Lisa L. Lewis Hensley
Ten Mile,TN
Summary
Seeking a position as a inpatient care management with Optum United Healthealth. I believe my experience as a RN in critical care and emergency room, Instructor, Shift Leader, and Case Manager has given me exceptional skills in multi tasking, detail orientation, communication, and taking on new opportunities. I believe my 14 years as a case manager has made me an excellent choice to check on utilization of health care resources. I feel I have expert knowledge to assess and interpret members needs.
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
33
33
years of professional experience
1
1
Certification
Work History
RN case manager
Roane Medical Center
01.2022 - Current
- Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
- Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
Surgical case manager
Methodist Medical Center
10.2011 - 01.2022
- Working as a surgical case manager for a medical surgical unit
- Responsible for SCIP Core Measure data collection and submission
- responsible for medicare inpatient reviews and concurrent reviews
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Achieved positive client outcomes by developing and implementing comprehensive case management plans.
Case manager
Parkwest Medical Center
04.2010 - 10.2011
- Worked as a case manager for the Neuro-Stroke unit
- Helped utilization review prepare and send reviews for commercial insurance companies using Milliman criteria
- Performed Medicare reviews on all admitted patients and changed statuses as appropriate
Shift Leader
Ft. Loudon Medical Center
05.2008 - 04.2010
- Worked as a Shift Leader in the Emergency Room
Clinical Adjunct Instructor
Roan State Community College
08.2006 - 04.2010
- Worked part time as a Clinical Adjunct Instructor on Cardiac, Neuro-Stroke, & GI Units at UT Medical Center (Fall ‘06, ‘07, ‘08)
- Worked part-time as a Clinical Adjunct Instructor on Cardiac and Respiratory floors at Methodist Medical Center (Spring ‘08, Fall ‘09)
Nurse
Methodist Medical Center
05.1992 - 05.2008
- Worked in the Intensive Care Unit, Cardiac Care Unit, and Cardiovascular Surgical Unit caring for critically ill surgery patients, septic shock, and intra aortic balloon pump patients
Education
Bachelor’s of Science - Nursing
01.1990
GPA: Dean’s List
High School -
01.1985
Skills
- Chronic disease management
- Discharge planning
- HIPAA compliance
- Multidisciplinary approach
- Care coordination
- Home care management
Employmentandworkexperience
- RN Case Manager, Roane Medical Center, 01/2022, present
- Surgical Case Manager, Methodist Medical Center, Oak Ridge, TN, 10/2011, 01/2022, Responsible for SCIP Core Measure data collection and submission
- Case Manager, Parkwest Medical Center, Knoxville, TN, 04/2010, 10/2011, Helped utilization review prepare and send reviews for commercial insurance companies using Milliman criteria., Performed Medicare reviews on all admitted patients and changed statuses as appropriate.
- Shift Leader, Ft. Loudon Medical Center, Ft. Loudon, TN, 05/2008, 04/2010
- Clinical Adjunct Instructor, Roan State Community College, Harriman, TN, 08/2006, 04/2010, Worked part time as a Clinical Adjunct Instructor on Cardiac, Neuro-Stroke, & GI Units at UT Medical Center (Fall ‘06, ‘07, ‘08), Worked part-time as a Clinical Adjunct Instructor on Cardiac and Respiratory floors at Methodist Medical Center (Spring ‘08, Fall ‘09)
- Nurse, Methodist Medical Center, Oak Ridge, TN, 05/1992, 05/2008, Worked in the Intensive Care Unit, Cardiac Care Unit, and Cardiovascular Surgical Unit caring for critically ill surgery patients, septic shock, and intra aortic balloon pump patients.
References
- Ms. Pam Cole, Case Manager at Roane Medical Center, 865-898-7159
- Ms. Christine McMurray, Retired RN, 865-680-3131
- Ms. Lisa Chadwick, Retired RN, 865-660-3898
Qualificationsandeducation
- High School Diploma, Rhea County High School, Dayton, TN, 05/1985
- Bachelor’s of Science in Nursing, The University of Tennessee, Knoxville, TN, 05/1990, Dean’s List
- Certified in Case Management (CCM), 05/2013
Certification
- Certified case manager, CCMC, May 2018
Timeline
RN case manager - Roane Medical Center
01.2022 - Current
Surgical case manager - Methodist Medical Center
10.2011 - 01.2022
Case manager - Parkwest Medical Center
04.2010 - 10.2011
Shift Leader - Ft. Loudon Medical Center
05.2008 - 04.2010
Clinical Adjunct Instructor - Roan State Community College
08.2006 - 04.2010
Nurse - Methodist Medical Center
05.1992 - 05.2008
Rhea County High School - High School,
The University of Tennessee - Bachelor’s of Science, Nursing
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