Dominique Garrison, RN

Las Vegas, NV 678-***-**** ad1fds@r.postjobfree.com

RN Case Manager / Utilization Review

Highly qualified and experienced RN Case Manager with an extensive utilization review, discharge planning, worker’s compensation, and telephonic support background. Proven track record of reducing the rate of readmission by providing education and support, enabling decreased length of stay and cost containment. Expertise spans Med/Surg, ICU, CCU, Telemetry, Oncology/Hematology, Postpartum, Newborn Nursery, NICU, ER/ED, Observation, Ortho, Urology, and Neurology.

Areas of Expertise

Case Management

Discharge Planning

Utilization Reviews

Telephonic Utilization Reviews

Quality Management

Patient Care Outcomes

Cost Containment

Worker’s Compensation

Patient Education

Chart Auditing

InterQual / Milliman

Communication Skills

Professional Experience

NURSE NANCY KNOWS HEALTHCARE 2022-

Remote Case Management (Local Agency) Provide daily Telephonic Facilitation of follow up appointments for the Senior Population. Assist with Reconciliation of Medication Administration Times. Provide Assistance with question development for seniors prior to medical appointments and Face Time during appointments for seniors with their physicians.

RYAN MARSHALL’S HEALTHCARE STAFFING 2019 - 2020

Providence Hospitals (St. John’s, St. Joseph’s), Martin Luther King’s Community Hospital

Travel RN Case Manager

Deliver ongoing case management / utilization review and discharge planning to acute and outpatient facilities. Round with patients each morning, alongside other healthcare professionals to assess discharge needs and to assure quality outcomes. Refer patients to social workers, especially in cases of homelessness, to ensure available community resources, home care and hospice centers, skilled nursing and LTAC facilities, and DME providers.

Decreased rate of readmissions with education and decreased length of stay for patients.

Decreased continued length of stay by 1-3 days with coordination of discharge plan.

PROFESSIONAL CASE MANAGEMENT (HOME HEALTH PROVIDER FOR OWCP) 2017 - 2019

Senior Case Manager Clinical Supervisor

Directly supervised five RN Case Managers and up to 20 LPNs, CNAs, HHAs, and PCA/RPCAs to deliver healthcare in patient homes. Managed six to 10 cases concurrently. Evaluated patients to determine needed level of home case, conducted performance evaluations, and chart audits. Facilitated new employee clinical orientations and trainings. Called upon to review referrals and inquiries to determine necessity of care for patients. Determined the appropriate care levels and necessary additional services. Aided marketing events, resource fairs, and town hall meetings. Participated in personnel scheduling efforts.

Decreased length of stay by coordinating unique patient discharge needs.

Avoided hospital admissions by monitoring clients at home, providing necessary care/treatment, including home IV infusions or antibiotics, as needed.

Arranged CNA assistance at home.

AMG SPECIALTY LTAC HOSPITAL, Las Vegas, NV 2016 – 2017

Director of Case Management

Oversaw case management efforts by leading interdisciplinary team rounds on a weekly basis. Huddled daily with the CEO and other management to discuss admissions and discharges. Performed daily utilization reviews of charts. Obtained initial and continued stay authorizations from Medicaid, Commercial, and VA insurance plans. Reviewed CDI of all patients and communicated with doctors to procure needed documentation. Audited charts, leveraging discharge planning audit tools. Attended monthly quality and safety meetings. Reviewed patient satisfaction surveys; tracked and monitored results.

Decreased continued length of stay, enabling cost containment, decreasing re-admissions, and boosted quality assurance goals.

PROTOCAL HEALTHCARE STAFFING, Various Locations 2013 - 2016

St. Francis Medical Center; Santa Rosa Memorial Hospital; Kaiser Permanente LAMC; Little Company of Mary Hospital

Travel RN Case Manager

Delivered concurrent and retrospective utilization reviews for acute inpatient cases. Focused on case management and discharge planning for Med/Surg, Telemetry, ICU, Neurology, Trauma, and Ortho units. Collaborated with hospitalists, staff, and contracted providers to ensure appropriate resources while maintaining quality patient outcomes. Referred patients to complex case management programs, home care/hospice providers, skilled nursing/LTAC facilities, and community resources. Rounded daily and participated in weekly case management team meetings.

Decrease continued length of stay (1-3 days) and decreased re-admission that helped with cost containment goals.

Additional Experience:

Outpatient Case Manager HEALTH CARE PARTNERS, Las Vegas, NV (2012 – 2013)

Travel RN Case Manager VARIOUS LOCATIONS (2011 – 2012)

Onsite Care Coordinator KAISER PERMANENTE, Atlanta, GA (2008 – 2010)

Education Licensure Certifications

Diploma RN, St. Joseph School of Nursing, Lancaster, PA

Registered Nurse: Nevada, California

BLS

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