Susan Shotter MHA,BSN,RN,ACM
Williamsburg,VA
Summary
Accomplished System Director, specializing in innovative case management, seeks an executive leadership position for new professional and personal challenge. Successful in implementing system strategies that improve operational efficiencies that align with health system goals. Proficient in leading multiple process and quality improvement initiatives and coordinating cross-functional data informed projects. Looking to bring extensive expertise and strategic vision to your progressive and committed organization.
Overview
10
10
years of professional experience
1
1
Certification
Work History
System Director of Case Management
Riverside Health System
Newport News, Virginia
07.2017 - present
- System leadership of all care management and utilization management standard work, regulatory compliance, policy and procedure, hospital throughput, LOS and status management, and transitions of care
- Developed departmental standard work, monthly and quarterly audits, and dashboard KPI's
- Participating board member of ACO and helped initiate population health initiative based on ACMA transitions of care guiding principles
- Led system-wide state initiatives such as Emergency Department Care Coordination program, Medicaid Enterprise System for medicaid services and support, Unite Us for linking community resources and local county paramedicine programs for CHF and stroke
- Managed staff for remote patient monitoring, and caregiver support grants
- Developed business case for behavioral health case management model
- Supported software interface for MCG Indicia, and Careport upgrade
- Introduced utilization management in ED 24/7 coverage
- Developed and designed case management interventions to quantify productivity of case management, developed enhancements to EPIC to improve efficiency of referral and authorization management
- Decreased hospital wide readmissions by 13.89% (2018 to Jan 2024)
Director of Case Management
Inova Mount Vernon Hospital
Alexandria , Virginia
07.2016 - 07.2017
- Managed day to day operations of discharge planning and utilization review
- Active member of the revenue cycle team, developed action plans for decreasing days to reimbursement (AR), and participated in weekly review of high dollar cases with CFO
- Daily rounding with staff and physician advisor to ensure status and readmission reduction effort compliance reflected in True North visualization board metrics
Director of Case Management
Bridgepoint Long Term Acute Care
Washington , D.C.
05.2013 - 07.2016
- Responsible for daily operations of care management and utilization review processes
- Initiated a utilization census report updated daily with patient DRG's , potential reimbursement, and expected ideal discharge dates
- Developed template for case studies that were shared with key Inova stakeholders
Manger of Case Management
Inova Health System
Falls Church , VA
09.2007 - 05.2013
- Oversight of day to day operations for fifty direct reports managing discharge planning and utilization review
- Refined strategy and business plan for case management to align with hospital KPI's such as readmissions, avoidable days, and length of stay management
- Instrumental in designing high-dollar case review processes across the five Inova hospitals and continues today
- Launched multidisciplinary bedside rounds redesign, using lean methodology. Team received recognition at leadership conference
- System EPIC superuser for system case managers Nov 2012, successfully launched
- Hardwired new process for indigent medication use and access, saving the hospital over 1 million dollars within first year
Education
Master of Science - Health Administration
University Of Phoenix
AZ07-2013
Bachelors of Science in Nursing
Villa Maria College
Erie, PA05-1984
Skills
- Workforce Planning
- Vendor Relationship Management
- Attention to Detail
- Teamwork and Collaboration
- Continuous Improvement
- Analytical Thinking
Certification
- American Case Management Association (ACM) certified since 2011
- CPR certified
Timeline
System Director of Case Management
Riverside Health System
07.2017 - present
Director of Case Management
Inova Mount Vernon Hospital
07.2016 - 07.2017
Director of Case Management
Bridgepoint Long Term Acute Care
05.2013 - 07.2016
Manger of Case Management
Inova Health System
09.2007 - 05.2013
Master of Science - Health Administration
University Of Phoenix
Bachelors of Science in Nursing
Villa Maria College
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