Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jennifer Melchor

Ridgecrest,CA

Summary

Motivated Case Manager and Utilization Reviewer committed to building integrated nursing teams and improving patient outcomes at hospital level. Detail oriented professional with exemplary skills in delegating tasks, data analysis to close gaps and improve outcomes.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Clinical Manager of Case Management

Ridgecrest Regional Hospital
06.2014 - Current
  • Improved patient outcomes by implementing evidence-based clinical practices and protocols.
  • Enhanced staff performance through regular training, mentoring, and professional development opportunities.
  • Streamlined clinic operations for increased efficiency by optimizing patient flow and appointment scheduling processes.
  • Developed interdisciplinary care plans with input from physicians, nurses, therapists, and other healthcare providers for optimal patient results.
  • Oversees and assists in facilitation of patient hospitalization from pre-admission to discharge.
  • Manages department to work with other healthcare providers to expedite medically appropriate, cost effective care.
  • Acts as a resource for the Case Management department and represents the department for projects and at meetings.
  • Working knowledge of the facility's third-party payors and the State of California's reimbursement systems.
  • Collects data to assist Senior Leadership in assessing the financial status, monitoring the facility's potential financial risks on a concurrent basis and the review of facility and physician case-mex financial data to identify trends and problem areas.
  • Reduced hospital readmission rates by prioritizing discharge planning and effective communication between patients, families, and healthcare providers.
  • Identified areas for cost savings without compromising quality of care through regular financial analysis and budget reviews.

Education

Master of Science - Nursing, Leadership And Management

Walden University
Minneapolis, MN
06.2017

Associate of Science - Nursing

Bakersfield College
Bakersfield, CA
05.2012

Associate of Science - Nursing

Cerro Coso Community College
Ridgecrest, CA
05.2009

Skills

  • Patient Health Education
  • Meeting participation
  • Records Management
  • HIPAA Compliance
  • Resource Management
  • Recruitment and retention
  • Patient Education
  • Clinical Leadership
  • Quality Improvement
  • Staff Development
  • Administrative Oversight
  • Utilization review
  • Team Management
  • Reimbursement tracking
  • Case Management

Certification

  • CCM- Certificate Number 4248107/Sept 2020
  • Registered Nurse- 821944/ Jun 2012

Timeline

Clinical Manager of Case Management

Ridgecrest Regional Hospital
06.2014 - Current

Master of Science - Nursing, Leadership And Management

Walden University

Associate of Science - Nursing

Bakersfield College

Associate of Science - Nursing

Cerro Coso Community College
  • CCM- Certificate Number 4248107/Sept 2020
  • Registered Nurse- 821944/ Jun 2012
Jennifer Melchor