Lori Leisch
Mesquite,NV
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Strong work ethic with outstanding interpersonal and organizational skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Nurse Discharge Care Manager
United Health Care/Optum
Mesquite, NV
03.2023 - Current
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Evaluated potential living arrangements for clients, including independent living facilities or supervised residential settings.
- Provided advocacy for clients to ensure their needs are met through appropriate service
- Facilitated communication between members of the healthcare team by attending interdisciplinary meetings.
Case Management Director
Quorum Health
Mesquite, NV
03.2022 - Current
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
- Recruited, interviewed, and hired staff members offering exceptional talent and bringing great skills to the team.
- Coordinated individual referrals to obtain community services, advocated for client needs, and resolved roadblocks.
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
Remote Nurse Case Manager
United Health Group, Optum, Equity Staffing
Rock Springs, WY
10.2017 - 02.2022
- Managed caseloads of 30-70 clients monthly.
- Collaborated with healthcare team members,behavioral health advocates, and physicians to optimally assist clients with achieving health goals.
- Provided quality and compassionate nursing case management services across the continuum of care to WY Medicaid members including Med/Surg, high risk maternity, pediatrics, and clients with complex /chronic needs.
- Provided education to clients on managing chronic health conditions.
- Helped resolve barriers or gaps in care, through available community resources.
Nurse Case Manager/Assistant Manager
Cowboy Cares Home Health And Hospice
Rock Springs, WY
12.2020 - 08.2021
- Developed and modified patient care plans and assisted interdisciplinary team in identifying client needs and goals to determine priorities of care.
- Admitted patients to hospice services and provided quality care at end of life.
- Regularly participated in interdisciplinary group meetings with Hospice Medical Director, area physicians and community partners, to ensure excellent patient care.
- Conducted charting audits, wrote performance reviews, and updated and implemented policies and procedures.
Case Management Supervisor
Memorial Hospital Of Sweetwater County
Rock Springs, WY
03.2016 - 04.2017
- Created care plans that addressed clinical and financial challenges, family requirements and facilitated patient quality of life.
- Managed and monitored program activities and evaluated quality for improvement recommendations.
- Responsible for assigning duties and supervising team of three case managers.
- Attended hospital quality meetings.
- Collaborated with physicians during medical rounds.
- Knowledge of Medicare health regulations.
Nurse Case Manager
Memorial Hospital Of Sweetwater County
Rock Springs, WY
03.2014 - 03.2016
- Educated patients and caregivers on healthcare protocols and processes.
- Ensured patients were at appropriate level of care through review of medical records and Interqual application.
- Planned and coordinated discharges, obtained and coordinated community resources.
- Arranged patient transfers to higher level of care, assisted living facilities, and short/long-term care.
- Worked collaboratively with payors and provided clinical information for continued care coverage.
Care Transition Nurse
Memorial Hospital Of Sweetwater County
Rock Springs, WY
03.2013 - 03.2014
- Worked closely with nurses and social workers to provide transitional care for patients moving between care settings or from inpatient to outpatient treatment.
- Coordinated with physicians and caregivers to establish and initiate follow-up contact in cases of concern for patient well-being following transition.
- Introduced patients to the Wyoming Rural Care Transition Pilot Program.
- Provided in-home patient visits within three days of hospital discharge, to provide education on chronic health conditions, completed medication reconciliation, answered any discharge questions/concerns patients had, and assisted patients with scheduling follow-up visit with primary care physician.
- Educated family members and caregivers on patient care instructions.
Office Manager
ARS Fire & Flood Clean-up
Rock Springs, WY
06.2011 - 03.2014
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Responded to customer inquiries via phone or email in a professional manner.
- Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
- Maintained filing system for records, correspondence and other documents.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Processed incoming and outgoing payments accurately according to established procedures.
Education
Bachelor of Science - Nursing
University of Wyoming
Laramie, WY05.2014
Associate of Science - Nursing
Western Wyoming Community College
Rock Springs, WY05.2001
Skills
- Strong Ethics
- Accountability
- Cash Drawer Balancing
- Credit card processing
- Cashiering experience
Certification
- Registered Nurse-Wyoming State Board of Nursing-Expires 12/2024
- Current compact nursing license
- Certified Nurse Case Manager-Commission for Case Manager Certification- 5/1/2019-5/31/2029
Timeline
Nurse Discharge Care Manager
United Health Care/Optum
03.2023 - Current
Case Management Director
Quorum Health
03.2022 - Current
Nurse Case Manager/Assistant Manager
Cowboy Cares Home Health And Hospice
12.2020 - 08.2021
Remote Nurse Case Manager
United Health Group, Optum, Equity Staffing
10.2017 - 02.2022
Case Management Supervisor
Memorial Hospital Of Sweetwater County
03.2016 - 04.2017
Nurse Case Manager
Memorial Hospital Of Sweetwater County
03.2014 - 03.2016
Care Transition Nurse
Memorial Hospital Of Sweetwater County
03.2013 - 03.2014
Office Manager
ARS Fire & Flood Clean-up
06.2011 - 03.2014
Bachelor of Science - Nursing
University of Wyoming
Associate of Science - Nursing
Western Wyoming Community College
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