Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Lynn Ausnehmer, BSN, RN, AATMC

Powell

Summary

Healthcare professional with a proven track record at American Health Holding, Inc., excelling in patient advocacy and care management. Comprehensive knowledge of direct patient care, nursing procedures, healthcare administrative policies, and caseload management. Successful in managing time, prioritizing tasks, and organizing projects to improve the quality of patient care. I am dedicated to improving patient outcomes through compassionate support.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Specialty Pharmacy Advocacy

American Health Holding, Inc.
08.2019 - Current
  • Conduct medical necessity review, member advocacy, steerage and claims review.
  • Improved medication adherence rates, averted complications through member education, steerage to alternate care settings and review of claims and dosage.
  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Passionate about learning and committed to continual improvement.
  • Organized and detail-oriented with a strong work ethic.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.

Transplant Nurse Case Manager

American Health Holding, Inc
06.2013 - 08.2019
  • Oversee all aspects of transplant care, including pre-transplant evaluation, education, post-transplant follow-up, and long-term management.
  • Educate patients and their families about the transplant process, healthcare protocols/ processes, medications, potential complications, and lifestyle adjustments.
  • Provide emotional support and advocate for patients and their families throughout the transplant journey.
  • Served as a liaison between patients and various support services such as financial assistance programs and community resources to ensure holistic care and ensure optimal patient outcomes..
  • Collaborated with healthcare leaders and physicians to support and offer resources in performance of duties to maintain high-quality and efficient patient care.
  • Applied critical thinking skills during case reviews to identify potential risks or challenges before they escalated into larger issues.
  • Analyzed patient responses to medications, therapies and variances in plans of care.
  • Educated patients on disease management techniques, empowering them to take control of their health and reduce complications.

Nurse Care Manager

Humana
11.2009 - 06.2013
  • Coordinated and analyzed sustainable person-centered care plans involving internal and external providers.
  • Reduced hospital readmissions by closely monitoring patients'' progress and adjusting care plans as needed.
  • Coordinated referrals to specialists, hospitalizations, ER visits, ancillary testing, and other enabling services for patients.
  • Assessed healthcare needs and monitored effectiveness and progress plans to achieve desired outcomes.

Accreditation Manager, PI Manager

AMC Registry Inc.
06.2004 - 11.2009
  • Spearheaded accreditation process for the Society of Chet Pain Centers. Assisted administration effort and evaluated criteria, which directly aided facilities in meeting the standards for accreditation.
  • Presented process improvement findings to chief hospital executives, directors and administrators in 350+ accreditation visits resulting in 3.5M in revenue for AMC.
  • Experienced in sales, marketing, strategic planning, operations, and business development.
  • Served as a liaison to diverse markets and developed relevant promotional, public relations, and e-marketing capabilities to strengthen marketing campaigns.
  • Preformed extensive chart abstractions with analysis of hospital performance data.
  • Lead multidisciplinary teams of managers in implementation of improvement initiatives.
  • Developed plans, goals, objectives, policies and procedures for completion of projects and implementation of process improvement.
  • Managed and motivated employees to be productive and engaged in work.
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
  • Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
  • Improved marketing to attract new customers and promote business.

Nurse Clinical Liaison

Select Specialty Hospital - Columbus
11.2003 - 05.2004
  • Assessed clinical status patient referrals and evaluated patient needs while facilitating admissions.
  • Responsible for referral development and territory management in relation to admissions for the assigned territory.
  • Streamlined communication between nurses, physicians, and other healthcare professionals for better coordination of patient care.
  • Served as an advocate for patients'' rights by ensuring ethical treatment across all aspects of their healthcare experience.
  • Promoted a safe and supportive environment for both patients and staff by adhering to established protocols and guidelines.
  • Facilitated smooth transitions for patients from acute care settings to post-acute facilities through thorough discharge planning and follow-up assessments.
  • Maintained detailed documentation on each case managed throughout the course of individualized treatment plans, adhering to strict confidentiality guidelines.
  • Served as a resource for nursing staff seeking guidance on complex clinical issues or needing assistance with navigating interdisciplinary collaboration efforts.

RN Case Manager

Grant Medical Center
04.2001 - 11.2003
  • Assisted in the development, implementation, revision and reporting of the case management program; accountable for coordinating clinical and financial outcomes of the assigned population.
  • Worked collaboratively with all interdisciplinary staff integral to OhioHealth and also external organizations to achieve timely, cost efficient and effective case management of patient care.
  • Provided concurrent utilization review, ensuring specific outcomes are achieved.
  • Evaluated and addressed variances from established and acceptable parameters with the multidisciplinary team.
  • Provided emotional support to patients coping with chronic illness or end-of-life decisions, fostering resilience during difficult times.
  • 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.
  • Educated patients and families on available community resources, facilitating access to necessary support services.

Education

Bachelors of Science in Nursing - Nursing

Youngstown State University
06-1988

Skills

  • Direct Patient Care
  • Cost Controls/Effectiveness
  • Analytical problem-solving
  • Strategic business development
  • Excellent communication
  • Risk Assessment Management
  • Critical thinking
  • Process Improvement/Redesign
  • Teamwork and collaboration
  • Customer service
  • Analytical problem-solving

Certification

Advanced Achievement in Transplant Management Care (AATMC)

Timeline

Specialty Pharmacy Advocacy

American Health Holding, Inc.
08.2019 - Current

Transplant Nurse Case Manager

American Health Holding, Inc
06.2013 - 08.2019

Nurse Care Manager

Humana
11.2009 - 06.2013

Accreditation Manager, PI Manager

AMC Registry Inc.
06.2004 - 11.2009

Nurse Clinical Liaison

Select Specialty Hospital - Columbus
11.2003 - 05.2004

RN Case Manager

Grant Medical Center
04.2001 - 11.2003

Bachelors of Science in Nursing - Nursing

Youngstown State University

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Lynn Ausnehmer, BSN, RN, AATMC