Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Connie Tinsley

Highland,IL

Summary

Dedicated and compassionate Registered Nurse (RN) with progressive career history in direct patient care, triage and care coordination in fast-paced environment. Proven to remain calm under pressure and skillfully handle difficult patients and high-stress situations. Consistently developing strong relationships with patients and families through empathetic communication, respectful attitude and excellent customer service.

Overview

17
17
years of professional experience
1
1
Certification

Work History

RN Case Manager, CCM. Regional Manager

HSHS St. Elizabeth's Hospital
2017.12 - 2024.04

Management of RN case managers social workers and support staff in all areas of discharge planning utilization review and claims management in acute care setting with approximately 20,000 admissions per year
Direct reporting to senior leadership team
Leadership responsibilities for 5 acute care sites.

  • Background in Workman’s compensation, Hospital based Case Management, and leadership roles in Care Management.
  • Direct Management of Care management Teams
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Managed care from admission to discharge.
  • Mentored new nursing staff, contributing to supportive work environment and improved retention rates.
  • Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.

Case Management Manager

HSHS St. Joseph’s Hospital
2010.07 - 2017.12
  • Worked in various roles at this location, manager Emergency Department and transitioned to case management
  • Critical Access Hospital.
  • Collaborated with interdisciplinary teams to develop holistic care plans for clients with complex needs.
  • Developed and implemented policies and procedures that not only met but exceeded regulatory requirements, resulting in high levels of client satisfaction and positive audit outcomes.

Emergency Room RN

Thomas Boyd Hospital
2007.01 - 2010.01
  • Collaborated with interdisciplinary teams for comprehensive patient care plans, resulting in better health outcomes.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
  • Enhanced patient satisfaction through effective communication, empathy, and timely response to their needs.

Education

RN -

ST. Lukes Hospital School of Nursing
Chesterfield, MO
05.1986

Skills

  • Extensive CM/UR experience in variety of settings. 16 Years Workman's Compensation experience in Illinois.
  • Experienced in InterQual and MCG review criteria.
  • Distinguished ratings on past performance appraisals.
  • Management roles in successful new hospital moves/redesign twice in past 8 years.
  • Designed and implemented Return to Work programs for heavy industrial manufacturing plant. Integrated Jobsite evaluations with MD specialist.
  • Highly motivated in independent environment.
  • Extensive current experience in acute hospital billing and care management with external insurer claims management. Strive to achieve concise claims with thorough documentation.
  • Have successfully implemented process improvement projects.
  • Efficient in all office programs, Outlook, Word, Excel, Power Point, Access Database
  • Initial injury assessment in large manufacturing corporation with direct reporting to corporate TPA and Senior teams.
  • Extensive discharge planning from acute care setting with excellent care progression.
  • Case Management

Accomplishments

  • Supervised team of 60 staff members.

Certification

  • Certified Case Manager (CCM)
  • COHN/CM CERTIFIED Occupational Health Nurse/Case manager
  • Lean Six Sigma Green Belt Certified
  • Member ACMA
  • Super User Trained MCG Utilization tool criteria
  • EPIC Superuser
  • Licensed Illinois and Missouri Active Unencumbered

Timeline

RN Case Manager, CCM. Regional Manager

HSHS St. Elizabeth's Hospital
2017.12 - 2024.04

Case Management Manager

HSHS St. Joseph’s Hospital
2010.07 - 2017.12

Emergency Room RN

Thomas Boyd Hospital
2007.01 - 2010.01

RN -

ST. Lukes Hospital School of Nursing
  • Certified Case Manager (CCM)
  • COHN/CM CERTIFIED Occupational Health Nurse/Case manager
  • Lean Six Sigma Green Belt Certified
  • Member ACMA
  • Super User Trained MCG Utilization tool criteria
  • EPIC Superuser
  • Licensed Illinois and Missouri Active Unencumbered
Connie Tinsley