Denice Murphy
Summary
Dedicated RN candidate eager to leverage knowledge and utilize skills. Organized, dependable and successful at managing multiple priorities with a positive attitude.
Overview
14
14
years of professional experience
Work History
RN Preservice Coordinator
Optum
01.2021 - Current
- Complete LTAC, IRF prior authorization reviews.
- Utilizing InterQual, Milliman and CMS Guidelines.
RN Case Manager and Utilization Management
Elliott Hospital
07.2020 - 12.2020
- CM/UM in CDU and ICU 296 bed level 2 trauma for complex and catastrophic cases.
Manager of Case Management
Vail Health
07.2018 - 07.2020
- Provided leadership at this 56 bed acute level 3 trauma.
- Streamlined CM processes to comply with regulatory agency standards while maximizing revenue cycle thru leadership and utilizing auditing tools.
- Led the UM Committee on readmissions, length of stay, avoidable days, quality, Code 44 and budget.
- Created COVID 19 CM processes with community follow up post discharge.
Inpatient Care and Utilization Management RN
United Healthcare
04.2010 - 07.2018
- Collaborated with multidisciplinary teams nationwide for Commercial, Medicare and Medicaid to manage acute hospital bed days and discharge plans.
Education
Associate of Science - Nursing
North Shore Community College
Danvers, MABachelor of Science - Education- Fitness
University of Massachusetts - Boston
Boston, MAReferences / Additional Work Attributes
Upon RequestSkills
- Management/Leadership Skills
- Hiring and Mentoring of staff
- Maine RN License # RN81496
- ACM RN Certified
- InterQual Criteria
- Milliman Care Guideline
Timeline
RN Preservice Coordinator
Optum
01.2021 - Current
RN Case Manager and Utilization Management
Elliott Hospital
07.2020 - 12.2020
Manager of Case Management
Vail Health
07.2018 - 07.2020
Inpatient Care and Utilization Management RN
United Healthcare
04.2010 - 07.2018
Associate of Science - Nursing
North Shore Community College
Bachelor of Science - Education- Fitness
University of Massachusetts - Boston
References / Additional Work Attributes