Elizabeth A. Lukomski
Campbellsport,WI
Summary
Accomplished nursing professional with extensive experience in case management and quality risk analysis. Skilled in identifying barriers to care and developing strategic solutions that promote safe discharges, enhance patient advocacy, and drive organizational efficiencies.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Care Transitions Nurse
Aurora Healthcare
Milwaukee, USA
11.2021 - Current
- Identified, coordinated, and maintained caseload of patients from Aurora West Allis Medical Center within first month post-discharge, ensuring access to appropriate resources to minimize hospital readmission risk.
- Facilitated interdisciplinary communication to ensure safe patient discharges and recommended care options to streamline transitions and reduce readmissions.
- Collaborated with hospital-based case management and physicians to identify barriers to timely care delivery, enhancing patient care flow.
- Led the Midwest Ambulatory Shared Governance Practice Council as Chair.
- I also am a Donna Wright Champion, working closely with department leaders and educators to plan and evaluate nursing education and peer review.
Quality Risk Management Analyst
Aurora St. Luke’s Medical Center
Milwaukee, USA
11.2019 - 11.2021
- Collaborated closely with physicians, nursing leaders, and hospital leaders to resolve complaints and mitigate risk.
- Analyzed patient relations issues, resolving complaints and grievances to enhance patient satisfaction.
- Drafted correspondence to patients, ensuring compliance with CMS requirements and improving communication.
- Provided a daily review of all safety events and worked closely with the hospital’s Safety and Quality departments to ensure timely investigation.
- Participated as a member and presenter in the hospital’s Safety Committee.
- Participated in hospital safety huddles, contributing to proactive risk management in the absence of the manager.
Revenue Recovery RN Case Manager
Aurora Health Care
Milwaukee , WI
10.2015 - 11.2019
- Coordinated medical necessity denial appeals with case management teams and physicians, enhancing collaboration for effective outcomes.
- Managed appeal processes for inpatient clinical denials, achieving timely resolutions that supported revenue recovery.
- Utilized clinical and regulatory expertise to minimize financial risk to the system.
- Analyzed denial trends and presented actionable findings to facilities for informed strategic improvements.
- Developed and documented departmental processes for enhanced operational clarity.
- Created a comprehensive training program and trained new employees effectively.
RN Case Manager
Froedtert Hospital
Milwaukee, USA
10.2014 - 10.2015
- Delivered case management services for MICU and NICU patient populations, ensuring comprehensive care coordination.
- Executed initial assessments and facilitated disposition planning to support patient transitions.
- Led training sessions for new employees, boosting their skills and knowledge for effective team integration.
RN Case Manager
Barnes Jewish Hospital
St. Louis, USA
11.2012 - 09.2014
- Delivered case management services to diverse patient populations in a 36-bed SICU and 19-bed MICU, ensuring comprehensive care.
- Facilitated meetings to develop and review departmental policies and procedures, enhancing operational standards.
- Coordinated patient care plans with interdisciplinary teams at Froedtert Hospital.
- Assessed patient needs and developed individualized treatment strategies.
- Monitored patient progress and adjusted care plans accordingly.
Nurse Coordinator, Neurological Services
Barnes Jewish Hospital
St. Louis, USA
02.2009 - 11.2012
- Facilitated hospital privileges to enhance surgical care for patients under a staff neurosurgeon.
- Delivered pre-surgical education to empower patients in their surgical journey.
- Coordinated registration and monitoring of patients for national research studies in collaboration with the local IRB.
Education
Bachelor of Science - Nursing
Chamberlain University
Chicago, IL05-2023
Associate of Applied Science - Nursing Education
Southwestern Illinois College
Belleville, IL05-2002
Bachelor of Arts - History, General Business
Christian Brothers University
Memphis, TN05-1990
Skills
- Care transitions management
- Case management
- Patient assessment and care
- Chronic disease management
- Patient education and care
- Electronic health records
- Clinical documentation
- Healthcare compliance
- HIPAA compliance
- Regulatory compliance
- Clinical risk assessment
- Care plan implementation
- Problem solving
- Effective communication
- Attention to detail
- Patient advocacy
Certification
Accredited Case Manager Certification, 2024
Timeline
Care Transitions Nurse
Aurora Healthcare
11.2021 - Current
Quality Risk Management Analyst
Aurora St. Luke’s Medical Center
11.2019 - 11.2021
Revenue Recovery RN Case Manager
Aurora Health Care
10.2015 - 11.2019
RN Case Manager
Froedtert Hospital
10.2014 - 10.2015
RN Case Manager
Barnes Jewish Hospital
11.2012 - 09.2014
Nurse Coordinator, Neurological Services
Barnes Jewish Hospital
02.2009 - 11.2012
Bachelor of Science - Nursing
Chamberlain University
Associate of Applied Science - Nursing Education
Southwestern Illinois College
Bachelor of Arts - History, General Business
Christian Brothers University