Dynamic Interim Manager of Case Management with expertise in care coordination and patient advocacy. Proven ability to lead teams, streamline operations, and enhance service delivery, ensuring optimal patient outcomes.
Overview
1
1
Certification
17
17
years of professional experience
Work History
Interim Manager of Case Management
University Medical Center, UMC
Las Vegas, Nevada
03.2024 - 05.2024
Oversaw the daily operations of the case management team, including staff hiring and training.
Managed case management teams to ensure effective service delivery.
Provided guidance and assistance to case managers regarding complex cases or ethical issues.
Collaborated with healthcare providers to coordinate patient care plans.
Facilitated interdisciplinary meetings to discuss complex cases and solutions.
Developed training programs for new case management staff members.
Advocated for patients' needs within the healthcare system framework.
Senior Case Manager
University Medical Center, UMC
Las Vegas, Nevada
06.2022 - 03.2024
Managed complex case loads for diverse patient populations at University Medical Center.
Coordinated interdisciplinary care plans with medical teams and community resources to enhance patient outcomes.
Facilitated communication between patients, families, and healthcare providers effectively.
Developed discharge plans to ensure continuity of care post-hospitalization.
Collaborated with external agencies to secure necessary support services for patients.
Advocated for members and families to coordinate care and navigate resources within the system.
Assisted clients in accessing community resources such as housing, employment opportunities, healthcare.
Negotiated with insurance case managers and other payers to secure necessary coverage for client services, ensuring access to care.
Developed and maintained collaborative relationships with community resources and service providers to streamline support for clients.
Conducted comprehensive assessments to identify patient needs and barriers to care.
Case Manager
University Medical Center, UMC
Las Vegas, Nevada
04.2013 - 06.2022
Coordinated patient care plans with interdisciplinary teams and healthcare providers to ensure holistic and effective treatment.
Developed individualized care plans with input from clients and their families.
Counseled clients on community resources to enhance their access to support and improve overall well-being.
Coordinated support services and facilitated communication between healthcare workers and patients to streamline care processes.
Monitored patient progress and revised care plans to enhance treatment effectiveness.
Developed discharge plans to ensure continuity of care post-hospitalization.
Provided referrals to appropriate health care providers or other community resources.
Managed documentation of patient records in compliance with regulations.
Supported family members by providing information on local support groups.
Participated in psychiatric court hearings to represent patient interests. as a patient representative.
Clinical Care Coordinator
Cogent Healthcare-HMG
San Bernardino, California
07.2007 - 04.2013
Ensured continuity of care by aggressively following up on physician orders.
Identified potential barriers to patient discharge during care team meetings and relayed them to hospital case managers.
Identified habitual patients requiring additional support for discharge planning and collaborated with case managers and discharge planners to develop tailored discharge plans.
Educated hospital discharge planners to facilitate timely patient discharges.
Arrange follow-up appointments with primary care physicians, specialists, or clinics to ensure post hospital care.
Assisted 5-6 physicians with managing telemetry and direct observation unit with case load of 25-50 patients.
Ensure clinical information is available for the Hospitalist to expedite decision-making.
Interface with PCP to obtain patient's medical history.
Educate unit RN to plan of care and any discharge barriers.
Interim Executive Director of Case Management, Social Service, Utilization Review, Transitions of Care, Transfer Center at University of California Medical Center- Orange CountyInterim Executive Director of Case Management, Social Service, Utilization Review, Transitions of Care, Transfer Center at University of California Medical Center- Orange County
Interim Care Coordinator • Case Management Registered Nurse at CHI St. Alexius Health-Garrison Hospital & Nursing FacilityInterim Care Coordinator • Case Management Registered Nurse at CHI St. Alexius Health-Garrison Hospital & Nursing Facility