Dynamic healthcare leader with extensive experience at Baptist Health, excelling in care coordination and discharge planning. Results-driven professional known for streamlining processes and fostering collaboration to achieve organizational goals. Committed to driving excellence and adapting to dynamic challenges. Proven track record in enhancing operational efficiency, achieving a 25% reduction in opportunity days through data-driven strategies. Strong analytical skills and a commitment to patient advocacy drive successful interdisciplinary collaboration and regulatory compliance.
Overview
19
19
years of professional experience
1
1
Certification
Work History
System Director, Case Coordination
Baptist Health
04.2022 - Current
Provide strategic and operational leadership with responsibility to design, integrate and coordinate Case Management services across the Baptist Healthcare System.
Plan, develop, oversee, coordinate, and evaluate services and products related to Case Management.
Assist in implementation of system enhancements to improve operational efficiency related to patient throughput and length of stay. An example is the newly created Appointment of Representation (AOR) process.
Conduct routine data analysis to identify trends and opportunities that inform decision-making utilizing reports from the Electronic Medical Record (Epic), LeanTaaS, and other reporting software, that lead to increased operational efficiencies.
Early adopter of LeanTaaS reports which allowed data transparency and utilized predictive analytics that supports early discharge practices, reduce bottlenecks and address barriers to discharge in real time. The use of LeanTaaS has reduced opportunity days by 25%, and length of stay variance by 34% within one year.
Collaborate with leadership from different system facilities to address barriers to and strategize on improving system performance related to patient and financial outcomes.
Established productivity metrics and auditing tools within Epic to track real time progress in managing throughput and length of stay while ensuring regulatory compliance for Case Coordination teams across the organization.
Collaborate with interdisciplinary teams, system departments and external resources such as payers and post acute partners to optimize healthcare delivery and operational efficiency.
Advocate for ongoing employee education initiatives focused on professional development opportunities tailored specifically to the unique needs of RN Case Managers and Social Workers across the Baptist Healthcare System.
Supervisor, Case Coordination
Baptist Health North Little Rock
05.2016 - 04.2022
Managed and supervised RN Case Managers, Social Workers and Support Staff across 5 different facilities within the Baptist Health System, effectively systemizing the processes of BH Case Coordination.
Accountable for the ongoing interactions of the Case Managers and Social workers with patients, physicians, and ancillary staff to meet designated clinical, operational, and financial outcomes for our patient population.
Promoted staff achievement in assisting physicians, patients, families and payors in providing the safest, most appropriate and cost efficient care possible.
Collaborated with other departments and facilities to achieve organizational goals, fostering teamwork across various functions.
Developed orientation and training programs for new staff, enhancing onboarding, skill development and continuing education opportunities.
Streamlined documentation which increased productivity and reduced operational delays, leveraging Epic for many of these improvements.
Monitored performance metrics, providing feedback to team members for continuous improvement related to length of stay and readmission reduction.
Conducted regular audits of compliance with quality standards, CMS and payer regulations.
Onboarded Western Arkansas region's Case Coordination team when acquired by Baptist Health, including Epic training, introduction to Baptist Health policies, procedures, and values, and Case Coordination processes.
Clinical Case Coordinator II
Baptist Health Little Rock
09.2014 - 05.2016
Held accountable for the clinical and financial outcomes of care for a caseload of 30+ patients.
Ensured compliance with and ensured up to date knowledge of organizational policies, CMS and payer regulations through case management processes.
Assessed, developed, planned, and implemented individualized care plans for patients to ensure seamless continuity of care across the healthcare continuum.
Facilitated communication between healthcare providers, ancillary services, patients/families, and post acute providers to ensure safe transitions and optimize the length of stay of assigned patient population.
Maintained detailed documentation in electronic health records systems.
Assisted in the interviewing, hiring and training of new Case Coordination team members. on Baptist Health policies, Case coordination policies and protocols,
Coordinated efforts with Utilization Review staff related to Condition Code 44 and Provider Liable processes.
Care Manager
Rapid City Regional Hospital
03.2010 - 08.2014
Performed Utilization Review functions for assigned caseload, by reviewing patient records and treatment plans to ensure healthcare services were medically necessary, appropriate, and cost effective as well as ensuring documentation and services met CMS and payer regulations.
Acted as a liaison between patients, medical staff, insurance companies and other healthcare providers to discuss and resolve coverage and claims issues.
Conducted comprehensive assessments of diverse patient populations to identify patient needs and resources. Developed and implemented discharge care plans, monitored patient progress and adjusted plans as necessary.
Collaborated with internal and external healthcare providers including Indian Health Service providers/facilities and Veterans Affairs, to ensure continuity of care.
Coordinated and led multidisciplinary team meetings to optimize patient outcomes, manage length of stay and reduce risk of readmission.
Trained and mentored junior staff in best practices for care management.
Facilitated family meetings to address concerns, establish goals of care, and provide psychosocial support.
Reduced hospital readmission rates by providing comprehensive discharge planning and follow-up support.
Utilized electronic health records systems proficiently for efficient documentation of clinical information according to regulatory standards.
Developed and implemented individualized care plans and coordinated necessary services to avail quality care for patients. Advocated for patients' rights and access to required services.
Participated in a Rapid Improvement Event (RIE) addressing fragmented and siloed hospital care that prevented timely throughput. Recommendations of the RIE led to a transition of Case Management to Care Management, in which the CM followed up with patients who discharged home within 72 hours of discharge to ensure a smooth transition. These efforts led to a reduction in LOS of 25% overall and increased patient satisfaction.
Family Advocacy Nurse
Choctaw Archiving Enterprise (for US Air Force)
04.2006 - 10.2009
Provided services to prevent and respond to child abuse and neglect and domestic abuse by delivering prevention, treatment, and victim advocacy services within the military community to promote health relationships and safe environments across a 3 country region.
Provided education related to stress management, military life, childhood development, family management, pregnancy, childbirth, and postpartum care.
Collaborated with an interdisciplinary team that included psychologists, psychiatrists, social workers, and substance abuse counselors to develop client and family care plans, while considering specific military and security needs.
Educated clients on a variety of topics, including disease management, self-care techniques, and wellness strategies to improve long-term health outcomes as well as minimize the risk of substance abuse and maltreatment.
Utilized strong clinical judgment in prioritizing client needs during high-stress situations such as deployment and re-deployment, ensuring optimal outcomes.
Strengthened family frameworks
Served as a Certified Lactation Consultant whose role was to support, educate, and guide parents on various feeding methods with a primary focus on breastfeeding, and WHO's Baby Friendly initiative.
Educated clients on breastfeeding techniques and addressed common challenges to enhance maternal confidence.
Conducted comprehensive lactation assessments to develop individualized care plans for breastfeeding mothers.
Developed and led workshops for parents on what to expect during pregnancy, childbirth, the post partum period, child care and early child intervention, and effective breastfeeding.
Advocated for breastfeeding policies on military bases in Europe in accordance with Department of Defense (DoD) regulations, promoting awareness of lactation support resources available to families.
Advocated for spousal and children's rights and needs within the complex DoD framework.
Evaluated learning outcomes through assessments, ensuring alignment with regulatory standards and organizational goals.