Roberta Tripp, RN, BSN, MBA

**** ****** **** ****, **. 17406 Cell 717-***-**** ad0j5o@r.postjobfree.com

Profile

Innovative, progressive, results-driven, professional healthcare leader with extensive experience working with academic medical centers, hospitals, physician/provider practices, ambulatory centers and community resources. A high performing professional, who takes the initiative to stay current with information and skills in order to support organizations and departments while fostering an atmosphere of trust, motivation and diverse views resulting in the delivery of exceptional patient care.

Extensive knowledge and experience in the areas of:

Case Management Utilization Management

EPIC trained. Milligan/ Interqual trained

Disease Management Transitions of Care

Project Management Data Analytics

Risk Assessments Provider Documentation

Revenue Cycle Enhancement Strategic Operations and Logistics

Self-Governance Employee Satisfaction

_Experience

UPMC Neurologist Institute 2021-present

Professional Staff Nurse

Responsible to set the standards for the level and quality of care for neurological patients

Responsibility for education and outreach for multiple sclerosis, epileptic, migraine and cerebral vascular accident patients

Manages and provides patient care activities for neurological patients and their families through the application of independent judgment, communication and collaboration with all team members.

Establishes and maintains collaborative relationships with physicians, other health care providers, patients and their families and insurance carriers to achieve desired patient outcomes throughout the continuum of care.

Demonstrates a commitment to the community by assisting with access to health care resources

UPMC Memorial Hospital 2018-2021

Manager of Care Management

Accountable for the daily administration, direction, supervision, evaluation, and management, of staff

Responsible for the submission of 11 direct reports related to the management of Utilization Management and Discharge Planning

Created and implemented an electronic tool to audit UR documentation and decision-making for medical criteria

Active participant in the Core Group to develop the Readmission Task Force

Johns Hopkins Hospital

Assistant Director of Case Management 2014 to 2018

Accountable for all administration, direction, supervision, evaluation, and management of 60 FTE’s

for the Case Management Department.

Developed and implemented a central, unit-based, triad model of case management

Assisted with a Medicare grant to reduce the hospital readmission rate to 6% by developing and implementing a predictive risk assessment

Partnered with community based agencies to support population health early interventions by

Collaborating with payers to case manage 24 covered MCO subscribers

Responsible for education, training, and support of clinical software used for case management electronic

Documentation

Strategic development and implementation of case management in the Emergency Department, Admitting Office, and Palliative Care

Aligned with primary care offices to assist managing transitions of care for their patients by developing a

electronic shared hand off

Nurse Manager for Clinical Resource Management 2009 to 2013

Accountable for the daily administration, direction, supervision, evaluation, and management, of staff

Responsible for the submission of 16 direct reports related to the management of Utilization Management

Developed and established a clinical ladder for RN Utilization Management Specialist

Created and implemented an electronic tool to audit UR documentation and decision making for medical criteria

Active participant in the Core Group to develop the Readmission Task Force

Active participant of the Psychiatry metrics group to review length of stay for Value Options

Active participant of the Pediatric Triad case management leadership meeting

University of Pennsylvania 2007 to 2008

Pennsylvania Hospital, Philadelphia PA

Manager of Case Management

Oversee and supervise all administration, direction, supervision, evaluation, and management of 45 FTE’s

for the Case Management Department.

Development of a combined Social Worker and Nurse Case Management program

Management and analysis of data submission for the length of stay, avoidable days, and physician best practices

Responsible for concurrent appeals with a denial rate of 1.5%

12% reduction in 1 day length of stays

Assisted with DOH and JCAHO departmental surveys

Developed and Managed a Department Budget of $700,000

Responsible for education, training, and support of clinical software used for case management electronic

documentation

Developed and implemented a Case Management Satisfaction Survey

Temple Children’s Medical Center, Philadelphia Pa. 2006 to 2007

Director of Case Management

Responsible for the administration, direction, supervision, evaluation, and management of 10 FTE’s for the Case Management Department

Development and Implementation of Pediatric ED Case Management program

Implemented Outpatient Disease Case Management for children with Asthma, Diabetes, and Medical co-morbidities

Management and analysis of data submission for the length of stay, avoidable days, 1 day LOS, and asthma readmission

Responsible for concurrent appeals with a 0.5 denial rate

Hospital closed in 2007

Highmark 2003-2006

Manager of Care Management

Wellspan 1990 to 2003

Hospital Supervisor Part-Time

Emergency Department Staff and Charge Nurse –York Hospital

Hospital On-Site Case Manager-South Central Preferred

Memorial Hospital York, PA 1979 to 2009

Weekend Nursing Supervisor

Nurse Manager

24 hour clinical and financial responsibility for a 28 bed hospital telemetry unit

Staff Nurse

Education

Master of Business Administration, Eastern University, St. David, PA

Immaculate University, Bachelor Degree in Nursing

Presentations

Poster presentation: Strategies for Medicare Internal Review. American Case Management Society National Conference, Orlando, FL 2011

Symposium presentation: Case Management Protocols for Frequently Seen Patients in the ED. Emergency Nurse Association’s National Convention, New Orleans, LA. 1992

Presented a collaborative research project on “The Effect of Continuous Albuterol Nebulization in the Severe Adult Asthmatic ED Population”. Emergency Nurse Association’s National Convention, Atlantic City, NJ. 1990

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