Summary
Overview
Work History
Education
Skills
Timeline
Generic

Teresa Dingus Teresa Dingus

Kingsport,TN

Summary

Accomplished RN Case Manager and Utilization Review Nurse at Ballad Health System, adept in chronic disease management and care coordination. Leveraged multidisciplinary approaches and HIPAA compliance to enhance patient outcomes, demonstrating a keen ability for critical thinking and case evaluation. Excelled in utilizing clinical judgment to optimize healthcare service delivery, showcasing exceptional communication and organizational skills.

Overview

28
28
years of professional experience

Work History

RN Case Manager

Ballad Health System
02.1997 - Current
  • Compile and review medical information and coordinate care of disease management for high risk patients and those with chronic disease.
  • Managed complex cases involving multiple comorbidities, requiring close monitoring and coordination of various healthcare services.
  • Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
  • Educated patients and families on available community resources, facilitating access to necessary support services.

RN Utilization Review

Ballad Health System
02.1997 - Current

* Initial information sent to Insurance as a first level review is conducted to determine if admission is justifiable and reimbursable.


*Continued stay review to determine if each day is necessary and level of care appropriate


*Use of Milliman and Interqual criteria.


* Use of clinical judgement and critical thinking using past experience in ICU, CICU, Orthopedics, Trauma and Neuro.



Education

Bachelor of Science - Nursing

East Tennessee State University
Johnson City, TN
06.1980

Skills

  • Chronic Disease Management
  • Discharge Planning
  • HIPAA Compliance
  • Multidisciplinary Approach
  • Care Coordination
  • Utilization review
  • Case Evaluation

Timeline

RN Case Manager

Ballad Health System
02.1997 - Current

RN Utilization Review

Ballad Health System
02.1997 - Current

Bachelor of Science - Nursing

East Tennessee State University
Teresa Dingus Teresa Dingus