Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Rebecca Foiles

Shipman,IL

Summary

Seasoned Manager of Case Management/Utilization Review with a proven track record at Carlinville Area Hospital and Clinics. Excelled in clinical assessment and quality improvement, enhancing patient care strategies and compliance. Demonstrated leadership in guiding teams and forging key external partnerships, significantly improving case management services with a patient-centric approach.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Manager of Case Management/Utilization Review

Carlinville Area Hospital and Clinics
Carlinville, IL
12.2022 - Current
  • Assessed patient health risks through interviews, physical assessments, medical record reviews, tests results interpretation.
  • Established relationships with external organizations such as community resources or government agencies that can provide additional support for patients.
  • Ensured compliance with all applicable laws, regulations, policies and procedures related to case management services.
  • Collaborated with multidisciplinary team to establish comprehensive patient care plans.
  • Monitored and evaluated performance metrics to identify areas for improvement in case management services.
  • Provided guidance and assistance to case managers regarding complex cases or ethical issues.
  • Streamlined discharge planning to create efficient, patient-oriented care strategies.

Case Manager

St. Francis Hospital and Medical Center
Litchfield, IL
05.2020 - 12.2022
  • Assisted in the coordination of services needed after hospitalization such as home health care, durable medical equipment, transportation.
  • Conducted assessments to assess patient's level of functioning and identify appropriate resources upon discharge.
  • Maintained timely communication with physicians regarding patient's progress during the course of treatment prior to discharge.

Intact Case Manager

Illinois Department Of Children And Family Services
Carlinville, IL
05.2008 - 05.2020
  • Assessed clients' needs, developed service plans and monitored progress towards goals.
  • Conducted home visits to assess living conditions and support needs.
  • Monitored client progress through regular follow-up contacts.
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Provided referrals to appropriate health care providers or other community resources.
  • Attended court hearings as a representative of the organization on a regular basis.
  • Collaborated with healthcare providers, lawyers, employers and other stakeholders involved in a client's case.

Education

Master of Science - Social Work

Southern Illinois University, Edwardsville
Edwardsville, IL
08-2005

Skills

  • Clinical assessment
  • Quality improvement
  • Discharge planning
  • Transitions of care
  • Quality management
  • Monitors and reviews required documentation to maintain compliance with federal and state regulations
  • Monitors and review reports

Certification

  • Licensed Clinical Social Worker (LCSW)

Accomplishments

  • United States Army, Active Duty Service 1997-2001

Timeline

Manager of Case Management/Utilization Review

Carlinville Area Hospital and Clinics
12.2022 - Current

Case Manager

St. Francis Hospital and Medical Center
05.2020 - 12.2022

Intact Case Manager

Illinois Department Of Children And Family Services
05.2008 - 05.2020

Master of Science - Social Work

Southern Illinois University, Edwardsville

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