Summary
Overview
Work History
Education
Skills
Timeline
Generic

Donna Webb

Birmingham,AL

Summary

Utilization review professional with strong foundation in healthcare management and process optimization. Proven track record of fostering team collaboration and driving results. Reliable team player, adaptable to changing demands ensuring alignment with organizational goals.


Overview

36
36
years of professional experience

Work History

Central Utilization Review Manager

Baptist Health
05.2022 - Current
  • Central utilization team created to provide continuity and proficiency in timely review process to ensure increased approval and revenue for all hospitalizations.
  • Led utilization review processes to ensure compliance with regulatory standards and organizational policies.
  • Trained and mentored staff on best practices in utilization management, fostering a culture of continuous improvement.
  • Ensured consistent application of admission criteria among team members through ongoing education and feedback sessions.
  • Performed admission reviews based for medical necessity based upon InterQual specification.
  • Established team priorities, maintained schedules and monitored performance.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.

Case Manager Utilization Review

Shelby Baptist Medical Center
08.2017 - 05.2022
  • Streamlined case documentation procedures, reducing processing time and increasing efficiency.
  • Developed and implemented training programs for staff.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Developed direct admission process to reduce number of denials from lack of notification to payer
  • BCBS Alabama champion developing more accurate and timely review process to ensure continued status and compliance with CURP (concurrent utilization review program).

Case Manager

Shelby Baptist Medical Center
10.2004 - 08.2017
  • Collaborated with healthcare providers to ensure comprehensive patient support and continuity of care.
  • Educated clients on available resources and support systems within the community.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.

Labor and Delivery Registered Nurse-Charge Nurse

Shelby Baptist Medical Center
08.2000 - 05.2004
  • Assisted in monitoring fetal heart rates and maternal vital signs during labor.
  • Supported laboring patients by providing comfort measures and emotional reassurance.
  • Collaborated with healthcare team to implement individualized birth plans.
  • Educated families on childbirth processes and postpartum care protocols.
  • Exhibited strong critical thinking skills in responding to emergencies such as postpartum hemorrhage or neonatal resuscitation, collaborating with the healthcare team to provide prompt interventions and stabilize patients'' conditions.
  • Assisted physicians in performing various procedures such as epidurals, cesarean sections, vacuum-assisted deliveries, and forceps deliveries for optimal patient outcomes.
  • Managed high-risk pregnancies effectively by collaborating with specialized healthcare teams to develop tailored care plans for each patient''s unique needs.
  • Assisted physician during delivery, examination and surgical procedures by anticipating needs, encouraging patient, and attending to baby after birth.
  • Maintained current knowledge of obstetrical nursing best practices through continuous professional development and participation in relevant workshops or conferences.
  • Responded to emergency situations such as pre-eclampsia, early labor, and fetal distress.
  • Served as a preceptor for new nursing staff, providing mentorship and sharing expertise on labor and delivery procedures.
  • Provided emotional support to patients and families during the birth process, helping them to navigate complex medical situations with empathy and understanding.

Labor and Delivery Registered Nurse

Montclair Baptist Medical Center
08.1999 - 08.2000
  • Documented patient assessments accurately in electronic health record systems.
  • Supported physicians in both planned and emergency Cesarean section procedures.
  • Recognized early signs of distress in both mother and baby during labor; intervened appropriately to ensure optimal outcomes.
  • Administered medications as ordered by physicians while closely monitoring for side effects or adverse reactions.
  • Reduced maternal and neonatal complications through diligent monitoring of vital signs, fetal heart rate, and contractions.
  • Supported expectant mothers in making informed decisions regarding their birth plan, offering guidance on pain management options and birthing techniques.

Staff Charge Nurse, Labor and Delivery

Huntsville Hosptial
12.1997 - 08.1999
  • Supervised labor and delivery unit, ensuring optimal patient care and safety protocols.
  • Mentored nursing staff on best practices for maternal and neonatal health.
  • Coordinated emergency response efforts during high-risk deliveries to enhance patient outcomes.
  • Developed and implemented training programs for new nurses in labor and delivery procedures.
  • Evaluated patient care plans, adjusting interventions based on evolving clinical needs.
  • Served as a subject matter expert on fetal monitoring techniques, providing guidance to fellow nurses on interpreting data accurately.

Labor and Delivery Registered Nurse

Northside Hospital Atlanta
04.1996 - 12.1997
  • Assisted obstetricians and midwives with deliveries and cared for newborns directly after birth.
  • Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
  • Managed epidural analgesia infusions and monitored vital signs during labor and delivery.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Assisted in monitoring fetal heart rates and maternal vital signs during labor.
  • Supported laboring patients by providing comfort measures and emotional reassurance.
  • Managed high-risk pregnancies effectively by collaborating with specialized healthcare teams to develop tailored care plans for each patient''s unique needs.
  • Maintained current knowledge of obstetrical nursing best practices through continuous professional development and participation in relevant workshops or conferences.

Labor and Delivery Registered Nurse

Huntsville Hospital
04.1989 - 04.1996
  • Organized equipment and supplies for deliveries to ensure efficient operations.
  • Engaged in continuous learning through workshops to improve clinical skills and knowledge base.
  • Worked closely with doctors and midwives in coaching pregnant women through childbirth and post-natal recovery.
  • Performed accurate assessments of mother and baby''s conditions upon admission to the Labor and Delivery unit, promptly identifying any potential risks or complications.
  • Facilitated seamless patient transitions between pre-labor, active labor, and postpartum stages by maintaining clear communication with all involved healthcare providers.
  • Provided emotional support and guidance to new mothers and families during labor, delivery and postpartum.
  • Managed patients recovering from medical or surgical procedures.
  • Performed triage on incoming patients and determined severity of injuries and illnesses.
  • Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
  • Collaborated with healthcare team to implement individualized birth plans.
  • Exhibited strong critical thinking skills in responding to emergencies such as postpartum hemorrhage or neonatal resuscitation, collaborating with the healthcare team to provide prompt interventions and stabilize patients'' conditions.
  • Provided emotional support to patients and families during the birth process, helping them to navigate complex medical situations with empathy and understanding.
  • Coordinated care of low and high-risk laboring women of childbearing age and immediate stabilization of newborn following delivery.
  • Maintained current knowledge of obstetrical nursing best practices through continuous professional development and participation in relevant workshops or conferences.

Education

Nursing

Jacksonville State University
Jacksonville, AL
04-1989

Skills

  • Utilization review
  • Case review expertise
  • Teamwork and collaboration
  • Effective time management
  • Problem-solving abilities
  • Effective multitasking
  • Reliability
  • Excellent communication
  • Strong organizational abilities
  • Adaptability and flexibility
  • Scheduling and coordinating
  • Self motivation
  • Interpersonal skills
  • Professionalism
  • Staff management

Timeline

Central Utilization Review Manager

Baptist Health
05.2022 - Current

Case Manager Utilization Review

Shelby Baptist Medical Center
08.2017 - 05.2022

Case Manager

Shelby Baptist Medical Center
10.2004 - 08.2017

Labor and Delivery Registered Nurse-Charge Nurse

Shelby Baptist Medical Center
08.2000 - 05.2004

Labor and Delivery Registered Nurse

Montclair Baptist Medical Center
08.1999 - 08.2000

Staff Charge Nurse, Labor and Delivery

Huntsville Hosptial
12.1997 - 08.1999

Labor and Delivery Registered Nurse

Northside Hospital Atlanta
04.1996 - 12.1997

Labor and Delivery Registered Nurse

Huntsville Hospital
04.1989 - 04.1996

Nursing

Jacksonville State University

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Donna Webb