Rebecca Trowbridge
Woodstock,CT
Summary
Results-driven Manager known for high productivity and efficient task completion. Specialize in strategic planning, team leadership, and operational improvement. Excel in communication, problem-solving, and adaptability, ensuring seamless project execution and team cohesion.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Inpatient Manager
Point 32 Health
Canton, MA
01.2019 - Current
- Timely, clinically appropriate, and cost effective utilization management and discharge planning.
- Effective and collaborative relationships with key customers and business partners.
- Utilization of professional and clinical judgement for proactive management of members' needs.
- Managed project timelines and resources to ensure successful program implementation.
- Oversaw compliance with healthcare regulations and organizational policies.
- Coordinated cross-functional teams to improve operational efficiency across departments.
- Developed training programs for staff to increase knowledge of healthcare practices.
- Analyzed data trends to inform strategic planning and resource allocation.
- Cultivated relationships with stakeholders to support organizational goals and objectives.
- Provided leadership during times of organizational change or crisis situations.
- Analyzed market trends and competitor activity to inform business strategy.
- Implemented process improvements, resultingin an increase in operational efficiency.
- Coordinated cross-departmental projects to ensure timely and successful completion.
- Led team initiatives to enhance patient care and service delivery standards.
ACO Utilization Management Nurse
Fallon Health
04.2018 - 01.2019
- Collaboration/ relationship building with internal and ACO partners, LTSS, and CP to promote and improve health maintenance to a very high risk/high utilization group.
- Advanced knowledge of Masshealth/ Medicaid guidelines.
- Review of Healthcare services to assure medical necessity and LOC.
- Apply clinical expertise to assure appropriate benefit utilization.
- Acute and Post Acute Utilization: current, concurrent and retrospective review per CMS, Medicaid and Company guidelines.
- Care Coordination directed towards members complex needs to promote positive outcomes.
- Safe and efficient Discharge Planning to maximize member benefit/ promote health and minimize company risk.
- Working knowledge of Fallon Health's additional product lines including Medicare, Commercial and SCO to provide coverage within the department.
Nurse Case Manager: Home Care/ Palliative/ Hospice Care
VNA Southern Worcester County/Central MA Hospice
Woodstock, USA
12.2014 - 04.2018
- Patient centered assessments, care planning, education, treatments across the continuum.
- Provide compassionate care to oncology patients and families suffering from symptoms of cancer and treatments or preparing for end of life.
- Coordinate care between health providers, patient, family members, and ancillary services.
- Manage physical, mental, emotional, and spiritual needs of patients and families as they journeyed through end of life issues.
- Communicate with interdisciplinary team including physicians, social worker, chaplain, nursing assistants, volunteer coordinator, and other hospice nurses.
- Utilize critical thinking, communication, time management, and problem solving skills.
- Medicare Oasis Assessments.
Charge Nurse
Matulaitis Rehabilitation & Skilled Care
03.2013 - 10.2013
- Provide direct nursing care to the residents, and supervise the day-to-day nursing activities of the Nursing Staff and the CNAs in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility.
- Assess residents and analyzes obtained information to develop appropriate interventions to prevent decline; record signs of change in condition; notify appropriate staff per facility protocol to evaluate weight loss, decline in ambulation, development of skin breakdown and other changes; observe conditions that indicate possible need for restorative nursing programs and then notifies appropriate staff per facility protocol of the need for evaluation; informs the physician of changes in assessment when appropriate.
- Cooperate with other resident services when coordinating nursing services to ensure that the resident's total regimen of care is maintained.
- Encourage attending physicians to review treatment plans, record and sign their orders, progress notes, etc., in accordance with established policies.
- Chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to the care.
Education
AS - Nursing
Three Rivers Community College
Norwich, CTBS - Business Management
The Pennsylvania State University
University Park, PASkills
- Utilization management
- Discharge planning
- Compliance oversight
- Data analysis
- Training and development
- Quality assurance
- Care coordination
- Strategic planning
- Project management
- Team leadership
- Problem solving
- Adaptability
- Clear communication
- Documentation and reporting
- Business administration
- Policy implementation
- Staff management
- Policy and procedure development
- Employee onboarding
- Product management
- Trend analysis
- Operations management
- Cross-functional teamwork
- Key performance indicators
- Cross-functional team management
- Task delegation
- Performance management
- Complex Problem-solving
- Regulatory compliance
- Verbal and written communication
- Change management
- Cost reduction
Certification
- CT Registered Nurse, #109768
- MA Registered Nurse, #RN2284802
Timeline
Inpatient Manager
Point 32 Health
01.2019 - Current
ACO Utilization Management Nurse
Fallon Health
04.2018 - 01.2019
Nurse Case Manager: Home Care/ Palliative/ Hospice Care
VNA Southern Worcester County/Central MA Hospice
12.2014 - 04.2018
Charge Nurse
Matulaitis Rehabilitation & Skilled Care
03.2013 - 10.2013
AS - Nursing
Three Rivers Community College
BS - Business Management
The Pennsylvania State University