Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Denise Hopkins

Ripley,TN

Summary

Dynamic RN Case Manager with extensive Case Management and Administrative experience in the Acute And Post-Acute Care, Home Health and Workers Compensation settings . Proven track record of reducing length of stay and hospital readmissions through effective discharge planning and patient education. Strong clinical judgment and critical thinking skills drive quality improvement and enhance patient outcomes in multidisciplinary settings.

Overview

12
12
years of professional experience
1
1
Certification

Work History

RN Case Manager

CorVel Corporation
01.2022 - 06.2025
  • Coordinated patient care plans to ensure timely and effective treatment.
  • Assessed patient needs and implemented appropriate interventions.
  • Collaborated with multidisciplinary teams to enhance care delivery.
  • Monitored patient progress and adjusted case management strategies accordingly.
  • Educated patients on available resources and self-management techniques.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
  • Promoted adherence to treatment plans by conducting regular follow-up visits and providing ongoing support to patients.
  • Boosted patient adherence to treatment plans through regular check-ins and motivational interviewing techniques.

RN Administrator

Adoration Home Health
06.2020 - 01.2022
  • Developed and implemented patient care protocols to enhance overall quality of care.
  • Oversaw nursing staff performance, providing mentorship and support for professional development.
  • Analyzed patient outcomes data to identify trends and inform strategic decision-making.
  • Coordinated interdisciplinary team meetings to ensure effective communication and collaborative care plans.
  • Managed budget allocations for nursing departments, optimizing resource use while maintaining quality standards.
  • Led initiatives to improve operational efficiency within nursing workflows, reducing delays and enhancing patient satisfaction.
  • Established training programs for new nurses, fostering skills development and adherence to best practices.
  • Improved patient satisfaction scores by addressing concerns promptly and ensuring consistent delivery of high-quality care.

RN Case Manager

Lauderdale Community Hospital
05.2019 - 05.2020

Performed admission and continued stay reviews to determine appropriateness for Observation and Inpatient admissions and continued stay, utilizing Milliman criteria

Obtained precertification and continued stay authorizations from managed care entities on hospital and swing bed admissions


Conducted weekly interdisciplinary team meeting, reviewing swing bed patients progress to goals and readiness for discharge


Screened referrals to Swing Bed for appropriateness of admission and obtained pre certification from managed care when needed.


Arranged Home Health, DME, Hospice, medications and transportation for discharged patients. Arranged safe transfer of patients to Skilled Nursing Facilities.


Monitored length of stay and conferenced with physicians regarding transition and discharge plans on all patients

Regional Director of Operations

Intrepid USA
07.2018 - 06.2019
  • Led regional operations strategy to enhance service delivery and patient satisfaction.
  • Implemented process improvements to streamline operational workflows across multiple locations.
  • Directed cross-functional teams to ensure compliance with regulatory standards and company policies.
  • Developed training programs for staff, fostering professional growth and operational efficiency.
  • Analyzed performance metrics to identify trends and inform strategic decision-making initiatives.
  • Collaborated with senior leadership to align operational goals with organizational objectives.
  • Managed budgeting processes, optimizing resource allocation for improved financial outcomes.
  • Provided regular updates on regional performance to senior leadership through comprehensive reporting and data-driven insights.
  • Reduced expenditures for the region through cost analysis and effective budget management.
  • Set team and individual KPIs and provided regular, actionable feedback.
  • Maintained compliance with industry regulations by staying up-to-date on best practices and implementing necessary changes in a timely manner.

RN Case Manager

St Francis Hospital Bartlett
10.2017 - 06.2019
  • Coordinated care plans to optimize patient outcomes and resource utilization.
  • Conducted comprehensive assessments to identify patient needs and develop appropriate interventions.
  • Collaborated with multidisciplinary teams to ensure continuity of care and effective communication.
  • Monitored patient progress, adjusting care plans based on individual responses and feedback.
  • Managed complex case loads, prioritizing tasks to meet diverse patient requirements effectively.
  • Reduced hospital readmission rates through effective case management and patient education on self-care techniques.
  • Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
  • Optimized resource utilization by identifying opportunities for cost containment while maintaining quality of care.
  • Streamlined discharge planning, ensuring patients received necessary resources and support for recovery at home.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.

Executive Director

Intrepid USA
07.2013 - 07.2018
  • Led strategic planning initiatives to enhance operational efficiency and service delivery.
  • Developed and implemented policies to ensure compliance with industry regulations and standards.
  • Fostered partnerships with healthcare providers to expand service offerings and community outreach.
  • Directed budgeting processes, optimizing resource allocation across departments to support organizational goals.
  • Managed a diverse team of professionals, fostering a collaborative work environment for increased productivity.
  • Represented organization to local public by giving presentations and speeches and participating in community events.
  • Drove strategic improvements to enhance operational and organizational efficiencies.
  • Managed financial, operational and human resources to optimize business performance.

Education

Case Manager Certification

Commission For Case Manager Certification
Memphis, TN
12.2024

Associate of Applied Science - Nursing

St Joseph Hospital School of Nursing
Memphis, TN

High School Diploma - General Studies

Notre Dame High School
Cape Girardeau, MO

General Studies

Southeast Missouri State University
Cape Girardeau, MO

Skills

  • Chronic disease management
  • Discharge planning
  • Multidisciplinary approach
  • Care coordination
  • Home care management
  • Utilization review
  • Community resources
  • Quality improvement
  • Healthcare regulations
  • Case management
  • Critical thinking
  • Strong clinical judgment
  • Patient care assessment
  • Microsoft office

Certification

CCM Certification

Timeline

RN Case Manager

CorVel Corporation
01.2022 - 06.2025

RN Administrator

Adoration Home Health
06.2020 - 01.2022

RN Case Manager

Lauderdale Community Hospital
05.2019 - 05.2020

Regional Director of Operations

Intrepid USA
07.2018 - 06.2019

RN Case Manager

St Francis Hospital Bartlett
10.2017 - 06.2019

Executive Director

Intrepid USA
07.2013 - 07.2018

Case Manager Certification

Commission For Case Manager Certification

Associate of Applied Science - Nursing

St Joseph Hospital School of Nursing

High School Diploma - General Studies

Notre Dame High School

General Studies

Southeast Missouri State University
Denise Hopkins