Lisa Suiter
Registered Nurse Case Manager
Indianapolis,IN
Summary
Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities.. Expert in all aspects of patient care with success in working with multidisciplinary teams to create care plans focused on helping at risk patients recover from medical or surgical procedures and manage complex health disorders. Accomplished in improving the delivery of care and patient satisfaction through the use of advocacy and utilizing community resources
Overview
40
40
years of professional experience
Work History
Resource Registered Nurse
Cityblock
05.2022 - Current
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints and current symptoms.
- Advocated for and strived to protect health, safety and rights of patient.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical records in EHR. Assisted in wrap around services for at risk populations to enhance health behavior and eliminate non compliance and over utilization issues.
Case Manager
Shalom Health Care Center
05.2021 - 10.2021
- Participated in professional growth programs to support special education improvement efforts.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
- Managed caseload of 100 adults and children in welfare system to provide comprehensive, community-based care.
Registered Nurse Case Manager
Staff America Medical Staffing
07.2020 - 04.2021
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Managed and streamlined referral queues of up to 60 by efficiently prioritizing patients and clearing insurance obstacles.
Center Medical Specialist
Grifols Biomet
07.2019 - 06.2020
- Registered donors, collected histories and gathered vital signs.
- Tested patients for reactive markers and informed patients of results.
- Responded to and managed adverse events and provided medications and oxygen to resolve symptoms.
- Assisted with routine checks and diagnostic testing by collecting and processing specimens.
- Explained procedures to patients to reduce anxieties and increase patient cooperation
- Managed over 60 - 120 donors daily in timely fashion to reduce processing delays, and donation times.
HEDIS Registered Nurse Quality Analyst
RepucareClinical Abstractor HEDIS
12.2018 - 05.2019
- Trained providers and staff on HEDIS and GPRO measures and remained accountable for providers achieving minimum of 4-STAR for HEDIS and 96% quality for GPRO.
- Collected, summarized and trended provider performance data to identify and strategize opportunities for provider improvement.
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Operated computer-based systems to retrieve and store information and records.
- Consulted professional standards of care, scientific evidence and practice to evaluate health care programs.
TELEPHONIC COMPLEX TRANSPLANT CASE MANAGER
Telligen, Complex Transplant Case Manage
01.2018 - 07.2018
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers with case load of 80 cases per month.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Care Advisor
Robert Half
11.2016 - 11.2017
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed admission reviews based for medical necessity based upon MCG specification.
- Submitted cases to Physician Review Board for criteria failures and helped facilitate resolutions and approvals.
- Managed approximately 150 cases for review per week
Transplant and Catastrophic Nurse Case Manager
American Health Holding
04.2012 - 06.2016
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Conducted preoperative risk assessments, ongoing assessments and evaluations to prepare patients for surgery and manage healing process.
- Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
- Educated patients and caregivers on healthcare protocols and processes.
- Managed over 200 cases in various stages of case management from initial diagnosis, pre transplant, transplant and post transplant recovery phases
CLINICAL HEALTH INVESTIGATOR
Amerihealth Mercy
04.2007 - 03.2012
- Coordinated and assisted department legal and board staff regarding administrative hearings, subpoena service, administrative complaints, final orders and disciplinary enforcement requests.
- Assisted in health investigations, participated in in-service training of medical staff, conducted inspections, drug profiles and undercover investigations and served as mentor to new investigators.
- Prepared comprehensive reports of final, supplemental and probation investigations.
- Testified and presented evidence at administrative hearings, depositions or trials.
- Managed 20 cases in various states of investigation from analysis, investigation, documentation, pre trial depositions, and trial preparation
CHRONIC DISEASE CASE MANAGER
Indiana Primary Health Care
04.2005 - 03.2007
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Managed caseload of 300 adults and children in welfare system to provide comprehensive, community-based care.
- Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Educated patients and loved ones about different treatment options and outside care approaches to reduce burden on hospital resources.
Education
Advanced Achievement in Transplant Management Certification Interlink Health ServicesMedical Billing & Coding Certificate - Organ Transplant Nursing
Interlink
Indianapolis, IN06-2021
Some College (No Degree) - Legal Nursing
Indiana University Purdue University
Indianapolis, IN05-2019
Forensic Nursing Certificate - Forensic Science
Kaplan College - Indianapolis
Indianapolis, IN12-2012
Bachelor of Science - Nursing
Hawaii Loa College
Kaneohe Hawaii05-1988
Some College (No Degree) -
Indiana Vocational Technical School
Fort Wayne IN05-1985
Associate of Art - Liberal Arts And General Studies
Ball State University
Muncie IN05-1983
Skills
- Patient and family advocacy to reduce compliance issues
- Developed operational standards
- Case management
- Medical Histories and Vital Statistics
- Disease Processes
- Electronic Patient Medical Record
- Patient Monitoring
- Complex Problem-Solving
- Community Resource Allocation
- Medication Side Effect Knowledge
- Central Line Placement
- Operational Procedures
- Quality Improvement Plans
- Nursing Process
- Medical Admissions
- Chronic Renal Disease Management
- Industry Best Practices
- Operational Standards
- Patient Histories
- IV Administration
- EMR Systems
- Intramuscular Injections
- Patient and Family Advocacy
- Patient Health Information Access
- Project Implementation
- Performance Improvement
- Medical History Obtainment
- Patient Treatment
- Patient Interaction
- Cerebrovascular Accidents
- Interpersonal Communication Skills
- Status Updates
- Safety Protocols
- Accurate Documentation
- Emotional Support
- Facility Policies and Procedures
- Compliance Issues
- Time Prioritization
- Patient Admission
- Medical Device Prescriptions
- Community Healthcare Programming
- Creative Solutions
- Delegation and Motivation
- Electronic Document Management System
- Compassionate and Caring
- Clear Patient Communication
- Creative Thinking
- Diagnostic Test Evaluations
- Manage Cases
- Diet and Nutrition
- Planning Processes
- Healthcare Program Planning
- Clinical Documentation Management
- Nursing Protocols
- Community Program Referrals
- Patient Advocacy
- Healthcare Personnel Supervision
- Blood Draw and Sample Collection
- Patient Diagnosis
- Medical Procedure Preparation
- Pain Management Techniques
- Medical Supply Management
- Monitoring Vital Signs
- Microsoft Office
- Disease Diagnosis
- Treatment Plan Modification
- Immunizations and Vaccinations
- Blood Product Transfusion
- Patient Data Management Systems
- Stress Alleviation
- Acute Respiratory Distress Syndrome
- Neurological Assessments
- Heart Failure
- Prescription Drug Recommendations
- Treatment Protocols
- Hydration Fluids
- Direct Supervision
- Special Events
- Routine Examinations
- Administer Medication
- Patient Care Oversight
- Test Interpretations
- Surgical Oncology
- Convalescent Care
- Post-Operative Procedures
- Seizure Disorders
- Airway Management
- Respiratory Treatments
- Maintaining Patient Safety Standards
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
ʻAʻole i kaupoʻo i kaupoʻo ana no
My Height is not yet reached
Timeline
Resource Registered Nurse
Cityblock
05.2022 - Current
Case Manager
Shalom Health Care Center
05.2021 - 10.2021
Registered Nurse Case Manager
Staff America Medical Staffing
07.2020 - 04.2021
Center Medical Specialist
Grifols Biomet
07.2019 - 06.2020
HEDIS Registered Nurse Quality Analyst
RepucareClinical Abstractor HEDIS
12.2018 - 05.2019
TELEPHONIC COMPLEX TRANSPLANT CASE MANAGER
Telligen, Complex Transplant Case Manage
01.2018 - 07.2018
Care Advisor
Robert Half
11.2016 - 11.2017
Transplant and Catastrophic Nurse Case Manager
American Health Holding
04.2012 - 06.2016
CLINICAL HEALTH INVESTIGATOR
Amerihealth Mercy
04.2007 - 03.2012
CHRONIC DISEASE CASE MANAGER
Indiana Primary Health Care
04.2005 - 03.2007
Advanced Achievement in Transplant Management Certification Interlink Health ServicesMedical Billing & Coding Certificate - Organ Transplant Nursing
Interlink
Some College (No Degree) - Legal Nursing
Indiana University Purdue University
Forensic Nursing Certificate - Forensic Science
Kaplan College - Indianapolis
Bachelor of Science - Nursing
Hawaii Loa College
Some College (No Degree) -
Indiana Vocational Technical School
Associate of Art - Liberal Arts And General Studies
Ball State University
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