I am a passionate, dedicated, and motivated professional with strong background working in various fast-paced clinical environments.
With true passion for people and a history of longevity with employers.
Help with census, by implementing marketing plans with Existing and new referrals by ADC 18% and medicare census by 48% . Continuing to increase community exposure and strengthening reputation for ALF, SNF and LTC. Continue to work with community partners, physician, case manager and hospitals.
with facility education-community relations - service recovery
Help with census, by implementing marketing plans with Existing and new referrals Continuing to increase community exposure and strengthening reputation for ALF, SNF and LTC. Continue to work with community partners, physician, case manager and hospitals.
Host monthly happy hours with facility education on how we can help. Also help increase referral tp ALF side with a focus to increase private pay.
Help build a census by targeting new physicians, case managers, alfs, and refining existing referral sources. educating accounts about our clinical capabilities, meet with patient and families and explain servies.
still maintaining profit.
Evaluate and coordinate admissions for multiple care centers with appropriate center staff. Maintain effective communication with company personnel, as assigned. Achieve facilities census goals and annual budget projections through on site visits at the hospital to promote physician and patient education and referral conversions to admissions. Act as the liaison between the company and the community we serve. Notify Regional Director of Business Development for denial requests of any patient. Create and manage a fluid target list of contacts and decision makers in assigned hospitals and community. Develop relationships, provide excellent customer service and educate referral sources on services provided by Consulate. Problem-solve service issues with tact and resourcefulness. Demonstrate positive referrer satisfaction and account retention. Complete pre-admission assessments and appropriately assign admission for centers with communication and confirmation of availability and proper equipment/services addressed with nursing designee, admissions personnel, or Executive Director. Begin process of pre
admit Medicaid questionnaire form where applicable to consider financial issues as well as discharge disposition of patient. Collect and or arrange for delivery of hard scripts where necessary, PASRR, and pre admit insurance authorization/notification where necessary. Foster teamwork throughout entire process. Educate potential patients and families on sub acute rehabilitation expectations utilizing therapy outcomes, Quality Measures, including but not limited to the following: Physician/Nursing/Therapy Services, pharmacy services/expectations, discharge management, Return to Hospital process, in house programing and services available (i.e. x ray, laboratory services, beautician, etc.), and the benefits of programs and the option of LTC where appropriate. Develop strategies to maximize admissions including daily contact with potential referral sources including but not limited to hospitals, physicians, insurers, case management companies and health care agencies. Grow market share in core business lines in Assigned territory
Utilization review specialist 2015-2018 Stroke Team PRN 2013-2015 LPN-PCU- 2007-2015
• Function as a primary liaison between the funding agents and other parties to ensure appropriate level of care by preforming a comprehensive concurrent review for medical necessity of outpatient/ observation and Inpatient stays
• Review precertification request for medical necessity, referring to the medical director those that require addition expertise
• Review clinical information; conducting ongoing availability, monitoring and overseeing of non-clinical activity
• Established effective rapport with other employees, professional support staff, customer, and physicians
• Use effective relationship management- to promote improve quality of care; cost effective medical outcomes; promote decreased length of stay in the hospital when appropriate; prevent complications in patient; assure appropriate level of care is received by patient
• Maintain accurate records of all intervention and provide in timely written report
• Proficient with Interqual
Cardiac cath recovery, Patient Support Tech Sept 2002-June 2007