Jillian Skingley
Valparaiso,Indiana
Summary
ACM Certified Case Manager in a top-ranked ACO. Expert at empowering patients to be their best through collaboration, education, and motivational support while maintaining the standards of professionalism. Excellent communication skills, documentation skills, self-discipline and ability to adapt to various environments.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Care Manager III
Franciscan Health Munster
Crown Point, IN
11.2019 - Current
- Assist clients in developing and achieving short-term and long-term goals.
- Provide advocacy for clients to ensure their needs are met through appropriate services.
- Coordinate with other health care providers, such as physicians and psychiatrists, to develop comprehensive treatment plans.
- Facilitate the coordination of medical appointments and transportation for clients when needed.
- Educate family members about patient's condition, treatments and available resources.
- Participate in team meetings with other staff members to discuss case management issues.
- Participated in the 2024 Medicare audit.
- Monitor client's compliance with medications prescribed by physician or psychiatrist, if applicable.
- Create care plans to assist patients in reducing problems or barriers to achieve optimal level of health.
- Liaison between insurance companies, community agencies and patient. Served as Liaison between Cigna and Franciscan Health, during assignment to Cigna documentation portal to track admissions.
Supervisor of Case Management and Social Services
Methodist Hospitals, Southlake Campus
Merrillville, IN
02.2017 - 11.2019
- Provided thorough supervision of department's day-to-day operations in accordance with set policies and guidelines.
- Staffed schedules and daily work assignments, resolving conflicts and providing direct support should the need arise.
- Arranged continuing education opportunities for all staff to increase knowledge and skills, including a case management certification initiative that led to a 33% department wide certification rate.
- Collaborated with FBI's Human Trafficking Task Force to provide training for Social Service and Emergency Department staff.
- Built strong network of outside referral sources within the community by hosting events such as Community Support Agency Breakfasts and American Heart Association Fundraising events.
- Conducted performance evaluations for all Case Management and Social Services Department employees.
- Developed and supervised staff by providing orientation, training, support and direction; personally involved in orientation process to allow for continuity of training and information presented.
- Improved Skilled Nursing Facility denials as evidenced by Expedited Appeals Processes, resulting in approximately a 98% turnover.
- Developed basic understanding of DRG, case mix index, and good understanding of severity of illness and intensity of service.
RN-Case Manager
Methodist Hospitals, Southlake Campus
Merrillville, IN
08.2011 - 01.2017
- Obtained recommendations for inpatient or outpatient level of care by collaborating with Physician Advisor when level of care is not supported by InterQual.
- Served as a patient advocate, identifying insurance coverage, communicating care preferences to practitioners, and ensuring interventions met patients' treatment goals.
- Updated and maintained discharge plan of care with physician, members of healthcare team, patients, and families.
- Strong Utilization Management and Case Management skills as evidenced by orientating new staff after two years' employment, as well as becoming the first in my department to obtain certification.
- Maintained balance between financial stewardship of the hospital and patient advocacy.
- Denial prevention as evidenced by thorough and accurate documentation of clinical picture resulting in high rate of approvals.
Staff RN, Charge Nurse and Admission/ Discharge RN
Methodist Hospitals, Southlake Campus
Merrillville, IN
04.2001 - 8 2011
- Ensured that high acuity patients requiring intermediate care on the Cardiac IMCU all received an exemplary level of quality care.
- Maintained composure and efficiency during rapid response situations and emergency codes.
- Assessed patient health needs by reviewing and tracking EKG readings, addressing telemetry changes and quickly informing teammates of stability or acuity changes.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care, such as leading a departmental initiative for Admission and Discharge Nurse protocols. This resulted in decreased admission and discharge times and increased patient satisfaction.
- Performed thorough patient evaluations and ensured an exemplary level of care as dictated by care plans.
- Precepted and delivered clinical coaching to newly hired and recently graduated RN's.
- Provided necessary health education training for patients, including post-operative, disease management, and discharge instructions to promote positive health and well being.
Education
Bachelor of Science - Nursing
Purdue University Calumet
Hammond, INAssociate of Science - Medical Assisting
Davenport University
Merrillville, INSkills
- Collaboration
- Communication skills
- Information documentation
- Utilization Review
- Liaison
- Personal and professional integrity
- Conflict resolution
- Denial management
- Clinical issues understanding
- Continuing education
- Nimble learning
- Microsoft Office profiency
Certification
- Accredited Case Manager Certification, American Case Management Association - Certification Number 49107, September 2014 - Present
- CPR, American Heart Association, October 2014 - Present
- Indiana Registered Nurse - License Number 28153084A, 2002 - Present
- Compact Registered Nurse - License Number 2813084C, 2023 - Present
- Illinois Registered Nurse - License Number 041.498086, 2020 - Present
Timeline
Care Manager III
Franciscan Health Munster
11.2019 - Current
Supervisor of Case Management and Social Services
Methodist Hospitals, Southlake Campus
02.2017 - 11.2019
RN-Case Manager
Methodist Hospitals, Southlake Campus
08.2011 - 01.2017
Staff RN, Charge Nurse and Admission/ Discharge RN
Methodist Hospitals, Southlake Campus
04.2001 - 8 2011
Bachelor of Science - Nursing
Purdue University Calumet
Associate of Science - Medical Assisting
Davenport University
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