Account Executive

• Aug 2021 - Present

System Director, Care Coordinators| Regional Director, Clinical Operations

• Nov 2018 - Aug 2021

Nurse Program Manager: Cleveland Clinic Narrow Networks

• Sep 2016 - Nov 2018

Provides clinical over site and management of network navigation operations and development of the Cleveland Clinic's Narrow Network Navigation Team

Manager Case Management

• Jun 2012 - Sep 2016

Nurse Clinical Manager, Home Health

• Sep 2009 - May 2012

managed a team of 21 interdisciplinary team members. Coordinated service delivery for a team with over two hundred and fifty skilled home care patients. Intrumental in development and implementation of new care delivery models, process mapping, and policy development.Meeting agency bugetary goals by increasing team efficiencies. Performance management and team coaching. Participation on an agency committee for acute care re-hospitalization identification and intervention development for skilled home health polulations. Instrumental in staff training analysis to facilitate training indentification and needs. Applied focus episodic management for Managed Care and Medicare populations receivingskilled home care services. Provided clinical and regulatory decision support for the clinical teams. Show less

Utilization Nurse Manager

• Jul 2006 - Sep 2009

Utilized clinical skills and evidenced based criteria to facilitate and coordinate services for patients across the continuum including: acute care, skilled nursing facilities, and home health venues for managed care populations. Provided supervision and oversight to LPN care management assistants. Provided clinical judgement and decisions fore prospective, concurrent, and retrospective review that are timely, appropriate and follow regulatory compliance of federal and state guidelines. Assess and assign length of stay for acute and post-acute patient admissions. Coordinated discharge planning needs and managed services for patient's receiving post-acute facility needs. Assessed and facilitated patient care referrals for health care services. Reviewed provider requests for health care services for precertification's according t specific client plan requirements. Participated in client service meetings for presentation of population trends and health care utilization practice. Show less

Mental Health, Cardiac Step Down, and PACU

• Dec 1998 - Apr 2007

Registered Nurse

• Dec 1998 - Aug 2006