Summary
Overview
Work History
Education
Skills
Timeline
Generic

Chelsea Longmire

Milton

Summary

Accomplished Clinical Liaison with 20 years Skilled Nursing Facility experience, a proven track record at Pensacola Health Partners, with robust background in regional business development, steering market expansion efforts across multiple territories. Successfully led strategic initiatives that fostered growth and enhanced market presence. Demonstrated prowess in team leadership and stakeholder engagement. Enhancing patient satisfaction and safety through effective coordination and advocacy. Skilled in patient evaluation and intervention, coupled with exceptional communication abilities leading to a 20% increase in facility admissions. Adept at fostering relationships and proficient in PDPM reimbursement, demonstrating a results-driven approach to healthcare management.


Overview

20
20
years of professional experience

Work History

Clinical Liaison

Pensacola Health Partners
03.2023 - Current
  • Evaluated patient satisfaction and made suggestions for changes or improvements.
  • Enriched patient experience by coordinating multidisciplinary team meetings to review individualized goals and progress updates regularly.
  • Served as a liaison between patients and their insurance providers, advocating for coverage of necessary treatments and services.
  • Promoted positive patient outcomes by identifying potential barriers to recovery and addressing them proactively with the treatment team.
  • Enhanced patient safety measures throughout the entire continuum of care via regular audits on infection control procedures/tools implementation at the facility level.
  • Developed strong rapport with community partners by attending local health fairs, conferences, or networking events to promote the facility''s programs and services.
  • Verified insurance coverage for patients and worked with clinic to schedule doctor visits and therapy sessions.
  • Streamlined the referral process for smoother patient transitions into post-acute care settings through meticulous documentation and timely communication.
  • Cultivated productive relationships with referral sources, leading to increased admissions for the facility.
  • Conducted thorough assessments of patients'' medical histories, diagnoses, prognoses, medications, and treatment goals to determine eligibility for specific programs or services.
  • Collaborated with marketing efforts to showcase facility strengths and attract new referral sources from local hospitals or community-based organizations.
  • Developed and executed strategic business plans to drive revenue growth and market expansion.
  • Identified and pursued new business opportunities through targeted market research and analysis.
  • Developed and implemented strategic partnerships to enhance business growth opportunities.
  • Coordinated and excecuted multiple marketing events

Regional Clinical Liaison

Ventura Services
04.2022 - 03.2023
  • Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
  • Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
  • Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
  • Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
  • Enhanced customer satisfaction by swiftly addressing concerns and providing solutions to various issues.
  • Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
  • Established effective communication channels between departments by organizing and facilitating cross-functional meetings.
  • Supported organizational growth through active participation in networking events, conferences, and professional associations.

Regional Clinical Liaison

Gulf Coast Health Care
01.2021 - 03.2022
  • Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
  • Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
  • Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
  • Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
  • Enhanced customer satisfaction by swiftly addressing concerns and providing solutions to various issues.
  • Collaborated closely with department heads to identify opportunities for process improvement initiatives.
  • Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
  • Established effective communication channels between departments by organizing and facilitating cross-functional meetings.
  • Supported organizational growth through active participation in networking events, conferences, and professional associations.
  • Solved conflicts and addressed issues that occurred between other entities and business.

Senior Nurse Navigator Clinical Liaison

PruittHealth Consulting Services
11.2018 - 01.2021
  • Assistant Regional Director of Admissions
  • Completed timely reports and coordinated with insurance companies for approval and authorization.
  • Synchronized care with multidisciplinary team to promote timely follow-up of treatment and supportive care recommendations.
  • Coordinated appropriate and efficient delivery of healthcare services to promote optimal outcomes by assessing and matching unmet needs with referrals and support services.
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
  • Represented and interpreted the agency's functions and services to other institutions, the public, and other organizations.
  • Continually assessed patient clinical stability prior to admission to ensure smooth care transitions.
  • Developed and achieved financial and growth goals.
  • Strategically planned methods to achieve operational goals and targets.
  • Continually maintained and improved the company's reputation and positive image in the markets served.
  • Assisted in opening and admitting to a State Contracted Covid facility.
  • Responsible for all benefit verification of new referrals.
  • Responsible for detailed evaluation of every new admission.
  • Proficient in SNF Medicare, ICP Medicaid, and Insurance qualifications and reimbursement.
  • Proficient in several electronic referral systems to include; curaspan, ensocare, and allscripts and timely responses.
  • Consistently met and exceeded census and business development goals.
  • Proficient in multitasking, responsible for business growth for 6 SNF's and 7 different hospitals across two states.
  • Developement and implementation of business developement plans at both the facility and hospital level.
  • Collaborated with Corporate Team in pursuing and obtaining CON's for new potential facilities.
  • Served as an integral team member in the successful opening and operational launch of multiple skilled nursing facilities across Florida.
  • Contributed to strategic planning, development, and census growth initiatives.

Admissions Director

PruittHealth Santa Rosa
07.2017 - 11.2018
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
  • Represented and interpreted the agency's functions and services to other institutions, the public, and other organizations.
  • Continually assessed patient clinical stability prior to admission to ensure smooth care transitions.
  • Developed and achieved financial and growth goals.
  • Strategically planned methods to achieve operational goals and targets. Continually maintained and improved the company's reputation and positive image in the markets served.
  • Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork. Confirmed accurate completion of forms/reports for the admission of each patient

LPN Case Mix Director

PruittHealth Santa Rosa
02.2017 - 07.2017
  • Completed mandated PPS and OMRA assessments per CMS Guidelines. Proficient understanding of RUG levels.
  • Proficient understanding of managed care.
  • Proficient in ICD-10 coding.
  • Provided insurance Case Managers accurate and timely clinical information for continued stay authorizations.
  • Developed LTC OMRA assessment schedules.
  • Scheduled and ran both LTC and short term resident Multidisciplinary Care Plan Meetings per CMS Guidelines.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Documented patient information obtained from interviews.
  • Great organizational skills.
  • Proficient in LTC/AHT program.

Director of Social Services

PruittHealth
08.2016 - 02.2017
  • Managed all Podiatry, Dental, Vision, and Psychological services for 120 bed facility.
  • Developed and maintained appointment and transportation schedule for 120 bed facility.
  • Managed all discharge planning.
  • Setup all post discharge services to include Home Health, follow up PCP appointments, wound care, etc.
  • Ordered all Durable Medical Equipment needed for post discharge. Worked closely with Therapy department to develop discharge plans, goals, and schedule.
  • Well versed in insurance SNF coverage for both Medicare and Managed Care Policies.
  • Provided Insurance Case Manager's with accurate and timely clinical updates for continued stay authorizations.
  • Ensured all Notice of Medicare Non Coverage (NOMNC) letters were signed in an accurate and timely manner per CMS guidelines.
  • Performed routine Advanced Directives audits for 120 bed facility. Initiated Advanced Directives with patients and Families.
  • Performed BIMS interviews per MDS schedule.
  • Developed and implemented Patient Centered Care Plan's to address; Cognitive Deficits, Behaviors, Psychosocial Needs, Advanced Directives, and Discharge goals.
  • Well versed in Advanced Directives; DNR, Living Wills, DPOA's, Health Care Surrogates, etc.
  • Well versed in Medicaid, to include; coverage, application process, managed Medicaid, etc.
  • Managed all Medicare appeals through KEPRO.
  • Reviewed all PASRR for new admissions. Managed all PASRR reviews with local CARES office.
  • Very organized, had multiple notebooks for each system to ensure accurate and organized information.
  • Abuse and Grievance Coordinator.
  • Reviewed, investigated, reported, and maintained logs for all abuse allegations and grievances filed per State and CMS Guidelines.
  • Monitored and kept log of all psychotropic medications for Gradual Dose Reductions (GDR).
  • Monitored behaviors of resident's post GDR and reported behaviors to Physician.
  • Participated in QAPI committee and monthly QAPI meetings with Medical Director.
  • Participated in Marketing team and routine marketing meetings.
  • Had great professional relationships with several community resources to include; Physicians, Hospital Case Managers, Home Health Representatives, Hospice Personnel, etc.
  • Participated in several community groups and meetings.

PRN LPN MDS Case Mix Director

PruittHealth Santa Rosa
01.2016 - 08.2016
  • Completed mandated PPS and OMRA assessments per CMS Guidelines. Proficient understanding of RUG levels.
  • Proficient understanding of managed care.
  • Provided insurance Case Managers accurate and timely clinical information for continued stay authorizations.
  • Developed LTC OMRA assessment schedules.
  • Scheduled and ran both LTC and short term resident Multidisciplinary Care Plan Meetings per CMS Guidelines.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Documented patient information obtained from interviews.
  • Great organizational skills.
  • Proficient in LTC/AHT program.

Licensed Practical Nurse

PruittHealth Santa Rosa
07.2012 - 01.2016
  • Delegated staff nurse duties.
  • Assessed need for, ordered, obtained and interpreted appropriate lab tests.
  • Chronic patient care on both LTC and Rehab Units, adeptly handling all aspects of treatment from medication to wound care to monitoring for 16-30 patients per shift.
  • Pharmacological and non-pharmacological management and treatment of various disorders and diseases.
  • Self-directed with astute judgment skills.
  • High level of personal accountability.
  • Effective counseling in health maintenance and disease management. Managed care for post-operative patients through discharge.
  • Performed lab tests and communicated results.
  • Liaised between patients and physicians to ensure patient comprehension of treatment plans.
  • Instructed patients and family members on proper discharge care.
  • Closely monitored acute conditions.
  • Ensured HIPAA compliance.
  • Developed and implemented nursing care plans.
  • Developed patient care plans, including assessments, evaluations and nursing diagnoses.
  • Documented patient information obtained from interviews.
  • Followed infection control procedures.
  • Assisted patients with daily functions.
  • Monitored fluid intake and output levels.
  • Provided all daily living tasks to enhance quality of life for elderly patients.
  • Assisted residents with bathing, dressing, feeding, lifting and transferring. Experience with various medical conditions including Parkinson's, Dementia, Diabetes, Cancer, Alzheimer's, and various chronic diseases. Strong leader for nursing personnel assigned to the unit/shift.
  • Provided precise charting necessary for Medicare continue stay authorizations.
  • Proficient in LTC system Proficient in Smart Charting system.
  • Proficient in Word, Excel, and numerous Microsoft systems

Certified Nursing Assistant

PruittHealth Santa Rosa
07.2008 - 07.2012

Worked with both LTC and short term rehab residents

•Assisted with ADL needs

•Proficient with LTC and Smart Charting systems

•Assisted with restorative nursing programs

•Obtained and reported baseline Vital Signs

Certified Nursing Assistant

Life Care Center Of Sierra Vista
12.2005 - 05.2008
  • Worked with both LTC and short term rehab residents
  • Assisted with ADL needs
  • Proficient with LTC and Smart Charting systems
  • Assisted with restorative nursing programs
  • Obtained and reported baseline Vital Signs

Education

Licensed Practical Nurse Certificate - Licensed Practical Nursing

Radford M. Locklin Technical Center
Milton, FL
07.2012

Skills

  • Patient evaluation/intervention
  • Patient-focused care
  • Seasoned in medical clinical procedures
  • Local/state health laws knowledge
  • Strong clinical judgment
  • Professional bedside manner
  • Adept at prioritizing/managing deadlines
  • Organized
  • Personable
  • Creative problem solver
  • Exceptional communication skills
  • MS Windows proficient
  • Quick learner
  • Strong client relations
  • Critical thinking
  • Attention to detail
  • Relationship development
  • Proficient in census driven marketing plan development
  • Proficient in PDPM reinbursment
  • Strong knowlede of Skilled Nursing Medicare/Insurance benefits
  • Proficient in obtaining Insurance Authorizations in a timely manner
  • IMPACT Sales training
  • Key account management
  • Team leadership
  • Client relationship building
  • Strategic business planning
  • Sales presentations

Timeline

Clinical Liaison

Pensacola Health Partners
03.2023 - Current

Regional Clinical Liaison

Ventura Services
04.2022 - 03.2023

Regional Clinical Liaison

Gulf Coast Health Care
01.2021 - 03.2022

Senior Nurse Navigator Clinical Liaison

PruittHealth Consulting Services
11.2018 - 01.2021

Admissions Director

PruittHealth Santa Rosa
07.2017 - 11.2018

LPN Case Mix Director

PruittHealth Santa Rosa
02.2017 - 07.2017

Director of Social Services

PruittHealth
08.2016 - 02.2017

PRN LPN MDS Case Mix Director

PruittHealth Santa Rosa
01.2016 - 08.2016

Licensed Practical Nurse

PruittHealth Santa Rosa
07.2012 - 01.2016

Certified Nursing Assistant

PruittHealth Santa Rosa
07.2008 - 07.2012

Certified Nursing Assistant

Life Care Center Of Sierra Vista
12.2005 - 05.2008

Licensed Practical Nurse Certificate - Licensed Practical Nursing

Radford M. Locklin Technical Center