Healthcare professional with track record of effective patient care management and team collaboration. Expertise in developing and implementing individualized care plans that meet diverse patient needs. Known for strong focus on achieving results and seamlessly adapting to changing healthcare environments. Skilled in communication, conflict resolution, and resource management.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Transition Planner Care Manager- Women and Children’s Services, Labor and Delivery, Maternity, NICU, PICU, and Pediatric Units, 12 months as Float Care Manager to all Hospital Units
Intermountain Health Hospital
Billings, MT
06.2023 - Current
Patient Flow Support: Collaborates with multidisciplinary team to facilitate timely patient admissions, discharges and transfers to optimize occupancy and minimize length of stay.
Care Coordination Assistance: Supports with patient assessments, care planning, and documentation required for payment and regulatory compliance.
Communication & Liaison: Serves as a resource between patients, healthcare providers, external agencies, arranges community services, and resolves barriers to care progression.
Assists in tracking patient progress, identifying care gaps, and escalating clinical or social issues that may affect the patients discharge or ongoing care needs to multidisciplinary team.
Education and Support: Knowledgeable regarding Social Determinates of Health. Provides patients and families with educational resources about community and financial resources and support tools.
Interdisciplinary Teamwork: Actively participates in interdisciplinary rounds and meetings to share updates, coordinates care plans, and fosters teamwork with nursing, care management and medical teams.
Partners with the multidisciplinary team to guide and advocate placement to the appropriate level of care, including LTACH, Skilled Nursing Facility, Long Term Care, Assisted Living, Home Health, in-home care service, Hospice, ancillary outpatient services, APS and CPS.
Social Services Care Manager
Billings Clinic Hospital
Billings, MT
01.2019 - 06.2023
Screen and assess the acuity and transitional needs of each assigned patient.
Ongoing assessment to address medical/psychosocial/financial needs of patients and their support systems in both ambulatory and hospital settings.
Engage and collaborate with patients, family members and healthcare team to establish a care plan that addresses the mutually identified needs of the patient.
Coordinate patient needs between support systems, healthcare professionals, community and state agencies. Serve as a liaison between hospital, clinic and community agencies to facilitate care coordination and the exchange of clinical and referral information.
Advocate for and assist the patient as they move across the care continuum.
Provide information and education about available resources to patients and their support systems.
Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.
Partners with the multidisciplinary team to guide and advocate placement to the appropriate level of care, including LTACH, Skilled Nursing Facility, Long Term Care, Assisted Living, Home Health, in-home care service, Hospice, ancillary outpatient serves and DME as clinically appropriate.
Ensure assessment, interventions and goals of care are accurately documented in the patient’s electronic medical record in a timely manner, Advocate for marginalized or vulnerable populations by identifying cases of abuse/neglect.
Licensed Addiction Counselor
Rimrock Foundation
Billings, MT
08.2012 - 07.2018
Provide assessments to inpatient and outpatient clients while applying appropriate testing instruments, Apply patient placement criteria to assure appropriate referral of patients within the continuum of care, Assist in directing public and patients to access treatment services within the organization and surrounding areas, Provide individual and group counseling to patients and their families utilizing multiple treatment modalities and expertise, Provide educational presentations to patients and the public, Facilitate family members’ attendance, education, and counseling during family week, Provide timely and thorough follow-up with internal and external customers, Help to ensure patient confidentiality in accordance to state and federal regulations.
Resident services Coordinator
The Springs Living
Missoula, MT
12.2010 - 08.2012
Conduct initial, change of condition, and quarterly assessments for potential and current residents, Attended service plan review meetings and generated assessments and care plans for residents, Complete quality assurance audits, Maintain resident chart, healthcare notes, incident reports, and medication administration records, Effectively communicate with residents, family members, Hospice, physicians, home health caregivers, and all other involved parties, served as a resident advocate and promoted advocacy amongst all employees. Supervision of health services employees, Assist in screening hiring, training and conducting competency evaluations of health services employees, Conducted continuing education and training for all employees, Completed monthly work schedule for all health services employees, Completed payroll.
Education
Bachelor of Arts - Psychology & Sociology/Criminology
The University of Montana
Missoula, MT
Skills
Compassionate care commitment
Critical thinking
Teamwork and collaboration
Customer service
Problem-solving
Excellent communication
Adaptability and flexibility
Interpersonal skills
Multitasking Abilities
Documentation skills
Patient advocacy
Multidisciplinary team collaboration
Certification
2011- Medical Language Certificate
2015-Current- License in Addiction Counseling, LAC- The State of Montana
2026-Current- Board Certified Case Manager, CCM
Timeline
Transition Planner Care Manager- Women and Children’s Services, Labor and Delivery, Maternity, NICU, PICU, and Pediatric Units, 12 months as Float Care Manager to all Hospital Units
Intermountain Health Hospital
06.2023 - Current
Social Services Care Manager
Billings Clinic Hospital
01.2019 - 06.2023
Licensed Addiction Counselor
Rimrock Foundation
08.2012 - 07.2018
Resident services Coordinator
The Springs Living
12.2010 - 08.2012
Bachelor of Arts - Psychology & Sociology/Criminology
Nurse Case Manager, Pediatric Intensive Care Unit (PICU), Scottish Rite Hospital at Children’s Healthcare of AtlantaNurse Case Manager, Pediatric Intensive Care Unit (PICU), Scottish Rite Hospital at Children’s Healthcare of Atlanta
Director Patient Care Services – Inpatient Surgery Units at Sentara Norfolk General HospitalDirector Patient Care Services – Inpatient Surgery Units at Sentara Norfolk General Hospital