Stacy Branham
Lugoff,SC
Summary
Dynamic certified Case Manager bringing 17 years of treating patients and coordinating care with other healthcare staff. Proven history of leveraging critical thinking, analysis and medical knowledge to deliver superior care in high-pressure environments. Prioritizes clinical and operational tasks in fast paced settings including the emergency department. Conscientious Director of Case Management providing appropriate training and education for all medical staff members. Empowers staff to maintain accountability while satisfying patient concerns. Analyzes patient care data to identify improvement areas, create actionable plans and guarantee standards compliance.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Director of Case Management
MUSC Health Kershaw Medical Center
Camden, SC
06.2021 - Current
- Structured standardized case management processes to comply with regulatory agency statutes and standards
- Daily Interdisciplinary Team (IDT) maintained at mastery level
- 98.3% accuracy for Case Management staff on set standards for department, to include assessment with in 24 hours of admission, Important Medicare Messages and completion of InterQual
- Improved process for observation status management
- Observations patients are checked three times daily to ensure that they do not meet inpatient criteria
- Working with local oxygen supply company to research Federal Government plan that pays for oxygen for 3 months for COVID patients
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle
- Managed and monitored program activities and evaluated quality for improvement recommendations
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers
- Oversaw staff development through in-depth trainings, workshops, seminars and other learning opportunities
- Worked with senior case managers to coordinate team development activities and trainings
- Developed monthly schedules and assignments for staff
- Daily meetings with Physicians and clinical staff to ensure safe discharge plan is in place for each patient
- Member of Social Determinants of Health Workgroup to identify social needs for patients in our community
- Supervises daily operations of the Case Management department
- Promotes and supports recruitment and retention.
RN Case Manager
Blue Cross Blue Shield
Columbia, SC
10.2017 - 06.2021
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols
- Evaluated healthcare needs, goals for treatment and available resources of each patient and connected to optimal providers and care
- Prepared clinical notes and updates for review by primary physician
- Directed appropriate preventive and rehabilitative nursing processes and protocols
- Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
- Effectively communicated with physicians regarding patient needs, performance, medications and changes
- Updated patient charts with data such as medications to keep records current and support accurate treatments
- Liaised with physicians regarding patient needs, performance and changes
- Documented case notes daily and coordinated follow up care for seamless Case Management
- Participated in Case management policy committee to discuss polices, propose revisions and implement change.
RN Case Manager
Kershaw Health
Camden, SC
09.2013 - 10.2017
- Coordinated rehabilitative and preventive nursing processes and procedures
- Developed a discharge nurse education program to ensure quality measures were met before discharge
- Ensured that patient's left with follow up appointments already scheduled
- Worked to ensure length of stay was as low as possible
- Worked in the Emergency Room to begin a discharge planning assessment for admissions to help foresee any possible discharge barriers
- Completed InterQual to ensure patients were admitted into the correct status
- Worked closely with the Emergency Room Physician's to ensure patients were discharged with resources needed to be successful in the outpatient environment.
RN Staff Nurse
Kershaw Health
Camden, SC
06.2005 - 08.2013
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches
- Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals
- Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection
- Gathered patient health data through interviews and observation, documenting data in electronic records
- Informed patients and families of effective treatment options and at-home care strategies, enhancing long-term outcomes
- Administered medications via oral, IV and intramuscular injections and monitored responses
- Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care
- Updated patient charts with data such as medications to keep records current and support accurate treatments
- Trained new nurses in proper techniques, care standards, operational procedures and safety protocols
- Led successful team comprised of RNs, LPNs and ancillary staff
- Reported patients' status and delegated nurse assignments to achieve optimal outcomes.
Education
Bachelor of Science - Nursing
South University
Associate of Science - Nursing
Central Carolina Technical College
LPN - Nursing
Central Carolina Technical College
Skills
- Care coordination-
- Readmission reduction- lowest readmission rate in the MUSC system last 2 quarters
- Integrated Clinical Service
- Discharge Planning
- Press Ganey measures
- InterQual admissions criteria
- Joint Commission standards
- Quality Management
- Interviewing skills
- Utilization
- Budget Management
- Transitions of care
Certification
Certified Case Manager (CCM), 2019
Accomplishments
- Winner of the 2006 Rosefield Clinical Excellence Award-Central Carolina Technical College.
- 2009 Recipient of the Thoroughbred Award for excellence in Nursing- Kershaw Medical Center
Personal Information
Title: BSN, RN, CCM
References
References available upon request.
Timeline
Director of Case Management
MUSC Health Kershaw Medical Center
06.2021 - Current
RN Case Manager
Blue Cross Blue Shield
10.2017 - 06.2021
RN Case Manager
Kershaw Health
09.2013 - 10.2017
RN Staff Nurse
Kershaw Health
06.2005 - 08.2013
Bachelor of Science - Nursing
South University
Associate of Science - Nursing
Central Carolina Technical College
LPN - Nursing
Central Carolina Technical College
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