Misti Wirth
Owensboro,KY
Summary
Detail oriented Registered Nurse with 30 years experience. Compassionate, reliable and innovative self-starter who works collaboratively with the care teams. Demonstrates success in cultivating strong patient rapport to drive outcome goals. Exceptional leader with the capability to multi task in a fast paced environment.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Case Manager
Genex Services
Owensboro, KY
04.2022 - Current
- Worked with medical teams, patients and families to implement effective treatment plans.
- Coordinated care of injured workers by liaising with hospital staff to organize treatments and program resources.
- Reduced care costs without sacrificing quality through service coordination and multidisciplinary collaboration.
- Consulted with clinicians to devise and manage ongoing care plans for at-risk patients.
- Reported plans, findings and results to employers and insurance carriers.
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
- Evaluated treatment plans against individual goals and healthcare standards.
- Preserved and prepared reports and treatment records.
Care Coach
OnTrak Health
Remote
04.2020 - Current
- Provided motivational interviewing skills to high risk health plan members supporting them towards successful personal goals.
- Engaged, enrolled and coordinated care to improve quality of life for program members while maintaining minimum of 65 member case load.
- Successfully identified social determinants of health and closed gap with offered resources.
- Utilized expert clinical skills to determine members appropriate behavior health treatment plan, thus reducing claim costs for managed health plans.
Independent Nurse Contractor
CareScout
Remote
04.2016 - Current
- Performed long term care insurance assessments for benefit eligibility on a referral basis.
- Used first hand knowledge and clinical expertise to accurately capture ADL and IADL current status.
- Conducted MMSE, EMST and SPMSQ cognitive screening tests.
- Charged with organizing assessments via zoom, telephonic or in person.
Senior Care Manager
Magellan Complete Care Of Arizona
Tempe, AZ
07.2019 - 02.2020
- Telephonically managed caseload of high risk complex medical members for Medicaid/Medicare DSNP health plan.
- Created workflow for EDD program and reported to state monthly.
- Delegated day-to-day care transition members, referrals and activities to care management team.
- Collaborated with medical director, team leads and providers to drive quality metrics and outcomes.
Senior Transition Coordinator
Magellan Complete Care Of Arizona
Tempe, AZ
09.2018 - 07.2019
- Lead care transitioning process of Medicaid members through discharge planning to home and other institutional settings.
- Participated in case conferences to ensure gaps of care were supported for members.
- Served as customers point of contact when discussing challenging cases requiring transition activities.
- Oversaw electronic transfer of information on members incoming and outbound via fax.
Assistant Director of Nursing
Care Meridian
Phoenix, AZ
07.2017 - 05.2018
- Interviewed, hired and trained nursing staff.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
- Organized and facilitated weekly department head meetings to discuss daily census reports, admissions, discharges and condition changes.
- Evaluated work performance of nursing personnel to determine wage increases and implement discipline.
- Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection
Clinical Supervisor
CoreCivic
Nashville, TN
04.2015 - 05.2017
- Lead team of 40 clinical personnel and implemented new policies in delivering excellent care to inmate population in medical unit.
- Responded to informal complaints and grievances to solve inmate concerns.
- Worked with QIC nurse to promote education, evaluation, performance management and competency improvement.
- Promoted hiring of qualified personnel by interviewing applicants and mentoring them through employment.
RN Case Manager
CareAll Home Health
Westmoreland, TN
12.2014 - 04.2015
- Directed weekly interdisciplinary case management meetings.
- Administered medications via oral, IV and intramuscular injections and monitored responses to caseload of over 30 patients.
- Authorized initial OASIS assessments,resumptions of care, and discharges of patients to develop plans for individual home care needs.
- Educated patients and family planning regarding disease process and medication management.
Private Duty RN
Professional Case Management
Hendersonville, TN
07.2014 - 12.2014
- Prepared visit noted and summarized client records on PRN basis.
- Fostered strong relationships with clients and families to support comprehensive social, mental and physical care.
- Participated in service education programs, patient care conferences and staff meetings to advance knowledge and foster multidisciplinary communication.
- Distributed medication on schedule to meet patient needs and provided assisted with treatment according to plan of care.
RN Case Manager
Intrepid Home Health
Columbia, KY
08.2013 - 06.2014
- Served as case manager for 35-45 medicare/medicaid patients while performing nursing skills in home.
- Analyzed OASIS initial assessments, resumption of care, discharges and visit documentation via EMR for accuracy.
- Collaborated with MD on orders and follow through.
- Established rapport with members and families providing them with teaching and tools to effectively function at home.
Education
Associate of Science - Nursing
Milwaukee Area Technical College
Milwaukee, WISkills
- Chronic Care Management/Managed care
- Durable Medical Equipment
- Rehabilitation/Neuro
- Medical/Surgical
- Home Health/Medication reconciliation
- Corrections/Psych
- Transition Coordinator/Discharge planning
- Clinical chart review
- Medication Reconciliation
- Long Term Care Claims
- Remote productivity
- Microsoft Excel, Word,Outlook,Teams
Certification
License-Registered Nurse, KY-CURRENT
Timeline
Medical Case Manager
Genex Services
04.2022 - Current
Care Coach
OnTrak Health
04.2020 - Current
Senior Care Manager
Magellan Complete Care Of Arizona
07.2019 - 02.2020
Senior Transition Coordinator
Magellan Complete Care Of Arizona
09.2018 - 07.2019
Assistant Director of Nursing
Care Meridian
07.2017 - 05.2018
Independent Nurse Contractor
CareScout
04.2016 - Current
Clinical Supervisor
CoreCivic
04.2015 - 05.2017
RN Case Manager
CareAll Home Health
12.2014 - 04.2015
Private Duty RN
Professional Case Management
07.2014 - 12.2014
RN Case Manager
Intrepid Home Health
08.2013 - 06.2014
Associate of Science - Nursing
Milwaukee Area Technical College
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