Dedicated Interim Manager with strong Case Management and Utilization Management background and proven leadership capabilities. Successful at leading teams through difficult transitional periods. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.
Overview
6
6
years of professional experience
1
1
Certification
Work History
RN Interim Manager
IU Health Bloomington Hospital
Bloomington, IN
08.2023 - Current
Monitored staff performance and addressed issues.
Exercised good judgment and decision-making in escalating concerns and resolving issues.
Maintained up-to-date records of employee attendance, payroll information, vacation requests.
Entered time and attendance logs in preparation for payroll.
Ensured compliance with all applicable laws, regulations, industry standards.
Recruited and hired qualified candidates to fill open positions.
Conducted regular meetings with staff to discuss progress and identify areas of improvement.
Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency.
Resolved conflicts between employees by providing guidance on company policies and procedures.
Established processes to ensure efficient workflow throughout the organization.
Led team meetings and one-on-one coaching sessions to continuously improve performance.
Maintained adequate staffing to meet objectives within budget.
Monitored budgets and expenditures to ensure cost-effectiveness while maintaining quality standards.
Leveraged leadership skills to identify deficiencies and opportunities to improve policies, procedures and controls.
Organized special events such as conferences or training sessions for employees.
Reviewed contracts before signing them on behalf of the organization.
Resolved customer inquiries and complaints requiring management-level escalation.
Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
Interviewed prospective employees and provided input to HR on hiring decisions.
Planned and led team meetings to review business results and communicate new and ongoing priorities.
RN Case Manager Team Lead
IU Health Bloomington Hospital
Bloomington, IN
03.2023 - 08.2023
Maintained accurate documentation of patient records in accordance with HIPAA regulations.
Collaborated with physicians in developing patient-specific treatment plans.
Provided emotional support to families facing difficult decisions about a loved one's care.
Managed complex cases involving multiple diagnoses or treatments.
Advised family members on the best course of action for their loved ones' healthcare needs.
Maintained thorough, accurate and confidential documentation in electronic medical records.
Advocated for patients by supporting and respecting basic rights, values, and beliefs.
Collaborated with doctors to plan post-treatment home care and prevent return hospitalization.
Counseled patients and caregivers, providing emotional, psychological and spiritual support.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Implemented process improvements across the organization to reduce costs.
Developed and implemented strategies to increase efficiency of operations.
Identified areas of improvement within the organization and provided solutions.
Provided guidance and direction to teams in order to meet deadlines.
Built relationships with internal team members and external partners to enhance effectiveness of team's work and boost morale.
Performed risk assessments and developed mitigation plans as needed.
Managed daily operations while ensuring compliance with applicable laws and regulations.
Facilitated meetings between senior management, staff, vendors, customers.
Assessed employee performance against established goals and objectives.
Developed policies and procedures related to operational activities.
Analyzed customer feedback data to identify trends and develop solutions accordingly.
Monitored progress on key metrics and identified opportunities for improvement.
Maintained team progress against performance targets by motivating staff and proactively resolving department-level issues.
Reviewed existing processes and proposed changes that improved performance levels.
Evaluated vendor proposals and negotiated contracts as necessary.
Remained calm and professional in stressful circumstances and effectively diffused tense situations.
Employed active listening abilities, interpersonal skills and policy knowledge to remedy employee conflicts.
Planned and delivered training sessions to improve employee effectiveness and address areas of weakness.
UM RN Team Lead
Indiana University Health Revenue Cycle Services
Indianapolis, IN
02.2018 - 03.2022
Facilitated interdisciplinary meetings between Utilization Management staff and other departments as needed.
Ensured compliance with all regulatory requirements related to utilization management services.
Coordinated utilization management activities with medical staff and other departments to ensure efficient operations.
Analyzed trends in utilization data to identify opportunities for improvement in quality of care and cost containment measures.
Developed and maintained effective relationships with health plan partners, providers and internal stakeholders.
Conducted audits of case files to ensure accuracy and completeness of documentation according to standards set forth by the organization.
Reviewed clinical criteria used for authorization decisions ensuring they are consistent with current industry standards.
Monitored performance metrics related to utilization management outcomes such as length of stay and episode duration, readmission rates.
Maintained up-to-date knowledge base regarding changes in laws and regulations impacting Utilization Management functions.
Provided education on utilization management processes to staff members as needed.
Responded promptly to customer inquiries regarding status updates or questions about their cases.
Tracked progress towards established goals for the department and reported results regularly.
Reviewed denials for appropriateness according to policies, procedures, guidelines and regulations.
Oversaw daily workflow of utilization review cases and monitored completion of timely reviews.
Delegated work to staff, setting priorities and goals.
Resolved customer complaints or answered customers' questions.
Participated in provider appeals when necessary including gathering evidence from medical records or other sources.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Coordinated with other supervisors, combining group efforts to achieve goals.
Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
Discussed job performance problems with employees, identifying causes and issues to find solutions.
Issued work schedules, duty assignments and deadlines for office or administrative staff.
Reviewed employees' work to check adherence to quality standards and proper procedures.
Reviewed reports on employee attendance, productivity and effectiveness to evaluate performance.
Education
Associate of Science - Nursing
Ivy Tech Community College of Indiana
Bloomington, IN
05-1999
Some College (No Degree) - Nursing And EMT
Indiana University Bloomington
Bloomington, IN
Skills
Discharge Planning
Compassion and Empathy
Quality Improvement
Case Management
Data Collection
Nursing Staff Leadership
Healthcare Billing
Chronic Disease Management
Staff Supervision
Patient Counseling
SBAR Communication
Culturally Sensitive
Relationship Building
Coordinating Referrals
IV Setup
Evaluations
EMR Systems
Patient and Family Advocacy
Indirect Patient Care
Emotional Intelligence
HIPAA Education
Strong Clinical Judgment
CMS Regulatory Compliance
Family Education
Managing Deadlines
Patient Satisfaction and Process Improvement
Team Coordination
Cerner, TEAMS, Excel, Word, Outlook, Diaganotes, Availity, Jabber Use
Family and Patient Support
Licensed RN
Strong Medical Ethic
Certification
Youth Protection Trained through the Boy Scouts of America