Leah C Brown
Alabaster,USA
Work Preference
Summary
I am a Registered Nurse with 35 years of experience and 21 years Hospital Case Management experience
Professional case management leader with comprehensive experience in directing and optimizing case management strategies. Adept at fostering team collaboration and driving results, ensuring adaptability to evolving needs. Skilled in strategic planning, resource allocation, and stakeholder engagement. Known for reliability and results-driven approach.
Overview
38
38
years of professional experience
Work History
Case Management Market Director
Brookwood Baptist Health Tenet Alabama Market
09.2021 - 07.2023
- Met with National Case Management Leaders and Market Case Management Leaders bi-weekly to share best practices and enhance communication across the organization
- Enhanced team collaboration through regular communication, goal setting, and performance evaluation contribution.
- Led strategic initiatives to enhance operational efficiency and improve service delivery across departments.
- Implemented performance metrics to monitor team productivity and drive continuous improvement initiatives.
- Developed comprehensive training programs to enhance staff competencies and boost employee engagement.
- Analyzed market trends to inform decision-making and guide long-term business strategy development.
- Fostered a culture of innovation, encouraging teams to propose new ideas for process enhancements and product offerings.
Case Management Director
Shelby Baptist Medical Center
08.2016 - 07.2023
- Enhanced team collaboration through regular communication, goal setting, and performance evaluation.
- Led strategic initiatives to enhance operational efficiency and improve service delivery across departments.
- Implemented performance metrics to monitor team productivity and drive continuous improvement initiatives.
- Developed comprehensive training programs to enhance staff competencies and boost employee engagement.
- Analyzed case data to identify trends, driving strategic initiatives for process improvement.
- Established partnerships with community organizations to enhance patient support services and access to resources.
- Fostered a culture of innovation, encouraging teams to propose new ideas for process enhancements and product offerings.
Care Coordination Case Manager
Shelby Baptist Hospital
08.2023 - Current
- Coordinated patient care plans to ensure comprehensive service delivery.
- Communicated effectively with healthcare providers to facilitate optimal patient outcomes.
- Monitored patient progress and adjusted care plans as necessary for improved recovery.
- Educated patients and families on available resources and support services.
- Documented case notes accurately in electronic health records for compliance and continuity of care.
- Collaborated with interdisciplinary teams to enhance service efficiency and address complex cases.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Case Management Manager
Shelby Baptist Medical Center
08.2007 - 07.2016
- Led comprehensive utilization review processes to ensure compliance with clinical guidelines.
- Mentored staff on best practices in case management and documentation standards.
- Developed training materials to enhance team understanding of utilization review protocols.
- Analyzed data trends to identify opportunities for improved efficiency in resource allocation.
- Implemented quality assurance measures to ensure adherence to regulatory requirements and internal policies.
- Developed case management protocols to enhance service delivery and client satisfaction.
- Implemented data tracking systems to monitor client progress and program effectiveness.
- Coordinated multidisciplinary team meetings to align on client care strategies and outcomes.
- Trained staff on best practices in case management to ensure compliance with industry standards.
- Analyzed client feedback to identify areas for program improvement and service enhancement.
- Developed and maintained comprehensive documentation for operational processes, ensuring clarity and compliance.
- Conducted regular audits of documentation practices, identifying areas for improvement and implementing best practices.
- Trained staff on effective documentation techniques and system utilization to foster a culture of accuracy.
Case Manager
Shelby Baptist Medical Center
07.2004 - 07.2007
- Assessed client needs and developed individualized care plans to enhance service delivery.
- Coordinated with multidisciplinary teams to ensure comprehensive support for clients in crisis situations.
- Monitored client progress, documenting outcomes to inform future interventions and resources needed.
- Facilitated client access to community resources, improving overall well-being and support systems.
- Trained new staff on case management protocols, fostering a collaborative team environment.
- Led initiatives to engage clients in self-advocacy, promoting empowerment and independence in decision-making.
- Analyzed patient care plans to ensure compliance with medical necessity and guidelines.
- Educated healthcare providers on utilization management protocols and best practices.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Served as a vital liaison between patients, healthcare providers, and insurance companies, fostering effective communication and coordination among all parties involved in the care process.
- Analyzed clinical documentation for accuracy and compliance with regulatory standards.
- Educated staff on best practices in clinical documentation, enhancing overall quality of records.
Rehabilitation Liaison
Encompass Rehab Hospital (formerly HealthSouth)
03.2002 - 07.2004
- Facilitated cross-facility communication to enhance patient outcomes
- Enhanced customer satisfaction by swiftly addressing concerns and providing solutions to various issues
- Applied medical necessity criteria for inpatient rehabilitation admissions referring to the Medical Director per policy
- Acted as CMS and third party payor expert to educate patients, families, and members of the care team
Case Management Manager
United HealthCare
11.1998 - 03.2002
- Led case management team to enhance patient care coordination and operational efficiency.
- Developed and implemented strategic initiatives to improve service delivery and compliance with healthcare regulations.
- Oversaw resource allocation, ensuring optimal staffing levels and budget adherence within case management operations.
- Mentored and trained staff on best practices in case management, fostering professional development and team cohesion.
Internal Case Manager
Integrated Health Systems
03.1996 - 11.1998
- Assigned to Sub-acute unit responsible for rehabilitation and ventilator dependent patients
- Coordinated patient care plans, ensuring alignment with medical directives and patient needs.
- Conducted comprehensive assessments to identify patient strengths, needs, and resources for effective case management.
- Collaborated with multidisciplinary teams to streamline services and enhance patient outcomes across various departments.
- Monitored progress of patients through treatment plans, adjusting strategies as necessary to improve health results.
Intake Coordinator
Visiting Nurses of America, Gentiva Home Health
03.1994 - 03.1996
- Coordinated patient intake processes to ensure efficient data collection and documentation.
- Implemented standardized procedures for processing referrals and scheduling appointments.
- Collaborated with medical staff to verify insurance information and eligibility promptly.
- Maintained accurate patient records
Case Manager
United HealthCare (formerly Complete Health)
11.1992 - 03.1994
- Coordinated with healthcare providers to ensure clients had access to necessary medical services, enhancing their overall well-being.
- Facilitated successful transitions between levels of care by developing detailed discharge plans and coordinating resources.
- Coordinated with community stakeholders for successful implementation of social and community service initiatives.
Registered Nurse
University of Alabama at Birmingham
06.1990 - 11.1992
- Administered medications and treatments according to established protocols and patient care plans.
- Monitored patient vital signs, documenting changes and reporting concerns promptly to healthcare team.
- Collaborated with interdisciplinary teams to develop comprehensive care strategies for diverse patient needs.
- Educated patients and families on health management, medication adherence, and post-discharge care instructions.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Nursing Assistant
University of Alabama at Birmingham
02.1988 - 06.1990
- Assisted patients with daily living activities, ensuring comfort and safety.
- Monitored vital signs and reported changes to nursing staff promptly.
- Maintained cleanliness and organization in patient care areas, adhering to infection control protocols.
- Documented patient observations accurately in electronic health records for effective communication.
- Supported end-of-life care, offering emotional support to patients and families during difficult times.
Education
Bachelor of Science - Nursing
Jacksonville State University
08.2016
Associate Degree - Nursing
Jefferson State Community College
06.1990
Skills
- Relationship building
- Strategic planning
- Verbal and written communication
- Decision-making
Timeline
Care Coordination Case Manager
Shelby Baptist Hospital
08.2023 - Current
Case Management Market Director
Brookwood Baptist Health Tenet Alabama Market
09.2021 - 07.2023
Case Management Director
Shelby Baptist Medical Center
08.2016 - 07.2023
Case Management Manager
Shelby Baptist Medical Center
08.2007 - 07.2016
Case Manager
Shelby Baptist Medical Center
07.2004 - 07.2007
Rehabilitation Liaison
Encompass Rehab Hospital (formerly HealthSouth)
03.2002 - 07.2004
Case Management Manager
United HealthCare
11.1998 - 03.2002
Internal Case Manager
Integrated Health Systems
03.1996 - 11.1998
Intake Coordinator
Visiting Nurses of America, Gentiva Home Health
03.1994 - 03.1996
Case Manager
United HealthCare (formerly Complete Health)
11.1992 - 03.1994
Registered Nurse
University of Alabama at Birmingham
06.1990 - 11.1992
Nursing Assistant
University of Alabama at Birmingham
02.1988 - 06.1990
Associate Degree - Nursing
Jefferson State Community College
Bachelor of Science - Nursing
Jacksonville State University