Debra Crane
Bloomfield,IN
Summary
Dynamic healthcare professional with extensive experience at IU Health Home Health and Hospice, excelling in utilization management and clinical operations. Proven track record in optimizing patient care processes and enhancing compliance through effective staff mentorship and strategic audits. Skilled in patient records management and fostering collaborative relationships with clinical teams.
Overview
18
18
years of professional experience
Work History
Utilization Management
IU Health Home Health and Hospice
Indianapolis, IN
09.2024 - Current
- Conducted comprehensive reviews of patient care plans to ensure compliance with medical necessity criteria.
- Collaborated with healthcare providers to discuss treatment options and facilitate effective care coordination.
- Evaluated clinical documentation for accuracy, ensuring proper coding and adherence to regulatory standards.
- Utilized electronic health records (EHR) systems for tracking patient progress and managing utilization metrics.
Clinical Operations Manager
IU Health Home Health and Hospice
Indianapolis, IN
09.2018 - 05.2024
- Led cross-functional teams to optimize patient care processes and enhance service delivery.
- Developed and implemented operational protocols to ensure compliance with regulatory standards.
- Streamlined patient intake procedures, reducing processing time and improving overall efficiency.
- Mentored junior staff in best practices for clinical operations and workflow management.
- Analyzed performance metrics to identify areas for improvement and drive strategic initiatives.
- Collaborated with healthcare providers to coordinate care plans tailored to individual patient needs.
- Conducted performance evaluations for staff members, identifying strengths as well as areas for growth and improvement opportunities.
- Ensured regulatory compliance with timely audits, thorough documentation, and prompt corrective actions.
Nurse Auditor
IU Health Home Health and Hospice
Indianapolis, IN
07.2007 - 09.2018
- Conducted comprehensive audits of patient records to ensure compliance with regulatory standards.
- Reviewed documentation for accuracy, identifying discrepancies and implementing corrective actions.
- Collaborated with clinical teams to improve coding practices and optimize reimbursement processes.
- Developed training materials focused on best auditing practices and regulatory updates for staff education.
- Analyzed audit findings to inform strategic decisions, driving improvements in patient care quality metrics.
- Reviewed coding practices for consistency and accuracy, promoting appropriate reimbursement levels for services provided.
Education
LPN - Nursing
Vincennes University
Vincennes, Indiana, INAssociate of Science - Nursing
Vincennes University
Vincennes, Indiana, IN05-1990
Skills
- Utilization management
- Clinical staff management
- Patient records management
- Department operations management
Timeline
Utilization Management
IU Health Home Health and Hospice
09.2024 - Current
Clinical Operations Manager
IU Health Home Health and Hospice
09.2018 - 05.2024
Nurse Auditor
IU Health Home Health and Hospice
07.2007 - 09.2018
LPN - Nursing
Vincennes University
Associate of Science - Nursing
Vincennes University