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
2023.03 - 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
2022.03 - 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
2017.10 - 2022.02
- 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
2020.12 - 2021.08
- 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
2016.03 - 2017.04
- 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
2014.03 - 2016.03
- 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
2013.03 - 2014.03
- 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
2011.06 - 2014.03
- 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
2023.03 - Current
Case Management Director
Quorum Health
2022.03 - Current
Nurse Case Manager/Assistant Manager
Cowboy Cares Home Health And Hospice
2020.12 - 2021.08
Remote Nurse Case Manager
United Health Group, Optum, Equity Staffing
2017.10 - 2022.02
Case Management Supervisor
Memorial Hospital Of Sweetwater County
2016.03 - 2017.04
Nurse Case Manager
Memorial Hospital Of Sweetwater County
2014.03 - 2016.03
Care Transition Nurse
Memorial Hospital Of Sweetwater County
2013.03 - 2014.03
Office Manager
ARS Fire & Flood Clean-up
2011.06 - 2014.03
Bachelor of Science - Nursing
University of Wyoming
Associate of Science - Nursing
Western Wyoming Community College
- 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
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