Experience

MemorialCare Medical Group
• United States
• Hospitals and Health Care
• 100 - 200 Employee
• Manager, Case Management

  • Mar 2014 - Present


Nautilus Healthcare Management Group, subsidiary of Memorial Care Medical Foundation

• • Jun 2011 - Present

  Manager of Utilization and Case Management activity.

• • Oct 2009 - Jun 2011



ST. JUDE MEDICAL CENTER

• United States
• Medical Practices
• 1 - 100 Employee

• Case Manager

  • Apr 2001 - Sep 2009

  Partnered with Nursing Manager in assessing patients for appropriateness and coordinating admission arrangements. Administered facilitation of direct admissions from physician offices, transfers from other facilities and clinical review of direct and emergency admissions. Assured placement at appropriate care level, inpatient or observation status along with insurance coverage review. Coordinated care delivery with doctors, bed control, emergency, nursing units, admitting and insurance verifiers. Served as Chairperson of facility committees. Trained staff in best practices. Collected data for quality improvement projects. Expanded program by developing referral base from local facilities. Administered oversight of difficult cases as directed by Department manager. Show less



Presbyterian Intercommunity Hospital

• United States
• Medical Practices
• 1 - 100 Employee

• • Feb 1994 - Apr 2001

• • Jan 1994 - Jan 2001

  Oversaw all facets of case management and social work services for inpatient rehabilitation service. Administered intake assessments for Transitional Care Unit. Provided supervisory backup for Administrative Director of Acute Rehabilitation and Transitional Care. Monitored intake assessments, admission decisions and psychosocial assessments. Administered on-going case management activities including family, physician referral source and payer source liaison along with discharge planning. Assisted with program evaluation and development, quality improvement, monitoring of outcome data and review along with measuring patient/family satisfaction. Represented hospital in public and professional presentations, assisted with marketing activities/events, participated in family practice residency training program and facilitated stroke survivor/caregiver support programs. Acted in varied roles as Relief Case Manager in medical, surgical and emergency care centers along with Show less