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Credentials

  • certified case manager
    CCMC

Experience

    • Hospitals and Health Care
    • 1 - 100 Employee
    • Case Manager
      • Dec 2015 - Present
    • United States
    • Insurance
    • 700 & Above Employee
    • Utilization Review Nurse
      • Aug 2015 - Dec 2015
    • United States
    • Hospitals and Health Care
    • Manager, Discharge planning and utilization review
      • Aug 2013 - May 2015

      Supervise case managers in process of discharge planning and utilization review. Educate staff. Provide education to external agencies as well as internal customers.

    • Case Manager
      • Oct 2004 - May 2015

      Direct discharge plan for inpatients. Arrange after care in conjunction with patient's insurance/payor source. Assist with community resources. Concurrent review of inpatient charts for meeting criteria for inpatient stay. Provide review to private insurances. Communicate with physicians, therapists, and other health care team regarding patient status, discharge needs, and plans. Work with liaisons from outside facilities for placement of hospital inpatients. Denial reviews for RAC audits and private payors.

    • Certified Case Manager
      • Oct 2004 - Aug 2013

      CCM designation through CCMC

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Compliance Manager
      • Aug 1998 - Apr 2003

      Reviewed all charts for skilled care provided by all staff. Provided staff education for documentation, professional skills, quality improvement. Reviewed all charts for skilled care provided by all staff. Provided staff education for documentation, professional skills, quality improvement.

    • United States
    • Hospitals and Health Care
    • Compliance Manager
      • Aug 1998 - Apr 2003

Education

  • University of Northern Colorado
    Bachelor of Science (BS), Registered Nursing/Registered Nurse
    2009 - 2012
  • Oglala Lakota College
    AA, Nursing
    1987 - 1989

Community

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