Dedicated, driven and enthusiastic healthcare professional with over 25 years of nursing experience. Experienced in driving operational excellence and quality outcomes. Certified Case manager with a professional focus on case management and utilization review for the past 17 years. Experienced in developing new clinical service lines, recruiting, training, educating, and managing clinical staff. Collaborated with a multitude of providers to create a mutual partnership and promote cost effective, quality health care service delivery. Focused on continuous improvement, and compliance with healthcare regulations.
Contributions
Instrumental in planning, creating, implementing and overseeing a successful 24/7 Utilization Review program
Managed a multimillion dollar budget
Created an internal denials program
Created and provided education to medical residents to enhance utilization review knowledge, while supporting collaboration, promoting increased communication and enhanced documentation
Created and implemented education for the surgical department that improved outcomes with outpatients in a bed
Attributes