Melissa Phillis

***** ******* ***** ******

Haymarket, VA 20169

703-***-****

PROFESSIONAL SUMMARY: Nurse Case Manager: 18 years of cross functional medical expertise leading and developing people, processes, and technologies in diverse hospital and commercial enterprises, consistently producing award winning patient care, while meeting all organizational objectives.

Experience:

Director Case Management Bridgepoint Hospital present

Director Case Management StoneSprings Hospital Center 2016-2020

Case Manager/Utilization Review: Stone Springs Hospital Center - Dulles, VA 2016 -2018

Registered Nurse, Case Manager and Utilization Reviewer with 18+ years of experience.

Lead Case Manager/Utilization Management: Inova Fair Oaks Hospital - Fairfax Oaks, VA 2011 - 2016

In addition to Lead Case Manager responsibilities, I also managed Utilization Review: assignments thru completion, and aggregated case management information and provided analysis as a lead member of the interdepartmental process improvement committee.

Interviewed, selected, and trained new staff in: Interqual care guidelines, Milliman care guidelines, EPIC, Allscripts, Navihealth, Curaspan, managed outcomes and coached performance.

* Honored with the "Service Excellence Award for Performance and Outcomes,”

(Previously reserved for physicians.)

Cross Functional Expertise:

Clinical Case Manager/Utilization Review: Inova Fairfax Hospital - Fairfax, VA 2006 - 2011

RN, Labor/Delivery/Postpartum/Nursery: Inova Alexandria Hospital - Alexandria, VA 2005 -2006

Charge RN, Emergency Department: Inova HeathPlex ECC - Springfield, VA 2001 -2005

Utilization Review Nurse: Aetna Health Insurance - Chantilly, VA 2005 - 2006

Expert proficiency maneuvering organizational, governmental, and non-governmental- payer sources, coordinating cost effective care with desired outcomes, positive for all parties.

Ensured: Medicare/Medicaid compliance.

Prepared: JCAHO and Medicare annual surveys.

EDUCATION:

Chesapeake College McQueen Gibbs Willis School of Nursing-RN. - Easton, MD. 1999-2001

Coastal Carolina College- AAS. - Jacksonville, NC. 1997-1999