Manager Medical

Stephanie Rachquel Kemp ACM-RN, CCM

*** ****** ****, ******, ** 30607; Phone: (706) 353-853; Mobile: 706-***-****; email:********@*******.***

PROFESSIONAL EXPERIENCE

Piedmont Athens Regional January 15, 2018 - Present

Athens, Georgia

Practice Manager II

Overall operational and clinical management of ambulatory residency community care clinic with fifty-five (55) residents, eight (8), supervising physicians and seven (7) specialty physicians. Plan, coordinate, direct, and supervise front office and back office including resident clinics, specialty clinics, private physicians and educational events. . Oversee billing and collections and implement work policies and guidelines for employees. Liaison between staff, physicians and administration. Staff on and off boarding.

Athens Endoscopy Center March 2012 - January 15, 2018

Athens, Georgia

Endoscopy Center Director and Resident Physician Rotation Coordinator

Manages overall operational and clinical workflow. Patient care in pre operative and endoscopy setting including moderation sedation administration. On boarding and off boarding of employees. Annual evaluation and training. Facility coordinator of ambulatory rotation for medical students and resident facility from local GME programs.

Northeast Georgia Medical Center July 2010 - January 15, 2018

Gainesville, GA

RN Case Management/Utilization Review (FT to PRN)

Perform utilization reviews for initial and concurrent reviews. Submission of clinical on GAMMIS Web Portal. Medical necessity reviews utilizing InterQual Criteria. Complex discharge planning, coordination, evaluation and processing. Interdisciplinary team member. Denials and appeal reviews and discussions. Arranging discharge transportation for medical necessity transfers and Medicaid clients.

Independent Contractor July 2010-Present

Blasingame Burch Garrard Ashley, P.C. -Legal Nurse Consultant and CM Services for medical malpractice law firms. Case reviews for compliance to SOPs.. Denials and appeal reviews. Case preparation for Administrative Law Judge (ALJ) hearing. Complex discharge planning, coordination, evaluation and processing.

University of Georgia Continuing Education-American Sign Language Instructor Level I-IV and Medical Signing

St. Mary’s Healthcare System, Athens, GA April 1997- October 2009

Athens, Georgia

Utilization Reviewer and Case Manager: (2007-2009)

Performed initial and concurrent utilization reviews. Served as ED Case Manager. Worked on complex discharge planning and facility medical necessary transfers. Served as Interdisciplinary Team Leader. Member of Utilization Team and Shared Governance.

Critical Care RN PACU (1997-2007)

Direct patient care in intensive care and medical/surgical unit settings. Patient assessment, physical evaluation, obtains detail medical history, and implementation of ordered nursing care. Assessed, planned and implemented patient care plans. Provided advance and live support care and treatment when needed. Assisted physician in performing various procedures. Observed and recorded vital signs on an ongoing basis. Medication administration. IV Therapy.

PROFESSIONAL CERTIFICATIONS

Certified Physician Practice Manager (CPPM) Testing scheduled

Certified Case Manager (CCM)

Accredited Case Manager (ACM)

Certified Professional in Healthcare Management (CPHM) retired

Advance Cardiac Life Support (ACLS)

Basic Life Support (BLS)

PROFESSIONAL TRAINING & DEVELOPMENT (2013-2018)

AAPC Certified Physician Practice Manager Course July 25, 2018

Infection Control Primer Course for Manager in ACS 2015/2017

GA SGNA Breaking the Mold Conference Sept 2016

ACMA Changing Field of Health Care July 2016

Joint Commission Assessment Tool: How to? May 2016

Quality Indicators for Colonoscopy June 2016

HIPAA 2015: A Manager's guide

CMS: ICD 10 Training and Preparation

Ethical Dilemma: Acute Care Coordination Hurley's Law Firm

Improving Management of HIV: Pathogenesis, Antiretroviral and Disease Management

Legal and Ethical Issues in Nurses by ALLEGRA Learning Solutions, LLC

CMS: Conditions of Participation

CMS: Federal Privacy and Security Training

Complex Care Management Tools

HCPRO-Complex Case Review

3M Coding for DRG Assignment

HCPRO Medical Assignment Determination

Healthcare Management Training-McKesson

InterQual-McKesson Competency

EDUCATION

Associate Degree in Nursing

North Georgia College and State University, Dahlonega, GA

School of Nursing

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