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Skills

  • Improving healthcare accessibility for patients
  • Conflict Resolution in Patient Care
  • Team management
  • Healthcare quality improvement strategies
  • Building relationships with third-party vendors
  • Long-term care placement coordination
  • Problem resolution
  • Team building
  • Operational improvement
  • Admitting processes

Work Experiences

  • Assessed psychosocial needs.
  • Addressed repeat hospitalizations.
  • Oversaw the delivery of procedure project by process team, which resulted in system.
  • Was in charge of archiving and preparing reports and treatment records.
  • Achieved exceptional patient outcomes.
  • Coordinated access to community resources.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Coordinated access to hospital resources.
  • Achieved recognition for patient care excellence.
  • Conducted 18 discharge reviews per month.

Summaries

  • Conducted post-discharge follow-ups.
  • Within Miscellaneous, senior Inpatient Case Manager and outstanding performer in quality assurance and client relations.
  • Advocated for patient needs.
  • Achieved substantial improvements to patient satisfaction metrics.
  • Adaptable and detail-oriented Case Manager.
  • Consistently recognized for reducing the average length of stay.
  • Inpatient Case Manager is a multi-talented Inpatient Case Manager who is consistently rewarded for planning and operational improvements.
  • Collaborated through interdisciplinary teamwork.
  • Coordinated access to community resources.
  • Collaborated with interdisciplinary teams.

Accomplishments

  • Developed a specialized chronic disease management program that increased patient adherence to care plans by 78%, resulting in fewer readmissions.
  • Trained junior case managers and healthcare professionals in care coordination best practices, contributing to a 59% improvement in patient satisfaction scores.
  • Documented and resolved framework which led to process.
  • Reduced inpatient stay delays by optimizing the insurance authorization process, expediting access to covered services by 15%.
  • Analyzed and intervened in complex insurance cases, mitigating payment delays and securing timely treatments for critical patient needs.
  • Worked with social workers to coordinate post-discharge social support services, improving patient community reintegration success by 40%.
  • Guided a collaborative team to resolve complex multi-payer insurance rejections, reducing denial rates by 63% within the past year.
  • Researched and implemented the integration of telehealth into the care continuum process, improving patient accessibility and decreasing appointment cancellations by 76%.
  • Led a case review committee that assessed high-cost claims, reducing healthcare spending by $6 while maintaining high patient care quality.
  • Conducted community outreach programs to raise awareness of clinical resources, resulting in 10 new referrals for case management services.

Affiliations

  • Case Management Society of America (CMSA)
  • Healthcare Financial Management Association (HFMA)
  • Society for Integrative Oncology (SIO)
  • Certified Professional in Healthcare Quality (CPHQ) Certification
  • Case Management Certification through American Hospital Association (2023)
  • Accreditation Commission for Health Care (ACHC) Certified Professional
  • Jaycees
  • Toastmasters
  • Commission for Case Manager Certification (CCMC)
  • Society of Human Resource Management

Certifications

  • Certified Electronic Health Record Specialist (CEHRS) from NHA
  • Certificate in Clinical Documentation Improvement (CCDI) from ACDIS
  • Certified Health Data Analyst (CHDA) from AHIMA
  • Pediatric Advanced Life Support (PALS) Certification
  • Cisco Certified Network Associate (CCNA)
  • Board Certified Patient Advocate (BCPA)
  • Utilization Management Certification from Summit Group
  • Substance Use Disorder (SUD) Case Manager Certificate
  • Master’s Degree in Healthcare Administration (MHA) from program
  • End of Life Nursing Education Consortium (ELNEC) Certification

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