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Skills

  • Bundled payments
  • Program development
  • Data analysis
  • Crisis intervention strategies
  • Mentorship Program Development
  • Onsite facility tours
  • Operational cost-reduction strategies
  • Discharge Planning
  • Leadership in case management
  • Community partnership development

Work Experiences

  • Achieved a 73% reduction in service delays.
  • Created and managed budgets, authorized expenditures, and tracked financial indicators to increase profitability.
  • Built professional networks and relationships with service and resource providers to ensure that clients' care was consistent and of high quality.
  • Educated families and members of the community about domestic violence and its effects on children.
  • Boosted productivity by 40%.
  • Collaborated with insurance providers.
  • Achieved a 74% improvement in response times.
  • Achieved results over a 2017-month trial.
  • Achieved a 16% improvement in timely interventions.
  • Directed and supervised method programs to promote social work and case management principles through launched.

Summaries

  • Within Miscellaneous, senior Director of Case Management and outstanding performer in process improvement and strategic planning.
  • Collaborative leader driving cross-functional team efforts.
  • Achieved continuous success in integrating case management workflows with electronic systems, boosting both efficiency and staff satisfaction by 19% points.
  • Collaborated with insurance providers.
  • Achieved 56% gains in service continuity.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Adept at crisis management and interventions, I've led efforts that prevented escalated patient issues, contributing to a 62% reduction in patient complaints.
  • Well-organized, hardworking, and committed to increasing support to meet growing demands.
  • Clear understanding of stakeholder engagement and workflow optimization as well as stakeholder engagement training.

Accomplishments

  • Enhanced patient education program focused on long-term care planning, resulting in a 18% increase in patient retention and compliance.
  • Collaborated with external service providers to negotiate care contract terms, reducing costs by 81% and improving resource allocation.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Developed a high-impact patient turnover reduction strategy, lowering the average turnover rate by 4% over 5 months.
  • Increased department revenue by 55% through direct negotiation with insurance companies to secure coverage for patient services.
  • Developed training programs for new hires, lowering onboarding time by 17% while improving overall case management proficiency.
  • Developed performance-tracking dashboards for the executive team, providing real-time data on case management outcomes and driving strategic improvements.
  • Revised a case assignment model that significantly decreased case backlogs and improved case distribution across teams by 46%, enhancing overall department efficiency.
  • Implemented a comprehensive patient satisfaction survey mechanism, achieving an increase in patient satisfaction rates by 36% within 2019.
  • Initiated a process redesign project that saved Lakeside Partners 17 per year by streamlining redundant case management steps.

Affiliations

  • American Medical Informatics Association
  • International Association of Rehabilitation Professionals (IARP)
  • Institute for Healthcare Improvement (IHI)
  • American Society for Quality in Healthcare (ASQH)
  • Association of Information Technology Professionals
  • Case Management Society of America (CMSA)
  • Council on Social Work Education (CSWE)
  • Utilization Review Accreditation Commission (URAC)
  • Freemason
  • The Quality Assurance & Process Improvement Society

Certifications

  • URAC Case Manager Certification - initiative
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified InterQual Instructor - framework
  • Certified Public Accountant (CPA)
  • Certified in Healthcare Compliance (CHC) - Health Care Compliance Association (HCCA)
  • Certified Professional in Healthcare Quality (CPHQ) – National Association for Healthcare Quality
  • Certified Managed Care Nurse (CMCN) - method
  • Population Health Management Certificate - method
  • Certified Discharge Planning Specialist (CDPS) - Ironclad Systems
  • Certified Disability Management Specialist (CDMS) - framework

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