Theresa Dagesse
Newport,RI
Summary
Experienced Registered Nurse and Certified Case Manager Health Care Executive with over 25 years of expertise in enhancing health care clinical outcomes. Additional academic and leadership experience. Well-versed in regulatory compliance requirements mandated by federal and state legislature, particularly in utilization review and discharge planning. Passionate about creating prosperous health care operations that prioritize patient satisfaction and outcomes through improved services, operational efficiencies, and strategic planning.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist
Tufts Medical Center
12.2016 - 12.2023
- Supported facility-wide efforts towards achieving high-quality performance metrics through comprehensive chart analysis focused on necessary improvements.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Enhanced patient care by ensuring accurate and complete medical records through timely and efficient documentation practices.
- Ensured compliance with regulatory standards and guidelines through meticulous attention to detail in completing clinical documentation tasks.
- Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
- Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.
Director of Case Management
Beth Israel Deaconess Medical Center
03.2013 - 09.2016
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Maintained compliance with regulatory requirements through rigorous quality assurance processes and timely reporting mechanisms.
- Proactively addressed complex cases or escalated issues, working closely with stakeholders to devise effective resolution strategies.
- Structured standardized case management processes to comply with regulatory agency statutes and standards.
- Established clear objectives for direct reports, fostering an environment that encouraged professional growth while aligning with organizational goals.
Case Manager
Beth Isreal Deaconess Medical Center
05.2011 - 03.2013
- Coordinated utilization management, care coordination and discharge planning for a 25 bed medical/surgical unit
- Utilized InterQual as the Medicare approved tool to determine hospital level of care
- Managed length of stay to decrease delay days and focused on achieving CMS average length of stay specific to the diagnosis
- Collaborated with the physicians as well as the multidisciplinary team members to assure a positive patient outcome
- This role was patient-focused, outcome-oriented and driven by general and specialty professional standards.
Case Manager
Mid-State Medical Center
01.2007 - 04.2011
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
Education
Bachelor of Science Degree in Nursing -
Fitchburg State University
Fitchburg, MA05.1983
Skills
- Project Management
- Quality and Patient Safety
- Program Development
- Innovation
- Case Management
- Clinical Informatics
- InterQual Criteria
- Utilization Management
- Patient Relations
- Discharge Planning
- Process Improvements
- Clinical documentation management
- Strong attention to detail
Certification
- Accredited Case Manager (ACM)
- Certified Care Manager (CCM)
- Registered Nurse Licensure in Massachusetts (06/1983)
- Registered Nurse Licensure in Rhode Island (08/2016)
Organizations
- Massachusetts Hospital Association (MHA)
- Accredited Case Management Association (ACMA)
- Case Management Society of New England (CMSNE)
- Organization of Nurse Leaders (ONL)
Timeline
Clinical Documentation Specialist
Tufts Medical Center
12.2016 - 12.2023
Director of Case Management
Beth Israel Deaconess Medical Center
03.2013 - 09.2016
Case Manager
Beth Isreal Deaconess Medical Center
05.2011 - 03.2013
Case Manager
Mid-State Medical Center
01.2007 - 04.2011
Bachelor of Science Degree in Nursing -
Fitchburg State University
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