Experience

Portsmouth Regional Hospital - New Hampshire

• United States
• Hospitals and Health Care
• 300 - 400 Employee

• Director Of Case Management

  • Jan 2022 - Present



Wentworth-Douglass Hospital

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

• Manager of Case Management

  • Apr 2019 - Jan 2022

  Wentworth Douglass Hospital: Dover, NH  Manage a group of 25 to 30 nurses who perform discharge planning and utilization review tasks hospital wide  Monitor documentation quality and accuracy  Monitor utilization review activities to ensure CMS compliance and regulations are followed  Manage scheduling and staffing for both discharge planning and utilization review  Facilitate staff meetings for discharge planning and utilization review  Established and fostered excellent working relationships with area home health agencies and skilled nursing facilities  Support staff and perform both discharge planning and utilization review duties as staffing warrant’s  Work with department staff re-writing and updating discharge planning and utilization review processes Show less



Maine Medical Center

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

• Manager of Care Coordination and Discharge Planning

  • Jan 2012 - Apr 2019

  -Manage a group of 25 to 35 nurse care managers -Monitor documentation quality for department -Monitor utilization review activities for women/children service line as well as emergency room -Manage scheduling and staffing of care management department -Coordinate the quality and compliance for all ambulance transfers out of Maine Medical Center -Trained in Lean Management Key Accomplishments • Active member of MMC Magnet Committee • Brought Medicare ambulance medical necessity compliance from 85 to 97-100% • Active member of committee to establish protocols related to high risk labor admission orders • Member of “Reduction in Length of Stay” committee • Member of committee looking at difficult behavior patients Show less



Henrietta D Goodall Hospital

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

• Registered Nurse Manager of Utilization Review and Discharge Planning

  • Jan 2010 - Jan 2012

  -Oversaw discharge planning and assessment of 17 to 25 patients daily -Coordinated home health, community services, and transfers to acute care and skilled nursing facilities -Reviewed all inpatients using Milliman and InterQual criteria -Lead monthly Utilization Review Meetings Key Accomplishments -Maintained average length of inpatient stays at less than 2.7 days monthly, working closely with doctors, nurse practitioners, and physician assistants -Completed Milliman Care Guidelines education series and InterQual training -Co-started the RED (Re-engineered Hospital Discharge) Team, to analyze all hospital readmissions and develop plans solidly geared at keeping patients healthier and out of the hospital for longer periods of time. -Established and fostered excellent working relationships with area home health agencies and skilled nursing facilities Show less



Health Dialog Analytic Solutions Europe

• Wellness and Fitness Services
• 1 - 100 Employee

• Registered Nurse Manager

  • Nov 2005 - Jul 2009

  -Led team of 17-30 Registered Nurses (RNs) providing patients with telephonic health education, empathizing health promotion and prevention -Analyzed coverage needs and scheduled nurses to ensure adequate coverage -Monitored nurse productivity and quality averages to meet all performance requirements -Held individual meetings with each nurse to review productivity, quality, licenses, set goals, and motivate performance -Traveled to each of company’s seven offices to assist RNs in securing licenses in every U.S. state Key Accomplishments -Raised team productivity from 78 to 91 percent; quality average from 86 to 98 percent through individual goal-setting meetings and team meetings to review quality results and goals -Quality-monitored 300-650 medical files monthly -Developed staff training on the NCQA HEDIS Measures, how to address/meet these measures -Improved employee satisfaction from 78 to 90 percent, based on internal survey, by fostering communicative, team-focused environment and utilizing inclusive, collaborative leadership style -Played key role in establishing new office in Dallas, TX by facilitating three training classes with total of 130 staff and identifying/hiring leaders for management roles during training sessions -Reduced Portland Service Delivery department expenses by $150K -Enhanced system efficiency, productivity, and user-friendliness by developing, launching, and testing new computer documentation system, HDC3. -Partnered with fellow nurse managers to pilot new technique and develop training program that reached over 600 nurses; personally trained 100 of those nurses Show less



Southern Maine Health Care

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• RN Charge Nurse in Labor & Delivery, Maternity and Pediatrics

  • May 1999 - Nov 2005



Visiting Nurse Services of Southern Maine

• Sanford Maine

• RN/Maternal Child Health Case Manager and Prenatal Office Nurse

  • May 1991 - May 1999



Maine Medical Center

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

• RN/Charge Nurse in Maternity, Step Down Level 2 Nursery

  • May 1989 - May 1991