Dayle Bodoff
Wednesday at Law, PLLC
Henderson,NV
1
Certification
26
years of professional experience
Dedicated RN, CCM with extensive experience in building provider-patient partnerships to enhance communication, close care gaps, and develop actionable care plans. Achieved secure care coordination through expertise in HIPAA-compliant clinical assessment, virtual case management, and utilization review across EMR/EHR systems. Focused on delivering quality patient care and optimizing service delivery while advocating for patient needs and ensuring compliance with healthcare standards.
Work History
Consultant, Legal RN (volunteer)
3 Years 11 Months- Volunteer
8 Months
- Full-time care for a terminally ill spouse using Nursing and CM skills while pursuing ongoing education
Director of Nursing
11 Months- Agency closed
RN Case Manager
3 Years 6 Months• Assessed referrals to verify clinical appropriateness for transition of care, ensuring documentation met CMS and TX DSHS criteria for medical necessity, reducing home health service denials and non-reimbursement gaps by 20%.
• Reviewed all completed OASIS to support regulatory compliance, improve care planning, and confirm appropriate nurse visits and/or skilled services.
• Supervised and took On-Call, reducing ED visits by 50%.
• Achieved a perfect audit success rate by ensuring 100% compliance with federal and state regulations.
Telephonic Nurse Case Manager, Non-Subscriber & Workers' Compensation
6 Months• Developed individualized treatment plans, making data-driven adjustments based on progress, leading to a 20% improvement in claimant recovery outcomes.
• Assessed claimant needs and physician requests, negotiating pricing, authorizing imaging, therapy, DME, and surgeries while reducing unnecessary procedures by 15% without compromising care quality.
• Ensured cost-effective, high-quality care by selecting providers and vendors within the injured workers’ network, balancing budget constraints while facilitating a safe and timely return to work for injured employees.
RN Clinical Educator
10 Months- Position defunded
Director of Nursing, Skilled Nursing Facilities & Memory Care
9 MonthsEmployee Health, Infection Control, Educator
1 Year 2 Months- Company sold
RN Case Manager II, Out of Area (PPO, HMO, Medicaid)
1 Year 9 Months- Company sold
Occupational Health & RN Staff Nurse
1 Year 8 MonthsRN Case Manager, Workers Compensation
2 YearsEducation
Bachelor of Science in Education
Associate in Applied Science in Nursing
Skills
Regulatory compliance
Clinical guidelines
Microsoft Office
Problem-solving
Time management
Attention to detail
Client relationships
Team collaboration
Integrity and honesty
Clinical assessment
Affiliations
- Member, Case Management Society of America (CMSA), 2006
- Charter Member, Case Management Association Las Vegas (CMALV), 2004
Certification
- TX RN Unrestricted Multistate License (Compact State License)
- Certified Case Manager (CCM), Commission for Case Manager Certification, 2009, up to date through 2029
- Previous licenses for cross-state remote CM (expired; able to reactivate): AZ, ME, MA, MO, NV, NY, PA, TX, UT
- Currently reactivating my NV RN License
UTILIZATION REVIEW & CASE MANAGEMENT
- Increased HEDIS adherence by 42% by applying InterQual guidelines and clinical expertise to approve, monitor, and coordinate patient care while maintaining CMS compliance. (Universal American/TexanPlus)
- Improved discharge planning accuracy by auditing utilization review and case management records to identify barriers including transportation gaps, caregiver fatigue, and mental health concerns. (Universal American, TexanPlus)
- Accelerated access to out-of-network treatment by applying MCG criteria and navigating Medicaid, state, and international requirements to reduce delays and control costs. (Sierra Health Care)
- Conducted daily unit rounds and analyzed lab tests for trends and organism clustering, leading to a 20% reduction in hospital-acquired infections through early intervention. (Health South Rehab Hospital)
- Reduced unnecessary procedures by 10% by assessing claimant needs and physician requests for imaging, therapy, DME, and surgeries without compromising care quality. (TriNet)
COMPLEX CASE MANAGEMENT & CARE COORDINATION
- Improved claimant recovery outcomes by 20% by monitoring individualized treatment plans and making data-driven adjustments based on progress and clinical response. (TriNet)
- Enabled safe international repatriation by coordinating cross-border care, translation services, provider communication, and secure medication transport while protecting PHI. (Sierra Health Care)
- Strengthened transition-of-care readiness by identifying documentation gaps, implementing verification procedures, and securing records needed to support medical necessity. (Advocate Home Health Services)
- Addressed psychosocial barriers such as unstable housing and financial hardship by coordinating housing programs, financial counseling, and post-discharge support to improve outpatient success and long-term stability. (Universal American, TexanPlus)
REGULATORY COMPLIANCE & RISK MANAGEMENT
- Reduced production and discovery costs by reviewing medical charts for omissions, claim merit, and subpoena relevance to distinguish necessary from unnecessary records. (Wednesday at Law)
- Strengthened legal strategy and jury exhibit preparation by translating regulatory findings into clear clinical insights and alternative explanations. (Wednesday at Law)
- Achieved perfect audit results and 100% regulatory compliance by launching proactive quality initiatives, advancing staff education, and mentoring clinical teams. (Advocate Home Health Services)
- Designed and led training on the legal and operational implications of the Uniform Electronic Transactions Act (UETA), emphasizing electronic signatures, secure data storage, and evolving documentation standards. (Preston Hollow)
- Maintained employee health and compliance programs, achieving 100% adherence to PPD and HBV regulations, reducing infection rates, and enhancing workplace safety (Preston Hollow).
LEADERSHIP, TRAINING & PROCESS IMPROVEMENT
- Decreased workplace incidents by 40% by leading OSHA compliance, drug testing, flu clinics, and emergency response programs that strengthened safety culture. (Ethel M)
- Expanded cardiac emergency readiness by training 200+ employees in CPR/AED and strengthening response capability across multidisciplinary teams. (Ethel M)
- Spearheaded the creation of early electronic record retention procedures, ensuring a seamless transition to digital systems while maintaining regulatory compliance and safeguarding patient confidentiality. (Preston Hollow)
- Increased patient satisfaction scores by 20% by developing individualized care plans that improved continuity, quality, and patient-centered coordination. (Advocate Home Health Services)
- Increased staff retention and performance by 25% by creating incentivized training calendars and mentoring programs that supported team development. (Fountain View of Portage)
Timeline
Consultant, Legal RN (volunteer)
Wednesday at Law, PLLC
09.2022 - CurrentRead More
Sabbatical
06.2017 - 02.2018Read More
Director of Nursing
Advocate Home Health Services
06.2016 - 05.2017Read More
RN Case Manager
Universal American, TexanPlus
12.2012 - 06.2016Read More
Telephonic Nurse Case Manager, Non-Subscriber & Workers' Compensation
TriNet
02.2012 - 08.2012Read More
RN Clinical Educator
The Legacy at Preston Hollow
02.2011 - 12.2011Read More
Director of Nursing, Skilled Nursing Facilities & Memory Care
Fountain View of Portage
09.2008 - 06.2009Read More
Employee Health, Infection Control, Educator
HealthSouth Rehab Hospital
06.2007 - 08.2008Read More
RN Case Manager II, Out of Area (PPO, HMO, Medicaid)
Sierra Health & Life
09.2005 - 06.2007Read More
Occupational Health & RN Staff Nurse
Ethel M Chocolates (via Maxim Health Care)
12.2003 - 08.2005Read More
RN Case Manager, Workers Compensation
Health Direct, Inc.
02.2001 - 02.2003Read More
Mohawk Valley Community College
Associate in Applied Science in Nursing
Read More
Temple University
Bachelor of Science in Education
Read More