Nettie FINN
ARVADA,CO
Summary
Dynamic and results-oriented RN Case Manager with a proven track record at Denver Health Medical Center. Excelled in care coordination and case management, enhancing patient outcomes through effective communication and interdisciplinary teamwork. Skilled in documentation proficiency and relationship building, consistently advocating for patient rights and optimizing healthcare delivery.
Overview
33
33
years of professional experience
Work History
Case Manager
Lutheran Medical Centre
01.2023 - Current
- Contributed to team discussions and case conferences actively, sharing insights and expertise with colleagues to optimize client support strategies.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
- Monitored clients' progress and tracked client services to provide crisis interventions.
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
Utilization Review Nurse
Lutheran Medical Center
01.2015 - 08.2023
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
- Fostered a culture of continuous learning by actively participating in departmental meetings, trainings, and continuing education opportunities related to utilization review.
- Increased staff efficiency by providing ongoing education on proper documentation techniques necessary for accurate claims processing.
- Streamlined the case management process by effectively prioritizing high-risk cases for timely intervention and followup.
- Worked with many insurance case managers to determine authorization or denial
RN Case Manager
Denver Health Medical Center
03.1994 - 04.2015
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Enhanced patient care by developing comprehensive care plans and coordinating with interdisciplinary healthcare teams.
- Navigated regulatory requirements effectively, ensuring proper documentation and compliance with relevant laws and guidelines.
RN Case Manager Lead
Denver Health Medical Center
03.1996 - 09.2005
- Managed support services and fostered communication among social workers, therapists, hospital staff, and patients.
- Responsible for authorizing inpatient hospital stays and verify eligibility of members.
- Intense Case Management of the sick new born and high risk OB.
- Gathered and reported on Health Education Data Information. Set HEDIS information on required population. Assisted with the diabetic population.
- issued Denials and conducted reviews of Appeals
- Super User of Milliman, Xcelys, and Interqual.
Forensic Medicine Facility (FMF)
Denver Health Medical Center
07.1996 - 06.2005
- Charge Nurse for 16 bed unit.
- Provided direct patient care for a variety of medical and psychiatric conditions.
- Assisted the Program Manager of FMF in planning, implementing, and performing chart auditing for Quality Improvement Projects.
Denver C.A.R.E.S.
Denver Health Medical Center
09.1994 - 02.1996
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Staff Nurse in a 60+ bed Detoxification Facility.
- Monitor and treat pre-protocol detoxification symptoms of patients
Staff Nurse
Colorado Mental Health Institute
06.1991 - 08.1994
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Precepted student nurses and oriented new hires, providing guidance and mentorship when teaching on hospital policies, emergency procedures, and nursing best practices.
Education
MSN - Informatics
University of Colorado
Aurora05-2011
BSN - Nursing
Colorado State University At Pueblo Colorado
Pueblo05-1994
ADN - Nursing
Pueblo Community College
Pueblo, CO05-1992
Skills
- Problem-Solving
- Case Management
- Case Documentation
- Organization and Multitasking
- Documentation And Reporting
- Relationship Building
- Decision-Making
- Conflict Resolution
- Positive Attitude
- Email and Telephone Etiquette
- Client Advocacy
- Care Coordination
- Community Resources
- Case Planning
- Documentation proficiency
Accomplishments
- Team awaard for Home Oncology
- Team award for Repatriation
- Team award for Home Health
- Black Belt in Lean (Denver Health)
- Exceeding Black Belt goal savings
Languages
Spanish
Professional Working
Timeline
Case Manager
Lutheran Medical Centre
01.2023 - Current
Utilization Review Nurse
Lutheran Medical Center
01.2015 - 08.2023
Forensic Medicine Facility (FMF)
Denver Health Medical Center
07.1996 - 06.2005
RN Case Manager Lead
Denver Health Medical Center
03.1996 - 09.2005
Denver C.A.R.E.S.
Denver Health Medical Center
09.1994 - 02.1996
RN Case Manager
Denver Health Medical Center
03.1994 - 04.2015
Staff Nurse
Colorado Mental Health Institute
06.1991 - 08.1994
MSN - Informatics
University of Colorado
BSN - Nursing
Colorado State University At Pueblo Colorado
ADN - Nursing
Pueblo Community College
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