
Dedicated Charge Nurse with expertise in clinical leadership, care coordination, and patient advocacy. Known for fostering teamwork and implementing quality improvements to enhance patient outcomes.
Focused based on health concerns addressing Medical Diagnosis outlined by their CPT Codes.
Educate Physician Office staff while promoting Quality of Care
Promoting Health as evidenced by Colon Screening, Mammography screenings, Diabetes Screenings, Depression Screenings (PHQ2 & PHQ9)
Engaging Physicians Practices in Promoting Best Care Practice.
Review Medical Records to determine Medical necessity for Treatments, procedures and hospital stays.
Ensure healthcare services meet insurance guidelines, regulatory standards, and organizational policies.
Identify opportunities to reduce unnecessary healthcare cost while maintaining quality of care.
Analyze healthcare data and trends to improve efficiency and patient outcomes
Use electronic health records (EMR) systems and utilization management software effectively
Monitor patient length of stay and recommend appropriate levels of care.