Leslie Muchmore
Yucaipa,California
Summary
Professional with strong background in nursing and case management, specializing in patient advocacy and care coordination. Adept at developing comprehensive care plans, managing complex medical cases, and working collaboratively with multidisciplinary teams to achieve optimal patient outcomes. Known for adaptability, reliability, and results-focused approach in dynamic healthcare environments. Skilled in patient assessment, discharge planning, and resource utilization.
Overview
16
16
years of professional experience
Work History
RN Case Manager
Redlands Community Hospital
11.2008 - Current
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
- Streamlined discharge planning processes, ensuring a smoother transition for patients back to their homes or other facilities.
- Manage between 20-30 patients per day, including calls and emails.
RN Outside Case Manager
Redlands Community Hospital
04.2020 - 10.2022
- Repatriation of capitated patient's from surrounding hospitals back into network.
- Utilization management for requested outpatient procedures
- Weekly meetings with CEO, contracting and department managers to discuss long length of stay patients at outside facilities.
- Developed and maintained courteous and effective working relationships.
RN Case Manager - Worker's Compensation
CorVel
04.2010 - 10.2014
- Work closely with the injured worker, employers, and insurance providers to ensure a successful recovery and return to work status
- Work closely with physicians, physical therapist and other medical professionals to coordinate care for the injured worker
- Managed approximately 30 incoming calls, emails and faxes per day.
Education
Bachelor of Science - Registered Nurse
University of Phoenix
San Bernardino, CA07-2005
Associate of Science - Registered Nurse
Front Range Community College
Westminster, CO12-1995
Skills
- Chronic Disease Management
- Discharge Planning
- HIPAA Compliance
- Multidisciplinary Approach
- Clinical assessment
- Utilization review
- Insurance knowledge
- Case Management
- Critical Thinking
- Training staff
- Strong Clinical Judgment
- Documentation
Timeline
RN Outside Case Manager
Redlands Community Hospital
04.2020 - 10.2022
RN Case Manager - Worker's Compensation
CorVel
04.2010 - 10.2014
RN Case Manager
Redlands Community Hospital
11.2008 - Current
Bachelor of Science - Registered Nurse
University of Phoenix
Associate of Science - Registered Nurse
Front Range Community College
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