Michele Pritchett
Cumming
Summary
Proficient in managing daily operations within hospice inpatient settings, leveraging leadership skills to enhance team performance and achieve operational excellence. Demonstrates a proven track record of delivering high-impact results through innovative problem-solving and effective communication. Adept at implementing strategic business initiatives, optimizing processes, and driving measurable outcomes while fostering a collaborative and adaptable team environment. Recognized for strong communication and problem-solving abilities, with a focus on cultivating a productive and positive team culture.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Director of Inpatient Services
AccentCare Hospice
06.2023 - Current
- Led cross-functional teams to optimize operational efficiency and drive strategic initiatives.
- Developed and implemented organizational policies that improved compliance and streamlined processes.
- Directed resource allocation to meet organizational goals.
- Mentored staff, fostering professional development and enhancing team performance.
Nurse Clinical Liaison
AccentCare Hospice
11.2023 - 06.2024
- Coordinated patient care transitions between facilities to enhance treatment continuity.
- Educated healthcare providers, patients and families on clinical protocols and best practices for patient management.
- Collaborated with multidisciplinary teams to optimize resource utilization and improve patient outcomes.
- Conducted comprehensive assessments of patient needs, ensuring tailored care plans were implemented effectively.
Staff RN /PRN
AccentCare
06.2022 - Current
- RN at Hospice Inpatient Unit, Cumming, GA.
Utilization Management RN
Anthem
08.2019 - Current
- Ensures medically appropriate, high quality cost effective care through assessing the medical necessity of admissions by utilizing MCG and industry standards accurately. Works with medical directors in interpreting appropriateness of care. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.
PRN RN
Baptist Healthcare
07.2016 - 01.2019
- Provide direct patient care to the Med/Surg/Tele patient
Utilization Management RN
Humana
08.2013 - 01.2019
- Ensures medically appropriate, high quality cost effective care through assessing the medical necessity of admissions by utilizing MCG and industry standards accurately. Works with medical directors in interpreting appropriateness of care. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment.
RN Case Manager
Kindred Healthcare
07.2012 - 08.2013
- Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies.
- Enhances the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integration of functions of case management, utilization review and management and discharge planning.
Education
RN (BSN) -
Aspen University
12.2021
Associate of Applied Science - Nursing
Harrison College
IN05-2009
Skills
- Electronic medical record systems
- Comprehensive care planning
- Clinical nursing proficiency
- Microsoft Excel
- Effective organizational skills
- Team leadership
- Effective utilization management
- Mentoring
- Critical Care Experience
- Effective communication
- Medical administrative support
- Proficient in ICD-10 classification
- Proficient in administrative tasks
- CMCN credentialed professional
- Healthcare management
- Discharge Planning
- Customer service excellence
- Proficient in MCG care guidelines
- Critical analysis of documentation
- Relationship building
- Strategic planning
- Operations management
- Creativity and innovation
- Employee development
- Organizational development
- Budget management
- Staffing and employee engagement
Certification
- BLS Certification
- RN
- CPR Certification
- Driver's License
Awards
Nominated for the 2025 Reimagine Culture Award with AccentCare Hospice
Timeline
Nurse Clinical Liaison
AccentCare Hospice
11.2023 - 06.2024
Director of Inpatient Services
AccentCare Hospice
06.2023 - Current
Staff RN /PRN
AccentCare
06.2022 - Current
Utilization Management RN
Anthem
08.2019 - Current
PRN RN
Baptist Healthcare
07.2016 - 01.2019
Utilization Management RN
Humana
08.2013 - 01.2019
RN Case Manager
Kindred Healthcare
07.2012 - 08.2013
RN (BSN) -
Aspen University
Associate of Applied Science - Nursing
Harrison College