Annmarie E. Cadette
Miramar,USA
Summary
Dynamic clinical professional with extensive experience in utilization management and patient safety. Proven track record in optimizing care coordination, implementing evidence-based practices, and enhancing staff training to improve patient outcomes and compliance.
Overview
39
39
years of professional experience
1
1
Certification
Work History
Utilization Manager, National Clinical Instructor
Veterans Health Administration
Miami, Florida
09.2019 - Current
- Conducted clinical reviews for all admitted acute admissions to determine appropriate LOC and minimize service overuse.
- Educate on InterQual evidence base application.
- Perform annual training throughout the Industry on Utilization Management.
- Trained staff on best practices for utilization management processes to ensure consistent adherence to standards.
- Mentored and supported new employees during onboarding to enhance their integration and understanding of processes.
Utilization Review Nurse
Memorial Hospital
Miramar, Florida
01.2003 - 06.2020
- Collaborated with healthcare teams to ensure compliance with insurance guidelines.
- Communicated effectively with patients regarding utilization review processes and decisions.
- Documented findings and recommendations in electronic health record systems accurately.
- Coordinated with case managers to optimize patient care and resource utilization efficiently.
Patient Safety Specialist
Miami VA
Miami, Florida
01.2019 - 09.2019
- Reviewed patient occurrences to identify trends and recommend improvements.
- Solicited feedback from department manager on compliance and opportunities for policy enhancement.
- Reviewed and amended policies and procedures based on identified gaps.
- Enforce a Health Care Reliability (HRO) approach to incorporate stakeholders in transforming to best practices.
- Monitored patient safety incidents to identify trends and improve protocols.
- Conducted regular safety audits to ensure compliance with regulations and policies.
- Analyzed data from safety reports to recommend process improvements and solutions.
Health Care Risk Manager
Broward Health Coral Springs
Coral Springs, Florida
05.2016 - 01.2019
- Reviewed reported occurrences for facility cause analysis and implemented processes to prevent future occurrences.
- Analyzed health care SOPs and policies to identify improvements, mitigating risks and injuries to patients, staff, and visitors.
- Reviewed operational policies for alignment with federal and governmental regulations.
- Created educational materials to promote safe practices in health care settings.
ER Case Manager
North Shore Hospital
Miami, Florida
06.2010 - 05.2016
- Coordinated care by identifying discharge needs for admitted patients to ensure smooth transitions.
- Identified transitions of care that incorporated safety standards and met compliance guidelines.
- Advocated for patients by providing education on health management strategies.
- Supplied educational materials to patients and families during consultations.
- Reviewing and applying criteria for admission and coordinating discharge.
Case Manager Nurse
Broadspire
Plantation, Florida
01.1993 - 01.2010
- Advocated for client needs and navigated complex systems on their behalf.
- Educated clients on available resources and support services in the community.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Humana Clinic
Miami, Florida
01.1989 - 12.2002
- Patient assessment
- Labs
- EKG
- Chemo administration
- Urgent care RN
- Wound care
- IV administration
Registered Nurse
Hollywood Medical Center
Hollywood, Florida
01.1987 - 12.1993
- Administered medications and monitored patient vitals during shifts.
- Collaborated with healthcare teams to develop care plans for patients.
- Educated patients and families on treatment options and health management.
- Assisted in surgical procedures while maintaining sterile environments.
- Documented patient information accurately in electronic health records systems.
- Trained new nursing staff on protocols and hospital procedures effectively.
- Responded promptly to emergencies, utilizing critical thinking and quick actions.
Education
MBA - HCM
Phoenix University
01-2006
BSN -
Long Island University School of Nursing
05-1985
Skills
- Utilization management
- Care coordination
- Health policy review
- Patient advocacy
- Evidence-based practice
- Clinical training
- Effective communication
- Team leadership
- Process improvement
Personal Qualities
Efficient in work principles, Ambitious, Enthusiastic, Working independently, Excellent people skills, Proactive, Goal oriented, Ability to enhance customer engagement, Fulfilling obligations, Microsoft Word, Excel, PowerPoint
Accomplishments
- Listed in the Hospital News for Outstanding case management publication 10/2014, Recommended for IQCI of the Year for VISN 8, Recognized by Patient Safety for Good Catch
Certification
- MBA /HCM, LHCRM, CCM, CICI, BSN
Timeline
Utilization Manager, National Clinical Instructor
Veterans Health Administration
09.2019 - Current
Patient Safety Specialist
Miami VA
01.2019 - 09.2019
Health Care Risk Manager
Broward Health Coral Springs
05.2016 - 01.2019
ER Case Manager
North Shore Hospital
06.2010 - 05.2016
Utilization Review Nurse
Memorial Hospital
01.2003 - 06.2020
Case Manager Nurse
Broadspire
01.1993 - 01.2010
Humana Clinic
01.1989 - 12.2002
Registered Nurse
Hollywood Medical Center
01.1987 - 12.1993
MBA - HCM
Phoenix University
BSN -
Long Island University School of Nursing