Tracy J Whitworth
Nursing
Camp Verde,AZ
Summary
Dynamic healthcare leader with extensive experience at Tuba City Regional Healthcare Corp, excelling in care coordination and quality improvement initiatives. Proven track record in developing effective care plans and enhancing patient satisfaction through interdisciplinary collaboration. Skilled in utilizing Epic systems and fostering strong relationships with community resources to optimize patient outcomes.
Overview
21
21
years of professional experience
1
1
RN Arizona
1
1
RN California
1
1
CCM
Work History
Director of Care Coordination
Tuba City Regional Healthcare Corp
Camp Verde
04.2025 - Current
- Provided guidance on strategic plans to enhance patient care and streamline inefficient processes.
- Oversaw patient care operations across multiple departments and units.
- Facilitated communication between patients, families, and medical personnel.
- Led initiatives to improve patient satisfaction and overall service quality.
- Collaborated with internal and external partners to implement innovative technology solutions.
- Oversaw daily operations of care coordination team, including social workers and nursing staff.
- Managed Purchased Referred Care program to assist underfunded Native Americans in accessing quality healthcare.
- Elevated utilization review department from hybrid model to improve case management efficiency.
- Conducted daily admission status reviews and supported outpatient clinic referrals and follow-up care.
- Planned expansion of durable medical equipment department to include oxygen concentrators and portable tanks.
- Reduced hospital admissions by improving delivery options for essential medical equipment in rural areas.
- Established relationships with health care providers to improve patient outcomes.
- Facilitated communication among various stakeholders involved in the delivery of care services.
- Performed resident rounds to monitor and evaluate quality and appropriateness of care.
- Supported professionals in preparation and administration of budget.
- Developed and implemented policies, procedures, and standards of care to ensure the highest quality of service.
- Collaborated with physicians, pharmacies, and other medical professionals to promote quality care and independence of residents.
- Managed caseloads for assigned individuals in order to ensure timely completion of assessments and interventions.
- Directed daily operations of the Care Department while managing budgeting, scheduling and staffing needs.
- Assisted senior management in developing long-term strategic plans for growth within the Care Department.
Utilization Review/Case Mgmt TCRHCC
Host Healthcare - Travel Nursing
Tuba City
01.2025 - 04.2025
- Utilization Review for upwards of 20 patient caseloads.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Exceeded customer satisfaction by finding creative solutions to problems.
Travel Case Management/Utilization Review
Host Healthcare
12.2023 - 04.2025
- Utilization review of all patients admitted to the acute setting via InterQual criteria.
- Case Management Assessments, assisting with social determinants of health concerns and medical educational and resource needs.
- Clear and concise written and/or verbal communication with providers and medical directors regarding case review findings and recommendations.
- Collaborating with payors and community resources as needed to assist in transition to the next appropriate level of care once medically cleared.
Utilization Review
Kern Medical Center
07.2024 - 01.2025
- Utilization Review for upwards of 50 patient caseloads.
- Managed external vendors providing utilization review services.
- Monitored quality performance indicators for utilization review activities related to clinical outcomes, safety, timeliness, efficiency, effectiveness and patient satisfaction scores.
- Collaborated with internal departments such as Medical Management and Utilization Review teams on complex cases.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Actively participated in utilization review activities such as concurrent review, discharge planning and pre-authorization requests.
Case Manager - Marin HealthCare Medical Center
Travel RN CM - Host Healthcare
Marin
03.2024 - 06.2024
- Case Manager with upwards of 24 patient caseloads.
- Coordinated care plans for patients with complex medical needs.
- Monitored patient progress and adjusted care strategies as necessary.
- Facilitated communication between patients, families, and medical staff.
- Conducted assessments to identify patient needs and resources required.
- Managed documentation and compliance with healthcare regulations.
- Advocated for patients' rights and access to necessary services.
Case Manager/Utilization Review Medical Center
Travel RN CM - Host HealthCare
Odessa
12.2023 - 03.2024
- Case Manager/Utilization Review for 22 bed Observation Unit.
- Assessed patient needs and developed individualized service plans for optimal support.
- Facilitated communication between patients, families, and healthcare providers effectively.
- Provided referrals to appropriate health care providers or other community resources.
- Participated in interdisciplinary team meetings to discuss treatment options.
- Utilized case management software and databases for efficient information tracking.
Supervisor of Case Management
Optum Care of Arizona
10.2021 - 12.2023
- Company Overview: formerly Optum Medical Network
- Responsible for the oversight and guidance of the nursing case manager department.
- Supervise a team of 10+ nurse case managers and social workers that service a current population of greater than 105k members/beneficiaries.
- Formerly Optum Medical Network
Pre-Service Coordination for the National IRF/LTACH Account (Utilization Review)
Navihealth
Phoenix
12.2020 - 10.2021
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Assisted with customer requests and answered questions to improve satisfaction.
- Worked with cross-functional teams to achieve goals.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Transitional Care Coordinator/Skilled Inpatient Care Coordinator
NaviHealth
Phoenix
05.2019 - 12.2020
- Coordinated patient transitions across healthcare settings to ensure continuity of care.
- Collaborated with clinical teams to develop individualized care plans for patients.
- Educated patients and families on post-discharge resources and services available.
- Evaluated individualized needs based upon patient's condition at time of discharge from acute setting and determined necessary follow up services required after transfer back into community setting.
- Assisted in identifying long term care options for individuals who require ongoing medical attention or assistance with activities of daily living.
Medical Nurse Case Manager
Corvel
Phoenix
10.2018 - 04.2019
- Provided direct patient care and support in various healthcare settings.
- Collaborated with healthcare teams to develop and implement care plans.
- Monitored patients' conditions by observing physical and mental status, intake and output levels, and exercise tolerance.
- Assessed the requirements of individual patients using a holistic approach to provide appropriate care for physical and psychological needs.
- Facilitated communication between clients, insurers, and medical teams.
- Organized case files and maintained accurate documentation of services.
Acute Care Case Manager
Banner Estrella Medical Center
12.2017 - 09.2018
- Developed comprehensive care plans for diverse patient populations.
- Coordinated multi-disciplinary team meetings to discuss patient progress.
- Managed patient assessments to identify healthcare needs and resources.
- Educated patients and families on treatment options and community resources.
- Collaborated with healthcare providers to ensure continuity of care.
- Advocated for patients' needs within the healthcare system effectively.
- Participated in interdisciplinary team meetings to discuss complex cases and develop solutions for challenging situations.
Supervisor of Care Management
Optum Care of Arizona
Phoenix
12.2015 - 12.2017
- Company Overview: formerly Optum Medical Network
- Developed strategies for coordinating patient care across multidisciplinary teams.
- Implemented quality improvement initiatives to streamline operational processes.
- Trained and mentored staff on best practices in care management methodologies.
- Analyzed data to identify trends and improve patient care strategies effectively.
- Facilitated meetings with stakeholders to align goals and optimize care services.
- Supported policy development to enhance compliance with healthcare regulations and standards.
Manager of Care Management
Cancer Treatment Centers of America @ WRMC
03.2014 - 12.2015
- Implemented quality improvement initiatives to enhance patient satisfaction and safety.
- Led staff training programs on best practices in care management and patient support.
- Reviewed patient cases to identify needs for additional resources or support services.
- Collaborated with physicians to align treatment goals with patient preferences and needs.
- Managed compliance with regulatory standards in care management processes and documentation.
- Ensured that all personnel working within the Care Management Department are properly trained in accordance with organizational guidelines.
- Conducted regular meetings with department heads to review performance, identify areas of improvement and develop new strategies for success.
- Negotiated contracts with vendors and suppliers related to the delivery of care services.
- Monitored staff performance metrics to identify areas of improvement in patient care management processes.
Survivorship Support Care Coordinator
Cancer Treatment Centers of America @ WRMC
08.2012 - 03.2014
- Coordinated patient care plans with multidisciplinary teams for effective treatment.
- Developed educational materials for patients to enhance understanding of treatment options.
- Assisted patients in navigating insurance processes and financial assistance programs.
- Implemented follow-up protocols to ensure adherence to treatment schedules.
- Collaborated with physicians, social workers, and other healthcare providers to provide comprehensive care for patients.
- Educated clients on available resources and services within their communities.
- Provided case management services to ensure the delivery of quality care.
RN Care Manager for Oncology Patients
Cancer Treatment Centers of America @ WRMC
03.2009 - 08.2012
- Provided emotional support to patients and families during treatment processes.
- Educated patients on health maintenance, disease prevention, and treatment options.
- 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.
- Developed education materials to help explain various conditions and treatments to patients.
- Educated patients on disease prevention and health maintenance.
- Participated in quality improvement initiatives to enhance patient care outcomes.
RNCM/Registered Nurse Case Manager
Hospice of the Valley
07.2004 - 03.2009
- Coordinated patient care plans with interdisciplinary team members.
- Monitored patient progress and adjusted care plans as necessary.
- Provided education and support to patients and families regarding hospice services.
- Conducted regular home visits to evaluate patient health and comfort levels.
- Documented patient information accurately in electronic health records systems.
- Collaborated with community resources to enhance patient services and support.
- Advocated for patients' rights and preferences within the healthcare system.
- Participated in team meetings to discuss treatment options for complex cases.
Education
Masters in Health Care - Innovation
Arizona State University
Phoenix, Arizona05.2017
Bachelors of Science - Nursing
University of Phoenix
Phoenix, Arizona05.2011
Associate in Applied Science - Nursing
Jackson Community College
Jackson, Michigan05.2000
Skills
- Care coordination and utilization review
- Durable medical equipment management
- Quality improvement initiatives
- Care plan development
- Healthcare administration
- Staff development and training
- Interdisciplinary collaboration
- Program management
- Recruitment and talent acquisition
- Clinical supervision and leadership
- Evidence-based practices
- Assessment skills
- Process improvement strategies
- Clear communication skills
- Collaboration with payors and community resources
- Epic systems proficiency
- Parachute software expertise
- Allscripts knowledge
- Electronic PASSR experience
Certification
- Registered Nurse, AZ, 11/2000, 04/2025
- Registered Nurse, CA, 12/2023, 11/2025
- Case Management Certified (CCM), 03/2012, 03/2022
References
Available upon request.
Timeline
Director of Care Coordination
Tuba City Regional Healthcare Corp
04.2025 - Current
Utilization Review/Case Mgmt TCRHCC
Host Healthcare - Travel Nursing
01.2025 - 04.2025
Utilization Review
Kern Medical Center
07.2024 - 01.2025
Case Manager - Marin HealthCare Medical Center
Travel RN CM - Host Healthcare
03.2024 - 06.2024
Travel Case Management/Utilization Review
Host Healthcare
12.2023 - 04.2025
Case Manager/Utilization Review Medical Center
Travel RN CM - Host HealthCare
12.2023 - 03.2024
Supervisor of Case Management
Optum Care of Arizona
10.2021 - 12.2023
Pre-Service Coordination for the National IRF/LTACH Account (Utilization Review)
Navihealth
12.2020 - 10.2021
Transitional Care Coordinator/Skilled Inpatient Care Coordinator
NaviHealth
05.2019 - 12.2020
Medical Nurse Case Manager
Corvel
10.2018 - 04.2019
Acute Care Case Manager
Banner Estrella Medical Center
12.2017 - 09.2018
Supervisor of Care Management
Optum Care of Arizona
12.2015 - 12.2017
Manager of Care Management
Cancer Treatment Centers of America @ WRMC
03.2014 - 12.2015
Survivorship Support Care Coordinator
Cancer Treatment Centers of America @ WRMC
08.2012 - 03.2014
RN Care Manager for Oncology Patients
Cancer Treatment Centers of America @ WRMC
03.2009 - 08.2012
RNCM/Registered Nurse Case Manager
Hospice of the Valley
07.2004 - 03.2009
Masters in Health Care - Innovation
Arizona State University
Bachelors of Science - Nursing
University of Phoenix
Associate in Applied Science - Nursing
Jackson Community College
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