KATHRYN COTY

• Accomplishes business development activities by researching and developing marketing opportunities and plans
• Implementing sales plans to attract business for LTACH and Skilled Nursing level of care
• Conduct patient assessments to identify patients for potential admission into the system
• Responsible for managing the referrals and admissions that are generated through their assigned hospitals and territories by representing the hospital with professionalism to referral sources.
• Designs and manages the marketing strategies for their assigned hospitals.
• Conduct one on one contacts with potential referral sources, maintain positive relationships with current referral sources.
• Utilizing educational opportunities to present the hospital to referral sources.
• Identifies contacts and manages potential clients.
• Sources potential, appropriate patients for hospital.
• Coordinate transmission of clinical and benefit treatment to patients, families and outside agencies. Acts as liaison for outside agencies, non-plan facilities, and outside providers.

• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered
• Handle case assignments, draft service plans, review case progress and determine case closure
• Help clients achieve wellness and autonomy
• Facilitate multiple care aspects (case coordination, information sharing, etc)
• Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options
• Develop effective working relations and cooperate with medical team throughout the entire case management process
• Arrange abeyance's with social services, health and governmental agencies
• Take the extra mile and interact with patients to keep track of their progress and to ensure satisfaction
• Record cases information, complete accurately all necessary forms and produce statistical reports
• Promote quality and cost-effective interventions and outcomes
• Assess and address motivational and psychosocial issues
• Adhere to professional standards as outlined by protocols, rules and regulations.

• Documented all relevant information pertaining to each interaction with external entities according to organizational guidelines
• Provided ongoing consultation on complex cases involving multiple disciplines or specialties within the health system
• Performed assessments on high-acute patients needing complex care such as ventilator management, extensive wound care and rehabilitation
• Communicated with Patient, families on expectations of rehab stay and discharge planning
• Coordinate team meeting with all disciplines including Medical Director/ Resident NP, RT, PT, OT, Unit Manager on goals of care
• Obtained, managed care authorizations for skilled rehab or LTC custodial
• Communicate with multiple Hospital Case Managers in MA including Boston, Central Ma and Springfield on discharge referrals following Medicare InterQual guidelines for skilled l.

• Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
• Conducted clinical evaluations utilizing evidence-based practices and quality improvement initiatives to improve outcomes and reduce readmissions
• Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
• Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
• Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
• Solved conflicts and addressed issues that occurred between other entities and business.
• Collected and analyzed data and feedback to identify opportunities to improve relationship between other entities and business.
• Collected and analyzed data to identify trends and opportunities for improvement.
• Collected, arranged, and input information into database system.

• Processes and audits the medical necessity for each MassHealth Member
• Review the OASIS and 485 for accuracy and completeness and reflects care provided in the home under the direction of the Director of Clinical Servies
• Advised providers on appropriate coding practices based on current coding rules and regulations
• Identified opportunities for improvement in quality of care through analysis of data trends
• Analyzed provider performance metrics against accepted standards of care
• Documented findings from case reviews in accordance with established standards and regulations
• Assessed appropriateness of care provided within a given episode as well as across episodes.
• Managed caseload efficiently while maintaining strict confidentiality of sensitive information per HIPAA regulations.

• Participated in professional development opportunities such as conferences and workshops to stay current on best practices and industry trends in nursing liaison roles.
• Conducted clinical evaluations utilizing evidence-based practices and quality improvement initiatives to improve outcomes and reduce readmissions
• Educated patients and families on available resources, ensuring informed decision-making during the transition process.
• Promoted patient safety and satisfaction through comprehensive assessments, identifying potential barriers to successful transitions.
• Assisted in the creation of educational materials targeting both healthcare professionals and community members as part of a comprehensive outreach strategy.

Accomplishes business development activities by researching and developing marketing opportunities and plans

• Implementing sales plans to attract business for LTACH and Skilled Nursing level of care.

• Conduct patient assessments to identify patients for potential admission into the system

• Responsible for managing the referrals and admissions that are generated through their assigned hospitals and territories by representing the hospital with professionalism to referral sources.

• Designs and manages the marketing strategies for their assigned hospitals.

• Conduct one on one contacts with potential referral sources, maintain positive relationships with current referral sources. • Utilizing educational opportunities to present the hospital to referral sources.

• Identifies contacts and manages potential clients.

• Sources potential, appropriate patients for hospital.

• Coordinate transmission of clinical and benefit treatment to patients, families and outside agencies. Acts as liaison for outside agencies, non-plan facilities, and outside providers.

• Developed and implemented staff development programs to enhance employee skills and knowledge of organizational policies and procedures.
• Assisted in the design of instructional material such as manuals, handouts, audio-visual aids and online tutorials.
• Served as a resource person for managers providing advice on how best to develop their staff members' skill sets.
• Provided coaching to staff members in order to improve job performance or to help them adjust to new roles or responsibilities.
• Collaborated with department heads to ensure that training objectives are met according to established timelines.
• Researched industry trends related to staff development best practices in order to stay abreast of developments in the field.
• Developed evaluation tools to measure the effectiveness of training programs.
• Administered pre-employment assessments prior to hiring new personnel in order to determine suitability for positions.
• Maintained accurate records of all training activities including attendance lists, course materials and evaluations.
• Develop, implement, and evaluate the organizational infection prevention program to include policies and procedures for surveillance, pandemic preparedness, hand hygiene, standard precautions, employee and resident infection control education, employee health, outbreak management, and transmission-based precautions.
• Establish routine, ongoing, and systematic collection, analysis, interpretation, and dissemination of surveillance date to identify infections, infection risks, communicable disease outbreaks and to maintain or improve resident health status.