Jessica Orr
Thomaston,GA
Summary
Director of Clinical Resources with 6 years of functional case management leadership experience. Enacts strong and collaborative approach across care continuum and manages workflow to support dynamic teams. Spearheads operational effectiveness and efficiencies to develop quality improvement activities and achieve financial goals. Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
17
17
years of professional experience
Work History
Director of Clinical Resources
Upson Regional Medical Center
05.2018 - Current
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Responsible for the organization and direction of 12 case managers and discharge planners
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
- Maintain a comprehensive working knowledge of payor requirements and community resources for local populations
- Extraction, compilation, and presentation of data to UM Committee Quarterly
- Lead interdisciplinary team meeting to achieve optimal patient outcomes
- Developed systems for monitoring of readmissions and denial management
- Successful implementation of Milliman Criteria which resulted in 34% reduction in denials
- Ensure that all policies and procedures are followed in accordance with regulatory guidelines
- Participation in annual DNV certification
- Interviewing, hiring, and training of new staff
Case Manager, Wound Healing Center
Upson Regional Medical Center
09.2016 - 05.2018
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Outpatient case management of complex wound care patients
- Provided care and treatment of wounds for inpatients in an acute care setting
- Completion of Introduction to Hyperbaric Medicine course
- Management of patients receiving hyperbaric oxygen treatments
Case Manager
Upson Regional Medical Center
03.2015 - 09.2016
- Responsible for review of patient charts using InterQual criteria and collaboration with physician to determine correct patient status in compliance with CMS guidelines
- Assess patients for discharge needs to determine appropriate next level of care
- Collaborate with patients, families, and providers to ensure safe discharge plan
Lead RN OB Clinic
Atrium Navicent Health
08.2011 - 03.2015
- Responsible for outpatient management of 50-60 high-risk OB patients
- Lead RN providing direct supervision of 1 RN, 3 LPN’s, and 1 unit secretary
- Provided scheduling and supervision of 16 OBGYN residents while in the clinic
- Coordinate with department of health for reporting and treatment of communicable diseases
Staff RN
Monroe County Hospital
01.2008 - 01.2014
- Responsible for providing direct patient care for ICU and Med-Surg floor at critical access hospital
- Monitored vital signs, lab results, and other indicators to detect changes in patients'' conditions promptly.
- Also floated to ED, Recovery Room and Swing Bed Coordinator
- Performed individualized patient assessments and created nursing care plans daily
- Collaborated with physicians and case manager to provide discharge planning for acute inpatients and swing bed patients
- Administered all ordered medications to include by mouth, injections, and IV treatments
- Preceptor for nursing students and new hires
Education
Masters of Science - Nursing Administration And Management
Aspen University
Denver, CO11.2024
Bachelors of Science - Nursing
University of Phoenix
Tempe, AZ06.2010
Associates of Science - Nursing
Gordon College
Barnesville05.2008
Licensed practical nurse - Nursing
Central Georgia Technical College
Macon, GA12.2004
Skills
- Communication
- Problem Solving
- Team Work
- Leadership Training
- Critical Thinking
- Verbal and written communication
- Strategic Planning
Accomplishments
- Achieved a reduction in number of denials by introducing Milliman software for case management reviews.
- Completion of Leadership GHA.
Personal Information
Title: RN, BSN
Timeline
Director of Clinical Resources
Upson Regional Medical Center
05.2018 - Current
Case Manager, Wound Healing Center
Upson Regional Medical Center
09.2016 - 05.2018
Case Manager
Upson Regional Medical Center
03.2015 - 09.2016
Lead RN OB Clinic
Atrium Navicent Health
08.2011 - 03.2015
Staff RN
Monroe County Hospital
01.2008 - 01.2014
Masters of Science - Nursing Administration And Management
Aspen University
Bachelors of Science - Nursing
University of Phoenix
Associates of Science - Nursing
Gordon College
Licensed practical nurse - Nursing
Central Georgia Technical College