Maty Dessables, RN
Phoenix
Overview
26
26
years of professional experience
Work History
Utilization Review RN Specialist
HonorHealth
11.2015 - Current
- Ensure appropriate level of care through comprehensive review for medical necessity of outpatient observation, and inpatient stay
- Perform initial and concurrent reviews of all patients admitted to the facility
- Determine qualifications for hospital level of care based on set criteria (MCG guidelines, CORTEX)
- Collaborate with physicians, case managers, and payers to appeal individual denials
RN Case Manager Per Diem
HonorHealth
08.2008 - 11.2015
- Concurrent review of patient treatment plan in accordance with hospital policies and third party reimbursement systems
- Guide care coordination for high risk acute patients with medically complex post acute care needs
- Collaborates with patients and health care team in determining the appropriate utilization of resources for discharge needs
RN Case Manager
SHPS
09.2006 - 08.2008
- Determine specific short and long term goals, objectives and interventions using client specific guidelines
- Coordinate quality and cost effective healthcare services including home healthcare, hospice, rehab, and sub-acute facility transfers
- On-going assessment of case and discharge of patient from case management when optimum status has been achieved
Utilization Review
SHPS
08.2002 - 12.2005
- Concurrent review on inpatient members to ensure and facilitate quality
- Pre-certification review for out-patient/short stay admission
- Pre-certification review for requested DME
- Documentation management to provide an accurate representation of the members medical care and response to treatment
Weekend RN Supervisor
Bonterra Nursing Home
05.2000 - 05.2001
- Responsible for supervising LPN and CNA staff in a 118 bed facility
Medical-Surgical Unit
Piedmont Hospital
03.1999 - 05.2001
- Total nursing care of the patient including administration of medications, treatments, monitoring IV's, and patient teaching
Care Plan Coordinator
Premier Sub-Acute And Rehab Center
07.1998 - 02.1999
- Performing assessments and developing plans of care with appropriate interventions for short/long term care residents
Education
Bachelor of Science - Nursing
College of Mount Saint Vincent
The Bronx, NY05.1998
Bachelor of Arts - Spanish Literature
New York University
New York, NY05.1994
Timeline
Utilization Review RN Specialist
HonorHealth
11.2015 - Current
RN Case Manager Per Diem
HonorHealth
08.2008 - 11.2015
RN Case Manager
SHPS
09.2006 - 08.2008
Utilization Review
SHPS
08.2002 - 12.2005
Weekend RN Supervisor
Bonterra Nursing Home
05.2000 - 05.2001
Medical-Surgical Unit
Piedmont Hospital
03.1999 - 05.2001
Care Plan Coordinator
Premier Sub-Acute And Rehab Center
07.1998 - 02.1999
Bachelor of Science - Nursing
College of Mount Saint Vincent
Bachelor of Arts - Spanish Literature
New York University
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