Experience

Phoenix Medical Management, Inc

• Associate Consultant

  • Feb 2014 - Present

  Since 1994, our seasoned team of consultants and educators has helped hospitals strengthen their existing case management programs, re-invent their case management programs, and provide hospital-wide education on the practice of hospital case management. Our collective hospital experience brings expertise to the table in hospital operations, case management leadership, healthcare education and strategic planning to deliver beginning-to-end solutions.Lisa has an outstanding track record… Since 1994, our seasoned team of consultants and educators has helped hospitals strengthen their existing case management programs, re-invent their case management programs, and provide hospital-wide education on the practice of hospital case management. Our collective hospital experience brings expertise to the table in hospital operations, case management leadership, healthcare education and strategic planning to deliver beginning-to-end solutions.Lisa has an outstanding track record of acute care case management leadership. She expanded her skill set to include designing programs that centrally integrate care coordination activities between the hospital and its post acute partners. As the Clinical Resource Management Director at a former Tennessee client, Lisa is a proud booster of a contemporary, progression of care model and facilitated its maturation since 2006 across the system's three acute care facilities. Subsequently, as the Director of Care Management/St. Louise Outpatient Clinic at St. Thomas Health, a member of Ascension Health in Murfreesboro, Lisa captured opportunities to standardize processes and workflow to generate measurable care coordination success for the network. She is accustomed to using data to drive change and improvement and is a pro-active problem-solver on behalf of the client's many stakeholders. Show more Show less



Independent Healthcare Consultant

• Healthcare Consultant

  • Feb 2014 - Present

  Lisa has incorporated her expertise as a Director of Case Management/St. Louise Outpatient Clinic and healthcare consulting to assist organizations transform their case management and transition of care programs. Lisa promotes a patient-centered, outcome-driven business model of healthcare. •Robust analysis of current program outcomes and functions, Lisa develops a comprehensive current state report with recommendations for an advanced case management program redesign. •Develops… Lisa has incorporated her expertise as a Director of Case Management/St. Louise Outpatient Clinic and healthcare consulting to assist organizations transform their case management and transition of care programs. Lisa promotes a patient-centered, outcome-driven business model of healthcare. •Robust analysis of current program outcomes and functions, Lisa develops a comprehensive current state report with recommendations for an advanced case management program redesign. •Develops customized detailed implementation plans with organizations. •Provides coaching and mentoring services through the program transformation process.•Teaches educational programs to physicians, leadership and hospital departments. •Other services include: Transition of care enhancement, professional and leadership development, and interim management. Show more Show less



St. Thomas Rutherford a member of Ascension Health

• DIRECTOR OF ST. LOUISE CLINIC

  • Dec 2011 - Aug 2013

  Direct staffing and patient care functions for outpatient clinic serving 500 under and uninsured adult and OB/GYN patients each month. Negotiate patient services with physicians and community healthcare providers. Contribute to marketing and public relations efforts. Develop and manage $500K annual budget. Lead 11-person team including nurse practitioners, nurses, clerical staff, and clinic manager.* Drove down ER visits for both psychosocial and medical issues by opening this new clinic… Direct staffing and patient care functions for outpatient clinic serving 500 under and uninsured adult and OB/GYN patients each month. Negotiate patient services with physicians and community healthcare providers. Contribute to marketing and public relations efforts. Develop and manage $500K annual budget. Lead 11-person team including nurse practitioners, nurses, clerical staff, and clinic manager.* Drove down ER visits for both psychosocial and medical issues by opening this new clinic and developing outpatient access to social services with visits reach 300 annually.* Achieved zero infant mortality rate among OB patient population since clinic’s inception in 2011.* Impacted women’s health and wellness by developing woman’s wellness group that provided mobile mammography services to 30 women each quarter. Show more Show less



St. Thomas Rutherford (previously Middle Tennessee Medical Center)

• DIRECTOR OF CARE MANAGEMENT

  • May 2007 - Aug 2013

  Direct all facets of care management including patient throughput, discharge planning, reimbursement, quality and compliance audits, medical record reviews, case management reviews, revenue cycle support, and physician, community, and patient relations. Facilitate utilization review committee and serve on corporate compliance, revenue cycle, and quality and ethics committees. Lead 30-member team of case managers, utilization review nurses, social workers, stroke coordinator, and clerical staff.… Direct all facets of care management including patient throughput, discharge planning, reimbursement, quality and compliance audits, medical record reviews, case management reviews, revenue cycle support, and physician, community, and patient relations. Facilitate utilization review committee and serve on corporate compliance, revenue cycle, and quality and ethics committees. Lead 30-member team of case managers, utilization review nurses, social workers, stroke coordinator, and clerical staff. Develop and manage three separate budgets totaling $1.5M.* Decreased hospital LOS by 1.0 days by educating and presenting data to hospitalist program, customizing and implementing eDischarge software program (Curaspan), and revamping case management/utilization review process.* Cut ED wait times from 4.5 to less than 3 hours as member of multidisciplinary task force.* Transformed department from 100% manual paper processes to 80% paperless by developing electronic documentation system, MIDAS.* Standardized criteria application and reduced error rates to less than 1% by developing and implementing McKesson InterQual Criteria system.* Delivered 2%+ reduction in insurance payor denials by developing interdisciplinary workflow system.* Achieved and maintained 90%+ retention rate through period of department growth from 8 to 21 at peak.* Enhanced revenue cycle and reduced billing queries to case management department to less than 10 per month by leading Lean and Kaizen events in concert with revenue cycle.* Orchestrated department’s successful relocation to new hospital facility.* Achieved 80% electronic order entry rate among physicians as member of team that standardized physician orders and implemented electronic order entry.* Lowered overtime among utilization review staff by ~2% through Lean initiative.* Contributed to organization’s recognition for commitment to excellent and continuous improvement with Excellence in Tennessee’s Commitment Award. Show more Show less



Middle Tennessee Medical Center

• TEAM LEAD FOR CASE MANAGEMENT

  • Jul 2005 - May 2007

• CRITICAL CARE CASE MANAGER

  • Jul 2000 - Jul 2005



ABC Home Health

• Clinical Supervisor

  • May 1993 - Aug 1994

  Provided expert leadership to a team of RNs, LPNs, and CNAs to provide excellent care in the home care setting. Performed in home care and weekend coverage in addition to my supervisory role.



Visiting Nurse Association

• Charge Nurse, Greenville Branch Office

  • Sep 1989 - Apr 1993

  Opened new branch office for the Visiting Nurses in Greenville, Illinois.



St. Mary’s Hospital

• Staff Nurse, Med/Surg and Critical Care

  • May 1984 - Sep 1989

  Provided high quality bedside nursing care. Advanced from a staff nurse to a charge nurse during my career at St. Mary's