Kim Pointer, MSN, RN-BC, ACM

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

Valencia, CA 91355

661-***-**** adno0t@r.postjobfree.com

Summary

Vice President Case Management/Director of Case Management/Case Manager/ Inpatient Behavioral Health Nursing Director/CNO looking for a position with a focus on people, standardization and change management

Professional Experience

City of Hope 01/2018-May/2021

Manager Case Management

Responsible for all daily operational leadership for a department of greater than 50 case managers, which included implementation of new strategies, led meetings, completed schedules, hired and coached employees, rounding huddles with providers as needed, and implemented new programs

Case Manager ED, OBS Unit, Recovery Rooms

Case Managed Cancer patients upon entry to the facility.

Performed Initial assessment, care plan and discharge plan.

Protocol Agency City of Hope 10/2017-01/2018 and 05/2021 - Present

Registry Case Manager

Case managed all patients at City of Hope and Cottage Hospital

Point of Care Strategies, LLC 01/2007-10/2018

President and owner

Provided case management consulting to acute care hospitals and assisted private mental health patients with healthcare navigation on an individual basis

Alta Hospitals/Prospect Medical System 01/20218-5/2018

Vice President Case Management

Vice President Case Management Western Region

Accountable for 7 acute care and 2 behavioral health hospitals in California and Texas

Oversight of 5 Directors, 4 Managers and > 100 Case Management staff

Hired 4 Directors, 2 Managers and filled 52% of open staff positions within 90 days

Standardized Case Management Policies and Procedures in all California facilities

Updated job descriptions and collaborated with Human Resources and Compensation departments to bring salaries up to market standards and provide equity among employees

Advocated and obtained approval for InterQual and trained all case managers on utilization Review

Henry Mayo Newhall Hospital 09/201510/2017

Director Case Management/Social Work

Oversight of 2 Managers with > 50 employees consisting of RN’s, LVN’s, and 1 Supervisor of Social Work with 9 Social Workers

Responsible for 4 departmental budgets over 120 million (Hospitalists, RAC, Case Management and Social Work

Provided daily operational leadership to both departments

Redesigned departments to meet current case management/social work standards of practice

Increased staffing by 35% while achieved cost savings of 1.2 million dollars through reduction in Medicare Length of Stay (LOS) from 6.1 days to 5.2 days

Implemented criteria-based software and avoidable and variance day data collection resulting in 2.4 million-dollar reduction per/ year savings

Chaired the Utilization Management Committee

Tulare Regional Medical Center 11/2013-12/2014

Director Case Management/Administrator-Director Home Care

Implemented Executive Health Resources (EHR) to comply with Case Management Standards of practice

Updated quality practice/core measures, concurrent documentation, and trained case managers to utilize InterQual (IQ) Care Enhance Review Manager (CERME)

Achieved cost savings of $ 1.2 million through reduction Medicare LOS from 4.3 days to 3.5 days in the first 10 months of my employment.

Overturned RAC denials of 800K

Promoted to Administrator/Director of Tulare Home Health

Revise Home Health policies procedures to reflect California COP’s/Title 22 and Joint commission regulations

Supervised in total 20 + employees.

Co-c

Co-chaired the Utilization Management Committee

Gerald Champion Regional Medical Center 10/2011-10/2013

Director Case Management/Nursing Director Inpatient Behavioral Health Unit

Change agent. Reorganized Case Management Department of 8 employees

Implemented Allscripts, CERME and EHR to comply with case management evidence-based practice

Achieved cost savings of $ 2 million through reduction in Medicare LOS from 5.10 days to 3.5 days in the first 18 months of employment

Co-chaired the Utilization Management committee

Implemented weekend and ED case Management

Provided leadership for the 12 bed Inpatient behavioral health unit

Hired, trained, coached and mentored nursing staff

Integris Health 10/1992-12/2005 & 2/2009-1/2010

Integris Baptist medical Center (IBMC) Integris Southwest Medical Center (ISMC)

RN

Nursing positions in Oncology, Home Health and Case Management and Behavioral Health

Director Case Management Services ISMC/Jim Thorpe Rehabilitation

Administered annual budgets exceeding 2 million for both departments

Achieved a cost savings at Jim Thorpe of $1.2 million through reduction in LOS by 4 days and over $ 9.9 million at Integris Southwest Medical Center

Implemented and maintained electronic criteria as a web-based program

Formed the Utilization Management Committee and co-chaired with the VP of Metro business and Chief Medical Officer.

Created a collaborative atmosphere between the case management department and the top 40 admitting physicians

Instrumental in developing concurrent Quality Physician peer review

Mercy Health Center 6/2005-12/2006

Family Case Manager – Health Management Services

Accomplishments upon request

Kingfisher Regional Hospital 12/2006-12/2007

Chief Nursing Officer

Accomplishments upon request

Deaconess Hospital 12/2007-6/2009

Director of Case Management

Accomplishments upon request

Education

Master of Science – Nursing Administration, 2007

Oklahoma City University

Academic Excellence award - 2007

Recipient of Outstanding Graduate Student Award Sigma Theta Tau - 2006

Bachelor of Science- Nursing Major, 2000

Southern Nazarene University

Recipient of Distinguished Achievement Award – 2000

Research School if Nursing- Diploma in Nursing, 1979

Professional Licenses /Certifications

Registered Nurse- California

Board Certified General Nursing Practice ANCC

Certified Case Manager – ACMA

BLS - current

Professional Affiliations

American Case Management Society

Case Management Society of America (CMSA)

Speaker CMSA Regional/State conferences 2004,2006,2009,2010, and 2015

Publications

Hospital Case Management: (CM redesign: how one organization tackled the process, 2004

Contact this candidate