Colleen Stukenberg

• For utilization review:
• Managed utilization review activities to support appropriate levels of care and resources using InterQual Criteria and clinical expertise.
• Provided clinical to payers to support appropriate levels of care.
• Worked with providers on payer denials
• For Case Manager:
• Collaborated with interdisciplinary teams to align treatment plans with patient needs and resources.
• Coordinated discharge planning and care transitions to support safe, timely patient throughput.
• Documented case management interventions in electronic health records with accuracy and compliance.

• Directed case management operations, aligning utilization review, discharge planning, and care coordination with hospital goals.
• Led interdisciplinary teams to resolve complex patient placement and transition-of-care needs.
• Oversaw case management staff and social workers providing coaching, performance feedback, and workflow guidance.
• Implemented process improvements to strengthen utilization review accuracy and documentation compliance.
• Developed a Complex Care Program.
• Coordinated payer communication to support authorization, medical necessity, and timely patient progression.
• Monitored discharge planning practices to reduce delays and improve continuity of care.
• Collaborated with physicians, nursing, and social services to manage high-acuity cases.
• Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
• Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
• Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
• Enhanced patient care by implementing efficient case management systems and processes.
• Conducted regular performance evaluations to identify strengths, areas for improvement, and opportunities for growth among team members.
• Partnered with local organizations to expand access to social and community services.
• Analyzed trends and data to inform decision-making and program development.
• Created and managed budgets, efficiently allocating resources for social and community service projects.

• Piloted a successful CDI program at FHN
• Reviewed patient records for clinical completeness, accuracy, and compliant documentation.
• Queried providers to clarify diagnoses, procedures, and supporting clinical specificity.
• Applied ICD-10 and DRG guidelines to strengthen coding integrity and reimbursement accuracy.
• Collaborated with physicians, coders, and case management to resolve documentation gaps.
• Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
• Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records.

• Mentored new nurses in both clinical skills development and professional growth opportunities.
• Improved overall patient outcomes by continuously updating clinical knowledge through professional development opportunities.
• Evaluated clinical competencies of nursing staff regularly, providing constructive feedback to enhance skill development.
• Championed ongoing professional development opportunities for members of the nursing team, fostering a shared commitment to excellence in clinical practice.

• Coordinated patient care plans with interdisciplinary teams to support timely discharge and continuity of care.
• Assessed patient needs and connected individuals with community and clinical resources.
• Communicated with physicians, nurses, and families to align treatment goals and care transitions.
• Documented case activity in electronic health records to maintain accurate, compliant patient records.
• Reviewed insurance requirements and authorization details to support approved services and placements.
• Monitored cases for changes in condition, escalating concerns and updating plans as needed.

• Coordinated MDS assessments to support accurate care planning and regulatory compliance.
• Tracked resident documentation for timely submission of MDS assessment
• Collaborated with interdisciplinary team to maintain complete, accurate resident records.

• Assessed patient conditions and prioritized care needs using nursing judgment.
• Administered medications safely while monitoring responses and documenting outcomes.
• Coordinated care plans with physicians, therapists, and interdisciplinary team members.
• Documented assessments, interventions, and progress notes in electronic health records.
• Facilitated communication between patients, families, physicians, and community support services.
• Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
• Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
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• Monitored patient vital signs and reported changes to the registered nurse promptly.
• Assisted with bathing, feeding, mobility, and other daily patient care needs.
• Documented assessments, care activities, and observations in electronic health records accurately.
• Supported medication administration by preparing supplies and verifying patient identification.
• Maintained infection control standards through proper hand hygiene and equipment cleanup.
• Communicated patient concerns clearly to nursing team to support timely care decisions.
• Educated patients and families on basic care instructions, comfort measures, and unit routines.
• Promoted continuity of care by maintaining accurate documentation and timely handoffs between shifts.

• Administered medications and monitored patient responses for safety and effectiveness.
• Performed comprehensive patient assessments and documented findings in electronic health record.
• Collaborated with interdisciplinary care team to coordinate treatment plans and patient priorities.
• Maintained infection control standards and followed hospital safety protocols during care delivery.
• Educated patients and families on discharge instructions, medications, and recovery expectations.
• Tracked vital signs and reported condition changes promptly to support timely interventions.
• Assisted with admissions, transfers, and discharge processes to ensure smooth patient flow.
• Prioritized multiple patient needs while maintaining accurate charting and consistent nursing care.
• Assessed patient conditions and prioritized care plans for safe, timely interventions.
• Administered medications and treatments while verifying orders and monitoring patient responses.

• Summa Cum Laude

Honor Roll [Semester and Year]