Experience

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  Appalachian Regional Healthcare Systems

  • System Director Policy Review and Development

    • Aug 2011 - Present

    Review current policies and procedures for compliance with regulatory and accrediting agencies.Coordinate the development and approval of policies and publications for the healthcare systemPerformed search for electronic policy management system, did business plan and proposal for approval of web based system. Obtained system and implemented the system in a ten facility healthcare system.

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  Appalachian Regional Healthcare

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

  • Director Employee Health and Wellness

    • Nov 2008 - 2011

    Coordinate Employee Health and Wellness initiatives.Manage Short Term Disabilty Benefits for employeesWorkforce DevelopmentCase Manage Workers Compensation Benefits and ClaimsManage Occupational Health New Hire, fit for duty and return to work processCase Management of disability retirement application process,

  • Director of Care Management

    • Mar 2003 - Nov 2008

    Directed Case Managment, Utilization Review and Social Service at System LevelDeveloped Policies and Procedures for area assignedDeveloped program to improve quality of care Integrated documentation improvement program into current processMonitored length of stay, denials, medical necessity, use of InterQual Criteria Provided training in Case Management, InterQual Criteria and updates required by third party payersKept abreast of regulatory and accreditating requirements.Served as a consultant in assigned areas and other revenue cycle improvement areasEducated on upcoming RAC, MAC and other focus reviewsImplemented a Physician Advisor Company to enhance the case management process.Developed avoidable days tracking mechanism

  • Utilization Manager

    • Jul 2001 - Mar 2003

    Directed Case Managment, Utilization Management, Documentation Improvement Program at 308 bed acute care medical and psychiatric facility.Managed 14 employeesserved as team member of revenue cycle team