RN Case Manager with expertise in chronic disease management and compassionate patient care at Insight of Ohio. Offering information in reducing hospital readmissions through effective case coordination and education. Skilled in HIPAA compliance and clinical assessment, fostering collaborative healthcare environments that enhance patient outcomes and satisfaction.
Effective understanding of Utilization Review with use of InterQual, focusing on GMLOS, handling of inpatient denial cases with the scheduling of Peer to Peers vs focusing on the discharge of patient if appropriate and stable.
Collaborate with Interdisciplinary Teams in effective care management and discharge planning with careful consideration of patient's health and safety.
During my 13 yrs of Case Mgmt/UR, I was one of the top 2 RN's to train incoming staff members.
Before transferring into to the Case Mgmt/UR Dept Oct 2012, I worked in the Intensive Care Unit for 12yrs, Sept 2000-Oct 2012. I was a strong leader in the department, frequently training new employees and mentoring nursing students and nurse techs. Doctors trusted me in caring for their patients. Some doctors requested specific nurses to care for their new post-op pts, and I was one of the nurses frequently chosen by the neuro-surgeon and vascular surgeon to care for those two types of services.