Cheryl Driscoll, MSN, RN, CCM
Parrish,FL
Summary
Highly analytical healthcare management professional combining more than 36 years of work in home health, hospital and case management with proficiency in financial management, leadership and positive clinical outcomes. Accomplished Director of Case Management who proudly maintains a highly productive, efficient and quality-driven environment at all times.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Director of Case Management
CHS
Port Charlotte, FL
06.2022 - 03.2024
- Managed staff of 18 FTE (social workers, nurse case managers and clerical support staff).
- Recruited, hired, trained and coached employees.
- Allocated resources to effectively staff department and meet productivity and quality goals.
- Responsible for managing and coordinating departmental activities.
- Ensured staff compliance with organizational policies and external regulatory agencies.
- Responsible for integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization.
- Increased presence and profile of case management by initiating interdisciplinary rounding.
- Skillfully developed goals, objectives, standard of performance, policies and procedures.
- Decreased length of stay index of 1.7 to 1.2.
- Reduced observation accounts greater than 1 midnight from 55% to 20%.
- Worked closely with the throughput team and community providers to efficiently discharge patients and bed patients to the floor without delays in service.
- Established working relationships with key stakeholders to include providers, CNO, CFO, CEO, COO and ancillary service leaders.
- Reported long stays and barriers daily to senior leadership.
- Collaborated with utilization management team to resolve complex care member issues.
- Ensured completion of Medicare FFS, Self Pay and Observation UM reviews were completed.
- Coordinated and lead the Utilization Management Committee.
- Coordinated UR compliance with Quality Management to ensure all licensure and accrediting requirements were fulfilled.
- Ensured compliance with all applicable laws and regulations and ensured the facility adhered to Medicare and Medicaid regulations.
- Developed and achieved financial and growth goals.
- Strategically planned methods to achieve operation goals and targets.
Director of Case Management
CHS
Venice, FL
02.2015 - 06.2022
- Managed staff of 22 FTE (social workers, nurse case managers and clerical support staff).
- Recruited, hired, trained and coached employees.
- Allocated resources to effectively staff department and meet productivity and quality goals.
- Responsible for managing and coordinating departmental activities.
- Increased staff productivity by providing ongoing training, support, and mentorship for case managers and related professionals.
- Ensured staff compliance with organizational policies and external regulatory agencies.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Implemented data-driven strategies for continuous improvement in case management performance metrics.
- Responsible for integration of the department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization.
- Increased presence and profile of case management by initiating interdisciplinary rounding.
- Skillfully developed goals, objectives, standard of performance, policies and procedures.
- Consistently maintain a 1.10 or less case mix index.
- Consistently maintain a low readmission rate.
- Reduced observation accounts greater than 1 midnight from 45% to 20%.
- Worked closely with the throughput team and community providers to efficiently discharge patients and bed patients to the floor without delays in service.
- Established working relationships with key stakeholders to include providers, CNO, CFO, CEO, COO and ancillary service leaders.
- Ensured completion of UM reviews for all payor sources.
- Coordinated and lead the Utilization Management Committee.
- Coordinated UR compliance with Quality Management to ensure all licensure and accrediting requirements were fulfilled.
- Ensured compliance with all applicable laws and regulations and ensured the facility adhered to Medicare and Medicaid regulations.
- Developed and achieved financial and growth goals.
- Strategically planned methods to achieve operation goals and targets.
- Developed strong relationships with community partners to facilitate comprehensive support services for patients and families.
- Enhanced patient care by implementing efficient case management systems and processes.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Partnered with local organizations to expand access to social and community services.
- Maintained compliance with regulatory requirements through rigorous quality assurance processes and timely reporting mechanisms.
- Implemented data-driven strategies for continuous improvement in case management performance metrics.
Director of Case Management
CHS
Sebring, FL
11.2006 - 02.2015
- Managed staff of 8 FTE (social workers, nurse case managers and clerical support staff).
- Recruited, hired, trained and coached employees.
- Allocated resources to effectively staff department and meet productivity and quality goals.
- Responsible for managing and coordinating departmental activities.
- Increased staff productivity by providing ongoing training, support, and mentorship for case managers and related professionals.
- Ensured staff compliance with organizational policies and external regulatory agencies.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Implemented data-driven strategies for continuous improvement in case management performance metrics.
- Responsible for integration of department's patient care and discharge planning processes with related hospital departments and external agencies to ensure continuity of care and optimal clinical resource utilization.
- Consistently maintain 1.0 or less case mix.
- Reduced observation accounts greater than 1 midnight from 37% to 22%.
- Decreased readmission rate from worse than expected to no different than expected.
- Worked closely with throughput team and community providers to efficiently discharge patients and bed patients to floor without delays in service.
- Established working relationships with key stakeholders to include providers, CNO, CFO, CEO, COO, PA and ancillary service leaders.
- Ensured completion of UM reviews for all payor sources.
- Coordinated and lead the Utilization Management Committee.
- Coordinated UR compliance with Quality Management to ensure all licensure and accrediting requirements were fulfilled.
- Ensured compliance with all applicable laws and regulations and ensured the facility adhered to Medicare and Medicaid regulations.
- Strategically planned methods to achieve operation goals and targets.
- Developed strong relationships with community partners to facilitate comprehensive support services for patients and families.
- Enhanced patient care by implementing efficient case management systems and processes.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Maintained compliance with regulatory requirements through rigorous quality assurance processes and timely reporting mechanisms.
- Implemented data-driven strategies for continuous improvement in case management performance metrics.
Case Management and Bed Management Coordinator
Advent Health
Sebring, FL
01.1997 - 11.2006
- Cardiac Nurse November 2003 - November 2006 (Responsible for triage, nuclear medicine stress test, coumadin clinic and amiodarone clinic.
- Case Management and Bed Management Coordinator January 1997 - October 2003. Responsible for 25 FTE (social workers, nurse case managers and clerical support staff). Managed 3 campus.
Patient Care Coordinator
Highland Home Health Agency
Sebring, FL
07.1994 - 02.1997
- Served in various roles (staff nurse, patient care coordinator and director)
- Increased efficiency in multi-disciplinary meetings by preparing agendas, taking minutes, and distributing follow-up action items.
- Delivered excellent patient experiences and direct care.
- Followed document protocols to safeguard confidentiality of patient records.
- Upheld confidentiality requirements and regulatory compliance guidelines.
Emergency Room Registered Nurse
Highlands Regional Medical Center
Sebring, FL
02.1989 - 02.1997
- Served as a charge nurse.
- Participated in quality improvement initiatives within the emergency department, contributing ideas for process enhancements based on clinical experiences and patient feedback.
- Delivered culturally competent care to diverse populations, adapting communication styles as needed for optimal understanding between parties involved.
- Educated patients and families on post-discharge care instructions, promoting adherence to prescribed regimens for improved health outcomes at home.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
Education
Master of Science - Nursing And Executive Leadership
Kaplan University
Davenport, IA06.2016
Bachelor of Science - BSN, Nursing
Kaplan University
Davenport, IA06.2014
Associate of Science - Nursing
South Florida State College
Avon Park, FL06.1991
Skills
- Leadership
- Regulatory
- Utilization Management (InterQual and MCG)
- Communication
- Relationship Building
- Care Coordination
- Process Improvement
- Project Management
Certification
Certified Case Manager
Timeline
Director of Case Management
CHS
06.2022 - 03.2024
Director of Case Management
CHS
02.2015 - 06.2022
Director of Case Management
CHS
11.2006 - 02.2015
Case Management and Bed Management Coordinator
Advent Health
01.1997 - 11.2006
Patient Care Coordinator
Highland Home Health Agency
07.1994 - 02.1997
Emergency Room Registered Nurse
Highlands Regional Medical Center
02.1989 - 02.1997
Master of Science - Nursing And Executive Leadership
Kaplan University
Bachelor of Science - BSN, Nursing
Kaplan University
Associate of Science - Nursing
South Florida State College