Temple, TX Performed admission assessments in Interqual. Physician Advisor-Case Manager teams 550 beds. EPIC documentation system Case managers perform the job per the directive and system design of the institution. Dec 2015- Mar 2016 Baylor Scott & White Hospital in Temple, TX Performed admission assessments in Interqual. Physician Advisor-Case Manager teams 550 beds. EPIC documentation system



St. Gregory Recovery Center

• United States
• Mental Health Care
• 1 - 100 Employee

• Utilization Review Specialist

  • Jul 2016 - Nov 2016

  Temporary Contract position. UR for the 3 Iowa Medicaid MCOs, and limited commercial insurance and private pay. Limited admission intake. Welligent and Google Docs computer documentation system. Temporary Contract position. UR for the 3 Iowa Medicaid MCOs, and limited commercial insurance and private pay. Limited admission intake. Welligent and Google Docs computer documentation system.



MercyOne

• United States
• Hospitals and Health Care
• 700 & Above Employee

• • 1991 - May 2016

  Provide direct patient care to critically ill and injured adult patients.The unit is focused on trauma, neurological/neurosurgical and medical conditions.

• • 2001 - 2005

  As the director of the TVU, was instrumental in starting a new nursing unit. TVU management successes include generating a large cost savings to the hospital, and increasing the availability of critical care beds.Achieved above average and superior Press Ganey scores.Recruited and trained all 11 fulltime staff. 50% of the staff is still employed in the unit. Our team trained and verified proficiency for 30 flex staff nurses in the care of a ventilator patient. Implemented the care model, and appropriate staffing patterns, for the client base. Coordinated weekly care conferences principles within a collaborative and interdisciplinary practice setting.Taught health promotion and prevention strategies to patients and caregivers to learn management of chronic illnesses. Length of stay and most effective level of care metrics were identified and reported to the Vice President and Medical Director. After assuming oversight of the telemetry unit, the need for two new positions was identified. Mentored and trained the newly hired telemetry supervisors. Asured policies from federal, state and at the institution-level were adhered to by nursing and support staff members. The two units had minimal deficiencies during the JCAHO inspections. Served on hospital committees (respiratory care, Shared Governance etc) Show less

• • 2000 - 2001

  Performed the customary tasks and skills of a manager including budget application, staffing, counseling, data collection, data evaluation, and interventions with families.

• • 1997 - 2000

  Bridged the gap between the family needs, and the critical care environment. Oversaw care coordination meetings with families, physicians, social workers and other stakeholders. Collected and presented data on care issues to the manager.



Select Specialty Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Case Manager

  • Jun 2014 - Jul 2015

  Select Specialty is an LTAC, with a max census of 30 patients. Case managers are responsible for admission assessments, and weekly team discharge planning meetings. In addition to case management, areas of responsibility are utilization review, meeting CMS discharge dates, and financial management of cases. Collaborate with physicians and all disciplines on chronically critically/medically complex patients. Coordinate interdisciplinary team meetings for medically complex patients. Modified Milliman criteria. Show less



STERLING MEDICAL, LLC

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Case Manager, Registered Nurse

  • 2008 - Jun 2014

  Civilian contractor for the National Guard. Prepare medical documents for medical review and decision. Bridge the gap between the unit and Soldier and the medical standards. Educate readiness Sergeants and Commanders on health conditions of their Soldiers, and the impact on civilian lives and military career. Assist Soldiers in identifying and obtaining health care resources. Gather and report metrics to the staff, supervisor and contract holder. One of the first tasks 4 years ago, was to assess appropriate metrics to track. These measures are now used by our contractors to report to National Guard Bureau (NGB). Medical readiness measure for the IANG has improved from 25% to 81%. Identify and implement process improvement strategies Show less



ENCOMPASS (now Telligen)

• Wes Des Moines, IA

• Manager Utilization Review, Registered Nurse

  • 2005 - 2008

  ENCOMPASS is the division of the Iowa Foundation for Medical Care that provides case management and utilization review services to insurance clients. Oversaw approximately 50 direct reports. The client base included small companies with self-funded insurance, up to a large municipality. Responsible for 16 insurance industry business clients. The size of the businesses ranged from 300 to 200,000 covered lives. Performed the customary tasks and skills of a manager including budget application, staffing, counseling, data collection, data evaluation, presentations to clients, defense of physican decisions and trouble-shooting clien issues. Identified and implemented process improvement strategies, to include committee hiring processes and individual’s tracking of performance measures. Over 2 years, the attrition of the client base remained less than ten percent. Monthly, quarterly and annual reports were prepared with zero defects, and presented to the clients. Outside agencies and insurance clients utilized the quarterly and annual reports for predictive modeling for future health care expenditures. During my tenure the staff engagement scores increased, by implementing programs to include employee hiring by staff member committees and monthly staff progress reviews. Show less



CIC Associates

• Des Moines, IA

• Registered Nurse

  • 2004 - 2007

  Triaged priority calls for physicians. Reviewed and annotated documentation for physicians during hospital rounds. Triaged priority calls for physicians. Reviewed and annotated documentation for physicians during hospital rounds.



UnityPoint Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Flight Paramedic

  • Jul 1981 - Sep 2005

  Provided care to critically ill and injured adults during air transport. First 4 years as a volunteer Provided care to critically ill and injured adults during air transport. First 4 years as a volunteer



MercyOne

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Pre-hospital Skills Evaluator

  • 1981 - 1990

  Educated and evaluated pre-hospital care providers on hands-on skills. Educated and evaluated pre-hospital care providers on hands-on skills.