Management Manager

PROFESSIONAL EXPERIENCE

*/****-******* ********** **** Health

RN CASE MANAGER Louisville, Kentucky

*Assist members with transition from hospital, rehab, or SNF, to home

setting

*Provide holistic and comprehensive case management services to all clients

including:

Intake/benefit assessment, goal setting, long-term/weekly case plan

development,

progress monitoring, advocacy and referrals, home infusion education

*Connect members to needed and available community resources to decrease re-

hospitalization

6/2013-current MC Healthcare Solutions

DIRECTOR OF CLINICAL SOLUTIONS Mt. Washington, Kentucky

*Community marketing/sales to build customer base for increased revenue

*Develop and maintain relationships with potential customers/referrals

*Evaluate facility needs, create and/or audit systems to improve outcomes

*Provide direction to maximize reimbursement initiatives

*Provide direction on QA process improvement

*Regulatory compliance auditing

3/2011-6/2013 Elmcroft Senior Living

DIRECTOR OF NURSING Radcliff, Kentucky

*Provided competent, direct, patient care, based on knowledge of nursing

research and evidenced-based

practice

*Developed and maintained nursing objectives and standards of practice for

a 148-bed SNF

*Assisted with the development and changes of the policy & procedure manual

*Facilitated training and education to clinical and non-clinical staff

*Created and analyzed Quality Indicator/Assurance reports and identified

areas for further review

*Developed and implemented systems to ensure compliance with all state and

federal regulations

*Monitored case management and discharge planning teams

*Provided direction for the preadmission screening process to determine

appropriate level of care

*Coordinated admissions, transfers and discharges in compliance with

regulatory requirements

*Audited documentation, medication administration, and treatment delivery

by licensed staff

DIRECTOR OF MDS Louisville, Kentucky

*Led the team to a 40% reimbursement improvement rate

*Case Management for a high volume Medicare managed care facility

*Supported and oversaw the RAI process ensuring accurate coding for

reimbursement

*Effectively worked with the IDT to ensure the clinical record fully

outlined the resident/patient

level of care and services being provided

1/2011- 3/2011 Kindred at Northfield Center

RN, BSN - TCU Louisville, Kentucky

*Prioritized patient care for 30+ residents by maximizing time management

skills

*Provided safe and cost effective care for residents

*Provided education to residents in preparation of returning home

11/2008-12/2010 University of Louisville Hospital

RN, BSN- Neuro ICU Louisville, Kentucky

*Identified and prioritized patient problems

*Provided competent, patient care

*Conducted systematic, on-going, comprehensive assessments of patient

health status

*Assisted in maintaining compliance with JCHAO

*Participated in department-based activities and initiatives to improve and

ensure a safe

environment

*Utilized methodical, critical thinking skills

EDUCATION

Spalding University, Louisville, Kentucky

Bachelor of Science in Nursing, July 2008

Louisville Health Institute, Louisville, Kentucky

Licensed Practical Nurse, July 2004

Kentucky Wesleyan College, Owensboro, Kentucky

Bachelor of Science in Communication/Marketing, May 2001

Contact this candidate