Lauren Kresge
Director Care Management
Dallas,PA
Summary
Director of Care Manager with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator with strong organizational skills. Recognized for staff development leading to high performing teams.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Director Care Management
Geisinger Wyoming Valley Medical Center
Wilkes Barre, PA
10.2019 - Current
- Directed update of electronic case management system to enhance level of care.
- Met with discharge planners, physician groups and referral sources and maintained strong customer relations.
- Adhered to laws and regulations pertaining to patient health, safety and medical information.
- Created department goals and objectives while maintaining high-quality medical delivery system.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Direct day-to-day administrative and operational functions for 300-bed facility, providing guidance and leadership to over 40 employees across more than 2 departments.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Lead Care Manager, Social Work
Geisinger Wyoming Valley Medical Center
Wilkes Barre, PA
10.2011 - Current
- Mediated between family members to facilitate conflict resolution and build healthy family relationships.
- Conducted outreach to local referral sources to build strong partnerships for supportive services.
- Performed client screenings and accurately recorded data in case files to facilitate clinical case coordination services and case management duties.
- Explained medical care options to help families make informed healthcare decisions.
- Offered community resource guidance to clients to meet family needs for assistance.
- Developed productive relationships with community groups and government agencies.
- Set department schedules and specific work assignments.
- Supported staff with clinical, functional and operational assistance.
- Arranged transportation and documented details of discharge transition plans.
Supervisor CPS/GPS Intake Department
Luzerne County Children & Youth
Wilkes Barre, PA
09.2001 - 10.2011
- Completed intake assessment forms and filed clients' charts.
- Answered phone calls and provided new clients with required paperwork to initiate service.
- Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients.
- Offered compassionate and attentive guidance to patients during moments of crisis and trauma.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Attended Court Hearings with staff, parents and families
- Formulated Safety Plans and monitored monthly compliance
- Community Educator for Mandated Reporting
Education
MBA -
University of Scranton
Scranton, PA08.2018
Masters of Social Work -
Marywood University
Scranton, PA08.2008
Bachelor of Arts - Social Work Concentration in Women's Studies
East Stroudsburg University of Pennsylvania
East Stroudsburg, PA2001
Skills
- Team Management
- Compliance Evaluations
- Employee Performance Evaluations
- Care Planning and Management
- Transportation Assistance
- Policy and Program Development
- Utilization Management
- Coaching Leadership
- Employee Recruitment and Hiring
- Social Work
- Plan Coordination
- Medicare Compliance
Certification
ACMA, SW
Additional Information
Board Member American Trauma Society, Pennsylvania
Timeline
Director Care Management
Geisinger Wyoming Valley Medical Center
10.2019 - Current
Lead Care Manager, Social Work
Geisinger Wyoming Valley Medical Center
10.2011 - Current
Supervisor CPS/GPS Intake Department
Luzerne County Children & Youth
09.2001 - 10.2011
MBA -
University of Scranton
Masters of Social Work -
Marywood University
Bachelor of Arts - Social Work Concentration in Women's Studies
East Stroudsburg University of Pennsylvania
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