Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
2021.01 - Current
  • Complete LTAC, IRF prior authorization reviews.
  • Utilizing InterQual, Milliman and CMS Guidelines.

RN Case Manager and Utilization Management

Elliott Hospital
2020.07 - 2020.12
  • CM/UM in CDU and ICU 296 bed level 2 trauma for complex and catastrophic cases.

Manager of Case Management

Vail Health
2018.07 - 2020.07
  • 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
2010.04 - 2018.07
  • 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, MA

Bachelor of Science - Education- Fitness

University of Massachusetts - Boston
Boston, MA

References / Additional Work Attributes
Upon Request

Skills

  • 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
2021.01 - Current

RN Case Manager and Utilization Management

Elliott Hospital
2020.07 - 2020.12

Manager of Case Management

Vail Health
2018.07 - 2020.07

Inpatient Care and Utilization Management RN

United Healthcare
2010.04 - 2018.07

Associate of Science - Nursing

North Shore Community College

Bachelor of Science - Education- Fitness

University of Massachusetts - Boston

References / Additional Work Attributes

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Denice Murphy