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Manager Case

Location:
Prescott Valley, AZ, 86314
Posted:
November 05, 2010

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Resume:

Sharon D. Shoblom

**** *. ******* ***** 928-***-****

Prescott Valley, AZ 86314

EDUCATION

MBA-Master of Business

Northcentral University

Prescott, AZ

BS-Bachelor of Psychology

University of Idaho

Moscow, Idaho

AS-Psychology

North Idaho College, Coeur d' Alene, Id.

EXPERIENCE

Assisted Living Facility Placement Coordinator, Surveyor, Case Manager,

Compliance Officer, Yavapai County Long Term Care, Prescott Valley, Arizona

(December 2005-May 2009).

. Provided hospital case management/utilization review and discharge

planning to assure that the patient progresses through the continuum

of care and is discharged to the least restrictive environment.

. Coordinate the integration of the social service function into patient

care. Coordinate the hospital activities concerned with case

management and discharge planning. Adhere to departmental goals,

objectives, standards of performance, and policies and procedures.

Ensure compliance with quality patient care and regulatory compliance.

DUTIES AND RESONSIBILITIES

. Coordinate the integration of social services/case management

functions into the patient care, discharge, and home planning

processes with other hospital departments, external service

organizations, agencies and healthcare facilities.

. Conduct concurrent medical record review using specific indicators and

criteria as approved by medical staff, JCAHO, CMS, and other state

agencies.

. Acts as patient advocate: investigates and reports adverse

occurrences, and performs staff education related to resource

utilization, discharge planning and psychosocial aspects of healthcare

delivery.

. Promote effective and efficient utilization of clinical resources.

. Mobilizes resources and interviews, as needed, to achieve expected

goal to assist in achieving desired clinical outcomes within the

desired timeframe.

. Ensure that patient tests are appropriate and necessary and are

carried out within the established timeframe and that results are

promptly available.

. Conducts review for appropriate utilization of services from admission

through discharge. Evaluate patient satisfaction and quality of care

provided.

. Initiates and presents "denial letters", as appropriate.

. Assesses patient care required throughout continuum of care for

diagnosis, procedures and DRG's.

. Communicates with physicians at regular intervals throughout

hospitalization and develops an effective working relationship. Assist

physicians to maintain appropriate cost, case, and desired patient

outcomes.

. Introduces self to patient and family and explains clinical case

manager role and process for patient and family to contact clinical

case manager.

. Complete expanded assessment of patients and family needs at time of

admission. Complete psychosocial assessment.

. Assess patient's progress through expected hospital course.

. Refers cases where patients and/or family would benefit from

counseling required to complete complex discharge plan to social

worker.

. Serve as a patient advocate. Enhances a collaborative relationship to

maximize the patient's and family's ability to make informed

decisions.

. Facilitates interdisciplinary patient care rounds and/or conferences

to review treatment goals, optimize resource utilization, provide

family education and identified post-hospital needs.

. Collaborate with clinical staff in the development and execution of

the plan of care, and achievement of goals.

. Directs and participates in the development and implementation of

patient care policies and protocols in order to provide advice and

guidance in handling special cases or patient needs.

. Coordinates the provision of social services to patients, families,

and significant others to enable them to deal with the impact of

illness on individual family functioning and to achieve maximum

benefits from healthcare services.

. Have current CPR/First Aid, Fingerprint clearance card, TB test.

1997-2005 Worked for Bonner County Homeless Taskforce with victims of

domestic violence and Glacier Mountain Academy-at risk teens.

Additional information upon request



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