Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
CARE MANAGEMENT
Community Service
Timeline
Generic

Lavah B. Lowe

Laguna Vista

Summary

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.

Chief Operations Officer, Chief Nursing Officer, Associate Chief Executive, Chief Executive Officer

01.2001 - 01.2018
  • Focusing on Business Growth and Marketing, Quality Outcomes, Patient Satisfaction and Physician Relations
  • Championed All Corporate Goals for Business, Finance, Quality, Service, Employees, Community, and Board
  • Advent Health, Colorado
  • Bayfront Health Florida
  • Community Health System, Missouri, Oklahoma

Education

Master of Business Administration -

William Woods University

Bachelor Of Science in Nursing - undefined

Grand Canyon University

Bachelor of General Studies - Personnel Management, Gerontology, Health Services Management

University of Missouri

Associate degree in Nursing - undefined

North Central Missouri College

Skills

  • Document analysis
  • Patient discharge coordination
  • Active listening and empathy
  • Quality assurance initiatives
  • Analysis of clinical data trends
  • Care transition coordination

Accomplishments

  • Collaborated with team of [Number] in the development of [Project name].
  • Achieved [Result] through effectively helping with [Task].
  • Documented and resolved [Issue] which led to [Results].
  • Supervised team of [Number] staff members.

Certification

Texas Registered Nurse License 656370

CARE MANAGEMENT

  • Coordinated Transitional Care and Discharge Plans with patients and families in acute settings
  • Conducted patient/ family meetings to determine short term and long-term goals of care
  • Identified resources to assist patients with specific medical needs or unmet needs
  • Arranged outpatient alternatives or community resources to assist patient and family
  • Liaised with primary care providers and specialists for ongoing evidence-based outpatient treatment
  • Collaborated with physicians and ancillary staff to ensure multi-disciplinary, efficient patient care delivery.
  • Liaised with primary care providers and specialists to ensure continuity of care post discharge
  • Revised care plans to facilitate treatment in efficient cost-effective manner
  • Analyzed and audited patient care records to ensure quality care with appropriate documentation
  • Monitored readmissions to determine alternative discharge planning for enhanced outcomes
  • Focused on patients with the highest risk of adverse events or exacerbation of disease process
  • Removed operational roadblocks to ensure timely admissions and timely discharges.

Community Service

Food Bank Distribution Volunteer, South Padre Island, Tx, 2021, 2024

Timeline

Utilization Review/RN Case Manager

Valley Regional Medical Center
01.2021 - Current

Administrative House Supervisor

Valley Regional Medical Center
01.2019 - 01.2021

Chief Operations Officer, Chief Nursing Officer, Associate Chief Executive, Chief Executive Officer

01.2001 - 01.2018

Bachelor Of Science in Nursing - undefined

Grand Canyon University

Bachelor of General Studies - Personnel Management, Gerontology, Health Services Management

University of Missouri

Associate degree in Nursing - undefined

North Central Missouri College

Master of Business Administration -

William Woods University