DANA PUTNEY-STOTTS
Mount Pleasant
Summary
Dynamic and results-driven Strategic Care Manager with over 25 years of experience in leading and overseeing medical, behavioral, and health plan activities. Demonstrated success in developing precise business operation plans and managing diverse areas such as utilization management and substance abuse disorder while consistently reviewing performance metrics to drive impactful change. Forward-thinking leader adept at establishing goals and quality standards, facilitating the swift attainment of strategic initiatives. Expertise spans clinical settings, home care services, emergency departments, and critical care units, complemented by proven skills in auditing best practices and enhancing operational productivity with a strong focus on bottom-line results.
Overview
23
23
years of professional experience
1
1
Certification
Work History
RN Clinic Nurse
HCHC General Surgery & Orthopedic Surgery Clinic Henry County Health Center
04.2022 - 04.2024
- Rooming patients
- Complete dressing changes, evaluate and access surgical incisions, removal of staple/sutures, present overall assessment to physician.
- Assist the physician during procedures and treatments
- Complete prior authorizations for diagnostic and General Surgery/Orthopedic surgical procedures
- Provide insight to medical necessity clinical requirements regarding proposed treatment plans for patients
- Educate patients with pre-op and post-op instructions to ensure optimal outcomes.
Utilization Manager, Care Management
Blue Cross Blue Shield of Minnesota
02.2001 - 02.2022
- Educated and evaluated clinical staff regarding care quality management regulations and standards of care.
- Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing and other enabling services for patients.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Interpreted regulations to identify patient care requirement criteria to be monitored and establish systems to achieve compliance.
- Actively listened to customers, handled concerns quickly and escalated major issues appropriately.
- Managed team of 16 employees, overseeing hiring, training, and professional growth of employees.
- Served as subject matter resource, providing information related to escalated or complex situations.
- Collaborate with Compliance and Auditing to identify quality and evaluate risk compliance regarding regulatory requirements.
Education
Associate of Science - Associate Degree of Nursing - Registered Nurse
Southeastern Community College
West Burlington, IA05.1983
Skills
- Interdepartmental Functions
- Coordination
- Policy and Program Development
- Verbal and Written Communication
- Process Implementation
- Data Analysis
- Critical Thinking
- Employee Supervision
- Risk Management
- Time Management
- Medicare Compliance
- Utilization Management
- Basic life support
- Clinical judgment
- Compassion and empathy
- Discharge planning
- Quality improvement
Certification
- Current Licenses - Registered Nurse - Iowa (NCL)
Timeline
RN Clinic Nurse
HCHC General Surgery & Orthopedic Surgery Clinic Henry County Health Center
04.2022 - 04.2024
Utilization Manager, Care Management
Blue Cross Blue Shield of Minnesota
02.2001 - 02.2022
Associate of Science - Associate Degree of Nursing - Registered Nurse
Southeastern Community College
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