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Manager Case

Phoenix, Arizona, 85016, United States
$85,000 Annually
February 02, 2012
Contact Info:

Mark Denman, RN, BSN , CCM
**** *. **** **. (602) ***-****
Phoenix, AZ 85016

** ***** ** ********* *******, compassionate, cost effective care

Health Temp – 2007-present
Registry RN, RN Case Manager, Interim RN Director/Manager
Bed Placement, ER, Utilization Review (Milliman/Inter-Qual) & Discharge Planning.
Quality/Risk Management, Denials and Appeals Management
Recruited, Trained & Supervised Staff.
Acute, In/Out-Patient Psychiatric, LTAC facilities throughout Phoenix; (Phoenix/Tempe St. Luke’s/Mountain Vista, Heart Hospital, Maricopa Medical Center, Surgical Specialty, Kindred, Southwest Behavioral Health, People of Color-Comunidad) .

University Physician’s Health Plan – 2010
Consultant RN Case Manager
Develop & Implement Emergency Room Intervention Program
Case Manage Members who Frequent Emergency Room (Maricopa Medical Center)
Medication Reconciliation, Assistance Accessing PCP, Assist Health Appointments
Utilization Review – Milliman & Inter-qual.

Mercy Care Plan – 2010
Consultant/Supervisor, Special Programs
Administrative & Clinical Oversight of MCA Re-admission Program, CRS, Transplants, Informal Appeals & Quality Review
Developed & Implemented Case Management Program to Reduce MCR inpatient re-admissions. (Reduced re-admission rate from 30% to 14% x 3 months)
Recruited, Trained & Supervised Clinical & Non-Clinical Staff
Ensure Compliance with AHCCCS & CMS Guidelines.

BrightStar Home Health Care – 2009-present
Home Health RN
Direct Nursing Care in Patient Homes Including Home Infusion/PICC Care
Complex Wound Care including KCI Wound Vac Placement and Dressing Changes.
Blood Draws, Home Safety Evaluations/Cardiopulmonary Assessment
Patient/Family Education & Counseling.

St. Luke’s Hospital – 2007-2011
RN ICU & RN Case Manager
Direct patient care post CABG, Medically Complex Critically Ill Patients.
Utilization Review, Discharge Planning (Inter-Qual/Milliman), Denials & Appeals Management
Patient/family education & counseling.
Assessed for Behavioral Health/Chemical Dependency and Intervention.

John C. Lincoln Hospital North Mountain/Deer Valley– 2009 - Present
RN House Supervisor/ RN Case Manager
Provide administrative supervision of campus workflow, resource utilization, and operations for all clinical and non-clinical departments.
Responds to hospital emergency situations, initiates disaster notification processes, facilitates patient placement and communicates with media.

CIGNA - Clyde Wright – 2008-2009
RN Team Leader/Rapid Response Team Leader
Supervise Cardiology, General Surgery, ENT/Urology & Podiatry Departments and Nursing Staff (RN, LPN, MA, and EKG Tech).
Payroll, Maintained Budget & Staffing for Each Department.
Ordered Medical Equipment and Maintained Drug/Supplies.
Responded to Codes and Directed Team in CPR/Interventions
Perform Adenosine Stress Tests, Conscious Sedation, Chemo/BCG Live and Assistance in Surgery.
Assess for Behavioral Health/Chemical Dependency and Refer for Treatment.

Banner Health Services – 2008 - Present
Transplant RN/RN Case Manager -
Medically complex patient care kidney, liver and pancreas transplant patients.
Patient/family education & counseling.

Phoenix Memorial Hospital - 2002 - 2007
Case Manager/Weekend Supervisor
Bed Placement, ER, Utilization Review (Milliman/Inter-Qual) & Discharge Planning.
Quality/Risk Management, Denials & Appeals Management.
Behavioral Health/Chemical Dependency Assessment, Patient Education.
Community Resource Referral & Counseling.

Odyssey Hospice - 2001 - 2005
Social Worker –Skilled Nursing Facilities
Sign-on Admissions, Hospital Discharge Planning, Inpatient/Home Care.
Psychosocial/Behavioral Health Assessment, Intervention &Education *Patient/Family Counseling.

MARINER Post Acute/Skilled Nursing Facility - Desert Haven, East Valley Rehabilitation – 1998-2001
Director Admissions, Case Management & Social Services
Recruited, Trained & Supervised Staff, and Provided Direct Resident Care.
Maintained Regulatory Compliance per Guidelines (deficiency free).

CCN – 1997-1998
Workers’ Compensation - Associate Care Coordinator
Case Managed Claimants Onset of Injury through Return to Work.

Arizona Health Care Cost Containment System (AHCCCS) 1990-1994
Programs & Projects Specialist II
Administrative/clinical oversight of Title XIX Behavioral Health Delivery System.
Review of AHCCCS Health Plans, Regional Behavioral Health Authorities and Long Term Care Program Contractors for compliance with HCFA (CMS) regulations.

Phoenix Shanti Group Clinic and Skilled Nursing– 1989-1990
Administrator of Client Services
Responded to RFP and Developed & Implemented HIV Programs.
Recruited, Trained & Supervised Case Management, Behavioral Health & Education
Assessed Clients for Mental Health/Chemical Dependency & Referred as Indicated.
Facilitated Chemical Dependency Men’s Support Group

West Valley Camelback Hospital – 1988-1990
Behavioral Health Therapist
1:1/Group Counseling Inpatient Mental Health Unit – General Mental Health/Chemical Dependency
Facilitated Therapy Group, Patient/Family Education/Intervention
Monitored effect/s.effect of Medication, Coordinated w/Psychiatrist.

Maricopa County Long Term Care & Psychiatric Annex - 1985 - 1988, 1989
Case Manager
Case Managed Severely Mentally Ill Clients Court-Ordered as Danger to Self, Others & Grave Disability. Amended court orders/facilitated inpatient re-hospitalization.
Provided 1:1 Counseling, Education & Intervention as indicated.
Monitored Psychotropic Medication, Side Effects & Compliance with Treatment.

Phoenix South Mental Health a.k.a. – Southwest Behavioral Health – 1984-1986
Counselor II
Counseled Severely Mentally Ill/Chemical Dependency Clients – Residential
Crisis Intervention, Monitor Medication

MSN Degree - in progress - Grand Canyon University - 2010 - pres
BSN Degree – Grand Canyon University
BS Degree – Arizona State University
AAS - Phoenix College

AZ RN 148417 - active, in good standing EXP - 04/01/2015
HI RN 62394 - active, in good standing EXP - 06/30/2013
Certified Case Manager (CCM) – CCMC #145036
BLS/ACLS Provider thru Sept-2013 – Am. Heart Assn.
CPI Certified through 7/1/2013
American College of Cardiovascular Nurses (ACCN) – member in good standing.