Results-driven, compassionate, leader with expertise improving clinical processes, navigating through complex case management pathways. Skilled in all aspects of operations management, partnering with diverse teams and stakeholder relations
Overview
25
25
years of professional experience
1
1
Certification
Work History
Utilization Review/RN Case Manager
Valley Regional Medical Center
01.2021 - Current
Reviewed All observation admissions for medical necessity per Optum InterQual.
Assisted patients and families with appropriate discharge plans.
Arranged outpatient services to include Post Acute Care Placement.
Coordinated Outpatient long term IV antibiotic therapy
Referrals for Outpatient Hemodialysis and Behavioral Health
Referrals for Outpatient Physical, Occupational and Speech Therapies
Concurrent Review for all Medicare, Medicaid, Self Pay, Unfunded Inpatients per Optum InterQual data for Medical Necessity.
Administrative House Supervisor
Valley Regional Medical Center
01.2019 - 01.2021
Senior Leadership Oversight Night Shift.
Assigned All Inpatient Beds.
Planned and adjusted staffing during shift.
Assisted with all throughput issues.
Acted as Liaison with Custom Border Patrol Agents and all other law enforcement personnel.
Psychiatric Mental Health Nurse Practitioner at Cobre Valley Regional Medical CenterPsychiatric Mental Health Nurse Practitioner at Cobre Valley Regional Medical Center