Pamela Long

Work History

Netsmart Technologies

11.2021 - Current

Directed and supervised team of 20 engaged in Utilization Review Nurses in a remote setting.
Managed high-performing teams to ensure consistency in performance standards and goal achievement.
Conducted regular performance reviews providing constructive feedback aiding employee professional development.
Conducted utilization review to verify medically necessary care is received in correct setting.
Provided ongoing education and support for nursing staff in understanding and adhering to quality assurance standards, fostering a culture of excellence within the department.
Built strong relationships with customers through positive attitude and attentive response.
Assisted with new hire processing and existing training programs.
Established as reliable resource for staff members troubleshooting complex administrative, care related, and training issues promptly.

Crisp Regional Hospital

03.2019 - 11.2021

Reviewed provider's client admission data and clinical documentation to ensure compliance with InterQual and MCG criteria
Consulted with medical and treatment staff regarding client diagnosis, medical justification, length of treatment, and case documentation
Served as End User trainer for implementation of Cerner EMR
Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.

Palmetto Health Home Care and Hospice/ Bethany Hospice

Total - 9 years

Managed complex cases of for pediatric and adult patients in the home setting for home health, palliative care, and hospice patients patients ensuring optimal treatment plans were executed effectively.
Performed IV management, advanced wound care, and disease process and symptom management education
Developed and implemented nursing care plans with patients and families facing end of life decisions following Medicare and Medicaid LCD guidelines
Coordinated care of Hospice and Palliative care patients with an interdisciplinary team of physicians, medical social workers, patient care aides, hospice chaplains, hospice volunteers
Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
Combined 9 years experience in the Home Care/ Hospice setting

Coliseum Health System/ Palmetto Health

8 - years

Provided care of adult and pediatric patients in the fast-paced Emergency care setting quickly identifying concerns, controlling symptoms and providing expert emergency care.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards
Effective counseling in health maintenance and disease management
Coordinated care with a multidisciplinary team of paramedics, patient care technicians, nurses, and physicians