
Healthcare Leader with a strong foundation in acute care coordination, patient education, and strategic case management. Proven track record of driving high-performance outcomes through effective discharge planning and interdisciplinary collaboration. Skilled in navigating complex clinical criteria and regulatory frameworks to ensure compliance and elevate patient care standards. Proficient at leading teams, optimizing workflows, and fostering a culture of excellence across diverse healthcare settings.
· Collaborate with interdisciplinary acute care teams to develop and implement safe, timely discharge plans for patients with complex medical conditions and multiple comorbidities, ensuring continuity of care and optimal outcomes.
· Conducted in-depth denial analyses to identify root causes and align with providers on corrective strategies, reducing future claim rejections and improving reimbursement outcomes.
· Partnered with acute care hospital teams to coordinate discharge planning for up to 50+ patients per week with complex medical needs and multiple comorbidities, resulting in improved care continuity.
· Completed 10-15 case management referrals weekly for an Accountable Care Organization, proactively identifying patients at high risk for readmission to reduce avoidable hospitalizations.
· Performed inpatient rehabilitation continued stay reviews, ensuring compliance with clinical guidelines and promoting high-quality, cost-effective care for members.
· Completed monthly data reviews and generated trend reports, identifying key healthcare utilization patterns to support strategic planning and quality improvement
· Consistently achieved Level 4 performance ratings annually, reflecting excellence in clinical quality, collaboration, and operational efficiency
· Oriented and mentored new employees, accelerating onboarding and fostering team engagement to ensure seamless integration into clinical workflows.
· Redesigned the onboarding process to align with updated workflows, improving training efficiency
· Managed a multidisciplinary therapy team of 5+ staff and maintained departmental budgets
· Partnered with the interdisciplinary care team to proactively address resident needs, resulting in improved care coordination and resident satisfaction.
· Led community outreach and marketing initiatives for the facility and rehab company, increasing referral volume and strengthening partnerships with local healthcare providers.
· Resolved conflicts and solved problems under pressure, leading to improved team dynamics and patient care outcomes.
· Delivered comprehensive patient care across inpatient, home health, and outpatient settings, tailoring treatment plans to diverse clinical needs and improving functional outcomes.
Care coordination
Patient and provider education
Interdisciplinary team collaboration
Active listening
Time management and prioritization
Growth mindset
Resilient and adaptable
Written and verbal communication
Strong clinical judgement