Judy McTaggart
Fort Worth,TX
Summary
Organized and Dependable candidate successful at multi tasking and prioritizing with a positive attitude. Willing to take on additional responsibilities to meet team goals and help create a positive work culture that encourages respect, trust, empathy and support.
Overview
34
34
years of professional experience
Work History
Case Manager-DC Planner
Cook Children's Medical Center
07.2023 - Current
- -Using a collaborative process to assist in DC planning and Case management in order to facilitate quality of patient care, cost effective utilization and outcome management. Anticipating and planning discharge the moment the patient is admitted.
- -Communicate effectively with Physicians, other healthcare team members, and patient families to provide the best outcomes for them. Helping to move them along the continuum of care.
- -Collaborate with outside DME, HHC companies, therapy providers, and other community resources etc. to obtain whatever our patients need at time of discharge.
- -Participate in weekly UR meetings and appropriately referring those patient's that need to be discussed with other team members and Physician advisors
RN
Children's Home Care Company
07.2013 - Current
- PDN for Complex pedi patients that are vent dependent.
- Collaborating with health care team in ensuring continuity of care
- Educating parents/patient on infection control, tube feeds, Oxygen safety, ostomy and trach care
- Documented patient assessment findings
- Deliver non judgmental and non discriminatory care
- Using Nursing process for individualized patient care
Inpatient Case Manager
CIGNA Healthcare
12.1997 - 07.2023
- Use a collaborative process to plan, assess, implement, monitor and evaluate options and services required to meet healthcare needs of customers using Milliman Guidelines, for Utilization Review.
- Discharge planning and Case Management to facilitate movement along continuum of care. Ensuring quality of patient care, cost effective utilization management, moving customers to appropriate levels of care at appropriate times.
- Ensuring that customers use their healthcare benefits in a timely and cost effective manner to meet their health care needs.
- Planned discharge from care facility to home or another care facility.
- Referring customers to specialty case management programs when appropriate to ensure follow up and decrease risk of readmission to acute care.
Case Manager
Cook Children's Health Plan
09.2006 - 09.2007
- Case finding to determine members in need of CM
- Assess medical, emotional, environmental and financial needs of the member.
- Develop CM plan
- Determine medical necessity utilizing InterQual
- Case negotiations
- Created Post partum questionnaire to identify at risk mothers and newborns.
- Case Managed NICU patient's discharged from acute care to ensure continued follow up care
RN
All Saints Medical Center
08.1994 - 12.1997
- Worked in Level III Neonatal ICU managing premature infants on mechanical and conventional ventilators/CPAP/lab draws/Umbilical arterial lines/medications administration
- Attend high risk deliveries in Delivery room and OR
- NRP certified
LTJG
US Navy
05.1990 - 04.1994
- Med-Surg nursing on ortho/optho/plastic surgery floor-direct patient care-
- PM CHarge Nurse
- NICU Level III nursery
- Education Officer and Arranged for CEU's for nursery staff
- NRP Instructor
Education
Bachelor of Science - Nursing
UT Health Science Center At Santonio
San Antonio, TX05.1990
Associate of Science - Biology
Universidad Regiomontana
Monterrey, Mexico05.1986
Skills
- Utilization review utilizing Milliman Guidelines/Interqual
- Epic
- Other CM software- CHC ICMS, Trucare
- MS Word/Excel
- Organizational skills
- Time management
- Leadership
- Teaching
Timeline
Case Manager-DC Planner
Cook Children's Medical Center
07.2023 - Current
RN
Children's Home Care Company
07.2013 - Current
Case Manager
Cook Children's Health Plan
09.2006 - 09.2007
Inpatient Case Manager
CIGNA Healthcare
12.1997 - 07.2023
RN
All Saints Medical Center
08.1994 - 12.1997
LTJG
US Navy
05.1990 - 04.1994
Bachelor of Science - Nursing
UT Health Science Center At Santonio
Associate of Science - Biology
Universidad Regiomontana
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