Nancy Kollanda RN, BS, MS, CCM

*** ********* ******

Palm Bay, FL 32907

321-***-****/321-***-****

Professional Experience:

SeniorBridge, Melbourne, FL

Director of Client/Clinical Services for Home Care 2010

*Obtained CHAP accreditation

*Ensured quality and superior customer service to all clients while

maintaining client

satisfaction..

*Spearheaded referrals via marketing and budget goals.

*Maintained Professional//Paraprofessional productivity and margins within

budget.

*Maximized revenue growth by reviewing and approving cases and care plans.

*Conducted clinical assessments to determine the needs of the client.

Health First, Inc., Rockledge, FL

Case Manager 2007-2010

*Performed reviews for medical necessity, utilizing both Interqual and

Milliman

evidenced based criteria.

*Collaborated with fellow associates, to ensure continuity of care and

facilitate discharge

plans.

*Implemented medical policy, under the direction of the Medical Director.

*Skilled at benefit interpretation and availability of resources.

*Provided thorough and accurate authorizations to allow for appropriate

claims payment.

*Participated in demonstrated and well documented cost savings.

*Successfully completed classes on negotiation and conflict resolution.

Wuesthoff Health System, Rockledge, FL

Inpatient Nurse Case Manager/A.D.O.N./D.O.N. 2004-2007

*Utilized clinical skills to review medical admissions and concurrent

stays.

*Facilitated discharge planning to lesser acute care settings ie, SNF, ALF,

Home Care

*Provided guidance to medical staff to achieve maximization of patient's

benefits that

included early identification of continuing care needs.

*Collaborated with Medical Director to overcome barriers to discharge.

*Identified appropriate catastrophic case management needs and effectively

worked to

reduce bed days per thousand, by actively searching and gaining approval

for transition

to more specialized programs.

*Coordinated multiple referrals to community resources.

*Empowered patients/families in the decision making process.

A.D.O.N./D.O.N. (PROMOTION)

*Successfully scored zero tags by state agencies.

*Management of 85 exempt/non-exempt personnel.

*Actively involved in day to day operations including the hiring process,

budgeting and

improving the case mix index.

Continued... Page 2

Dr. Miguel Mateos, Infusion Center, Rockledge, FL

R.N. 2007-CURRENT

*Administers Intravenous Antibiotics to clients.

*Inserts and discontinues Intravenous lines.

*Performs assessments/coordination of care.

Highmark Blue Cross/Blue Shield, Pittsburgh, PA

RN Medical Analyst 1992-2004

*Performed all facets of medical review utilizing Interqual and Milliman

criteria.

*Actively involved with marketing strategies and cost analysis.

*Implemented medical policy and benefit determinations.

*Successfully negotiated pricing with vendors to effect a course of

treatment.

*Conducted clinical assessments to determine needs.

St. Francis Medical Center, Pittsburgh, PA

R.N./Manager 1987-1992

*Staff RN and Manager of Critical Care departments.

*Expertise with budgeting and hiring/retention process.

*Participated in quality outcomes and policy/procedure programs.

Home Health and Private Duty Nursing, Pittsburgh, PA

R.N. 1985-1987

*Self employed with experience in geriatric and medical/surgical clients.

The Western Pennsylvania Hospital, Pittsburgh, PA

R.N. 1983-1985

*Staff R.N. in Critical Care and Emergency Departments.

Education:

Master's Degree in Healthcare Management. 2000

Bachelor's Degree in Business Administration 1998

Diploma in Nursing 1983

*CCM (Certified Case Manager) 2009

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