Barbara McGranahan
Dover,NH
Summary
Results-driven RN Case Manager with a forward-thinking approach focused on client satisfaction and organizational success. Consistently contributes to the development of high-performing teams with a proven track record of collaborative participation, enhancing team dynamics and achieving goals. Earned CCMC Case Manager certification in 2012, demonstrating expertise despite limited initial discharge planning experience. Adept at educating, motivating, and supporting staff members, patients, and families through complex transitions, fostering positive outcomes and seamless adjustments.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Business Owner/Contractor, Life Style Strategist
All About Lifestyle
Dover, NH
01.2019 - Current
- Services (fitness, wellness, and dance) and products to promote a healthy lifestyle, positive mindset, and spiritual balance: Group Fitness Instructor at local residential facilities and Adult Education Enrichment Programs; private client in-home coaching; Group/ Private Ballroom and Latin Dance Instruction
- Developed tailored lifestyle solutions to enhance customer satisfaction and engagement.
- Implemented marketing strategies to increase brand visibility and attract diverse clientele.
UPIC for Midwest Region, Medical Reviewer III
Covent Bridge Group
Dover, NH
02.2021 - 05.2021
- Remote Medical Claims review for fraud, waste, and abuse in the Medicare/Medicaid Insurance Programs
- Reviewed MAC-selected clinical record documentation to ensure compliance with regulatory standards.
- Evaluated safety and efficacy data, providing detailed feedback for improvement.
- Collaborated with cross-functional teams to streamline review processes and enhance efficiency.
Utilization Management Reviewer
MedPartners (AMN Staffing)
Portsmouth, NH
09.2018 - 04.2019
- Remote review of adult hospital admissions for Washington, DC hospital experiencing case management staffing transition. Averaged 20 case reviews per day.
- Supported the daily operations of UM through data entry of initial and concurrent medical record review, collaboration with attending physicians and discharge planners; interaction with internal and external healthcare directors, physician advisors, reimbursement case managers.
- Collaboration with attending physician and physician advisors about Maryland Medicaid denial process.
Utilization Management Reviewer
McBee Associates Inc.
Portsmouth, NH
03.2018 - 06.2018
- Remote admission and concurrent review of clinical documentation for compliance with regulatory standards and organizational policies.
- Collaborated with interdisciplinary teams to enhance patient care through effective communication and feedback loops.
Care Manager
Maine Medical Center
Portland, ME
03.2010 - 02.2018
- Facilitated successful discharge planning for hospitalist service from 2010 to 2012. Achieved improved patient outcomes through the development of individualized care plans aligned with client needs and hospital metrics.
- Facilitated communication between clients, families, and interdisciplinary service providers for optimal support to ensure successful discharge plan.
- Ambulatory cardiac care discharge planning from 2012 to 2015.
- Cardiac care team (all units) utilization management reviewer to include admission and concurrent review from 2015 to 2016.
- House utilization management reviewer 2015 to 2016 evenings/nights remote evening/nights 2016 to 2018.
Rehab Liaison
HealthSouth (New England Rehab Hospital)
Portland, ME
01.2006 - 03.2010
- Completed patient assessments and then coordinated patient care transitions between Maine Medical Center and New England Rehab Hospital.
- Developed and maintained strong relationships with referral sources to enhance collaboration.
- Facilitated communication with hospital discharge planners to ensure a smooth patient transition to acute rehab. Educated family about acute rehab programs relevant to patient care needs.
Education
Bachelor of Metaphysical Science -
University of Sedona
Sedona, AZBachelor of Science - Secondary Education and Nursing
Ball State University
Muncie, INSkills
- Empathy, Active Listening, Effective Communication, Confidence, Flexibility
- Communication, teamwork, commitment, autonomy, role modeling, teaching, decision-making and problem-solving
- Customer service
- Attention to detail
- System Experience: InterQual, MCG, Cerner, Epic, MIDAS, Microsoft products
Certification
- Current RN License: New Hampshire
- ACSM, Certified Exercise Physiology
- AFAA, Certified Group Fitness Instructor
- Certified Silver Sneakers and Renew Active Fitness Instructor
- Licensed, Zumba and Zumba Gold
Timeline
UPIC for Midwest Region, Medical Reviewer III
Covent Bridge Group
02.2021 - 05.2021
Business Owner/Contractor, Life Style Strategist
All About Lifestyle
01.2019 - Current
Utilization Management Reviewer
MedPartners (AMN Staffing)
09.2018 - 04.2019
Utilization Management Reviewer
McBee Associates Inc.
03.2018 - 06.2018
Care Manager
Maine Medical Center
03.2010 - 02.2018
Rehab Liaison
HealthSouth (New England Rehab Hospital)
01.2006 - 03.2010
Bachelor of Science - Secondary Education and Nursing
Ball State University
Bachelor of Metaphysical Science -
University of Sedona