
Results-driven professional skilled in critical thinking, effective communication, and customer service. Proven ability to execute utilization management processes and facilitate patient transfers, enhancing operational efficiency and patient care.
Executed utilization management processes by applying approved clinical screening guidelines to assess admission recommendations and determine patient eligibility for observation or inpatient care. Supported the admission process by establishing positive relationships across access points, enhancing financial outcomes, and facilitating effective communication. Reviewed and clarified orders with ED physicians to resolve discrepancies and ensure accurate patient care. Communicated concise medical information to physician advisors when admission orders and interqual outputs were misaligned. Coordinated with third-party payers to confirm patient admission notifications. Reassessed ED admissions with extended boarding times to evaluate potential changes in care levels. Facilitated appropriate inpatient transfers from the Henry Ford Health freestanding emergency department. Completed documentation in accordance with departmental standards. Identified and addressed actual and potential service delays and resource misuses. Determined optimal target units for patients based on hospital guidelines, admission orders, and clinical presentations. Collaborated with transfer and bed management teams. Performed additional duties as assigned, including charge nurse responsibilities. Maintained productivity expectations. Supported clinicians in ensuring safe and timely patient transfers. Participated in the orientation and training of new SC3 staff. Engaged in activities promoting ongoing learning and professional development.