Brian Boyle
Cardinal Hill Rehabilitation Hospital
Lexington,KY
27
years of professional experience
Dedicated Registered Nurse with experience in optimizing admissions processes and enhancing patient satisfaction. Skilled in managing relationships with constituents and insurance providers in fast-paced healthcare environments. Known for fostering collaboration and adapting to evolving needs, delivering effective communication and support.
Work History
ADMISSION LIAISON
15 Years 3 Months- Coordinated with rehabilitation liaison to assess patient readiness for rehabilitation and secured physician acceptance through daily communication with acute care hospitals.
- Collected medical records through EMR and fax for insurance precertification and appeals processes.
- Relayed necessary paperwork, including discharge summaries and medication reconciliation documents, to accepting Cardinal Hill hospital physician to ensure seamless patient transfer.
- (859) 254-5701
UTILIZATION REVIEW
2 Years- Assessed patient insurance for ongoing rehabilitation coverage utilization review for Acute inpatient rehabilitation patients at Cardinal Hill Rehabilitation
- (859) 254-5701
- Optimized resource allocation by conducting regular audits and identifying areas for improvement in the utilization review process.
- Supported the development of standardized policies and procedures for utilization review across multiple departments within the organization.
- Ensured compliance with regulatory guidelines by conducting thorough audits of medical records and utilization review reports.
CASE MANAGER SUPERVISOR
2 Years- Delivered case management services including intake, assessment, advocacy, referral, and patient monitoring to enhance care continuity.
- Coordinated support services and fostered effective communication between healthcare workers and patients to improve patient experience.
- Supervised case management staff at saint Joseph Berea after the purchase by Saint Joseph Healthcare.
- Implemented quality disciplinary and team building policies to foster staff satisfaction and productivity.
- Supervised case management staff at Saint Joseph Berea post-acquisition by Saint Joseph Healthcare, ensuring seamless transition and team integration.
- (859) 967-5000
CASE MANAGER
8 Years- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and patient monitoring.
- Interviewed acute care patients for possible discharge needs on admission.
- Obtained initial insurance authorization and continued stay authorization throughout the acute hospital stay.
- Coordinated with social services to address complex discharge needs, ensuring comprehensive support for patients.
- Coordinated discharge needs for home health services, DME, and outpatient therapy.
- Managed phone communications for patient inquiries and support.
Education
ASSOCIATE OF SCIENCE - NURSING
Graduated: 1996
Skills
Insurance pre-authorization
Coordinating patient services
Effective patient resource management
Assessment capabilities
Thorough patient assessment
Proficient in healthcare software
Experienced in software tools
Interdisciplinary cooperation
Timeline
ADMISSION LIAISON
Cardinal Hill Rehabilitation Hospital
01.2011 - 04.2026Read More
UTILIZATION REVIEW
Cardinal Hill Rehabilitation Hospital
01.2009 - 01.2011Read More
CASE MANAGER SUPERVISOR
Saint Joseph East Hospital
01.2007 - 01.2009Read More
CASE MANAGER
Saint Joseph Hospital
01.1999 - 01.2007Read More
Lexington Community College
ASSOCIATE OF SCIENCE from NURSING
Read More
Employee of the quarter Cardinal Hill Hospital 2023
While working as an admission liaison for Cardinal Hill rehabilitation hospital,