Lori Oberon

• Provide direct supervision to Inpatient and Emergency.
• Provide eduction and oversight on MCR/MCL rules, regulations ,appropriate pt care and settings.
• Actively participated in utilization review activities such as concurrent review, discharge planning and pre-authorization requests.
• Developed and implemented a comprehensive case management program to ensure the delivery of quality care.
• Reviewed medical records for accuracy, completeness and appropriateness of documentation related to case management services.
• Supervised RN with license placed on probation by the BRN.

Accomplishments: Decreased the number of non member admits from over 19% to less than 5%. Decreased the MFA costs to the organization

• Recruited, trained, supervised, evaluated and mentored staff members.
• Managed staff, financials and key performance indicators to facilitate business operations.
• Recruited, hired, and trained employees on operations and performance expectations.
• Guided and motivated staff to drive maximum performance.
• Collaborated with senior leadership to set long-term objectives for the company.

• Implemented initiatives designed to improve efficiency in providing quality patient care services.
• Analyzed data collected from surveys conducted on patients' satisfaction levels with their care experience.
• Ensured that all Care Department personnel are up-to-date on current healthcare trends by providing ongoing education opportunities.
• Served as liaison between resident, family, physician and other health care providers.

• Provide oversight of Catastrophic CM
• Collaborate with Medical Director in reviewing and decision making process in regards to appropriate
• healthcare services.

Other Management Positions Held

Administrator/Director of Home Health

• Developed individualized treatment plans for clients based on their needs and preferences.-Beverly Enterprise., Pacific Homes, NSI

• Staff nurse Med/Surg unit/Oncology/OB,Pediatrics
• ER Admitting Coordination/Case Manager
• Discharge Planner,Weekend CM