Lindsey Thomas
MANOR
Summary
Director of Case Management with case management leadership experience in short-term and long-term acute care settings. In-depth knowledge of medical case management, including utilization review and complex discharge planning. Enacts strong and collaborative approach across care continuum and manages workflow to support dynamic teams. Spearheads operational effectiveness and efficiencies to develop quality improvement activities and achieve positive patient outcomes.
Overview
11
11
years of professional experience
Work History
Director of Case Management
Cornerstone Hospitals Group
01.2021 - Current
- Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
- Collaborated with multidisciplinary teams to facilitate client care and reduce discharge barriers.
- Responsible for case management metrics, trends and financial implications for hospital; LTACH length of stay requirements, patient resource management and timely discharge statistics.
- Served as corporate resource for compliance and audits to facilitate payor appeals. Responsible for facilitating appeal process for insurance denials and Medicare Keppro appeal management.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
Case Operations Manager
Dell Seton Medical Center At The University Of Texas
03.2020 - 01.2021
- Supported staff of 26 case managers and social workers; assisted with oversight of complex discharge planning for diverse and vulnerable populations.
- Recruited, interviewed and hired staff members offering exceptional talent and brought great skills to team.
- Developed and implemented variety of innovative policies and strategies during height of COVID pandemic.
- Assisted in identifying and eliminating barriers to discharge planning.
- Oversaw the management of discharged patients receiving scholarship benefits from Ascension in community facilities.
- Advocated and supported case management department during COVID related stressors and policy changes.
Lead Social Worker
Dell Seton Medical Center At The University Of Texas
08.2018 - 10.2020
- Formulated treatment plan strategies with multidisciplinary teams to provide comprehensive and continuous care plans.
- Assisted in management of discharged patients receiving scholarship benefits from Ascension while in community facilities.
- Filled vacancies in staffing on varying units; supported case management teams.
- Supported Case Operations Management on day to day operations.
- Managed LCSW student interns from several area universities
Uncompensated Care Social Worker
St. David's Medical Center
03.2013 - 08.2018
- Implemented new social worker position for oversight of unfunded/underfunded patient population.
- Managed complex discharge, long length of stay patients.
- Led weekly complex care meeting with hospital leadership outlining current state and barriers to discharge.
- Created resource manual for unfunded patients.
Education
Masters in Social Work -
Texas State University
San Marcos, TXBachelor of Science - Social Work
Texas State University
San Marcos, TXSkills
- Managing Complex Patient Cases
- Multidisciplinary Team Collaboration
- Regulatory Requirements
- Case Management Proficiency
- Clinical Staff Management
- Utilization Review and DRG management
Timeline
Director of Case Management
Cornerstone Hospitals Group
01.2021 - Current
Case Operations Manager
Dell Seton Medical Center At The University Of Texas
03.2020 - 01.2021
Lead Social Worker
Dell Seton Medical Center At The University Of Texas
08.2018 - 10.2020
Uncompensated Care Social Worker
St. David's Medical Center
03.2013 - 08.2018
Masters in Social Work -
Texas State University
Bachelor of Science - Social Work
Texas State University
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