Kim Pointer, MSN, RN-BC, ACM
Valencia, CA 91355
661-***-**** adno0t@r.postjobfree.com
Summary
Vice President Case Management/Director of Case Management/Case Manager/ Inpatient Behavioral Health Nursing Director/CNO looking for a position with a focus on people, standardization and change management
Professional Experience
City of Hope 01/2018-May/2021
Manager Case Management
Responsible for all daily operational leadership for a department of greater than 50 case managers, which included implementation of new strategies, led meetings, completed schedules, hired and coached employees, rounding huddles with providers as needed, and implemented new programs
Case Manager ED, OBS Unit, Recovery Rooms
Case Managed Cancer patients upon entry to the facility.
Performed Initial assessment, care plan and discharge plan.
Protocol Agency City of Hope 10/2017-01/2018 and 05/2021 - Present
Registry Case Manager
Case managed all patients at City of Hope and Cottage Hospital
Point of Care Strategies, LLC 01/2007-10/2018
President and owner
Provided case management consulting to acute care hospitals and assisted private mental health patients with healthcare navigation on an individual basis
Alta Hospitals/Prospect Medical System 01/20218-5/2018
Vice President Case Management
Vice President Case Management Western Region
Accountable for 7 acute care and 2 behavioral health hospitals in California and Texas
Oversight of 5 Directors, 4 Managers and > 100 Case Management staff
Hired 4 Directors, 2 Managers and filled 52% of open staff positions within 90 days
Standardized Case Management Policies and Procedures in all California facilities
Updated job descriptions and collaborated with Human Resources and Compensation departments to bring salaries up to market standards and provide equity among employees
Advocated and obtained approval for InterQual and trained all case managers on utilization Review
Henry Mayo Newhall Hospital 09/201510/2017
Director Case Management/Social Work
Oversight of 2 Managers with > 50 employees consisting of RN’s, LVN’s, and 1 Supervisor of Social Work with 9 Social Workers
Responsible for 4 departmental budgets over 120 million (Hospitalists, RAC, Case Management and Social Work
Provided daily operational leadership to both departments
Redesigned departments to meet current case management/social work standards of practice
Increased staffing by 35% while achieved cost savings of 1.2 million dollars through reduction in Medicare Length of Stay (LOS) from 6.1 days to 5.2 days
Implemented criteria-based software and avoidable and variance day data collection resulting in 2.4 million-dollar reduction per/ year savings
Chaired the Utilization Management Committee
Tulare Regional Medical Center 11/2013-12/2014
Director Case Management/Administrator-Director Home Care
Implemented Executive Health Resources (EHR) to comply with Case Management Standards of practice
Updated quality practice/core measures, concurrent documentation, and trained case managers to utilize InterQual (IQ) Care Enhance Review Manager (CERME)
Achieved cost savings of $ 1.2 million through reduction Medicare LOS from 4.3 days to 3.5 days in the first 10 months of my employment.
Overturned RAC denials of 800K
Promoted to Administrator/Director of Tulare Home Health
Revise Home Health policies procedures to reflect California COP’s/Title 22 and Joint commission regulations
Supervised in total 20 + employees.
Co-c
Co-chaired the Utilization Management Committee
Gerald Champion Regional Medical Center 10/2011-10/2013
Director Case Management/Nursing Director Inpatient Behavioral Health Unit
Change agent. Reorganized Case Management Department of 8 employees
Implemented Allscripts, CERME and EHR to comply with case management evidence-based practice
Achieved cost savings of $ 2 million through reduction in Medicare LOS from 5.10 days to 3.5 days in the first 18 months of employment
Co-chaired the Utilization Management committee
Implemented weekend and ED case Management
Provided leadership for the 12 bed Inpatient behavioral health unit
Hired, trained, coached and mentored nursing staff
Integris Health 10/1992-12/2005 & 2/2009-1/2010
Integris Baptist medical Center (IBMC) Integris Southwest Medical Center (ISMC)
RN
Nursing positions in Oncology, Home Health and Case Management and Behavioral Health
Director Case Management Services ISMC/Jim Thorpe Rehabilitation
Administered annual budgets exceeding 2 million for both departments
Achieved a cost savings at Jim Thorpe of $1.2 million through reduction in LOS by 4 days and over $ 9.9 million at Integris Southwest Medical Center
Implemented and maintained electronic criteria as a web-based program
Formed the Utilization Management Committee and co-chaired with the VP of Metro business and Chief Medical Officer.
Created a collaborative atmosphere between the case management department and the top 40 admitting physicians
Instrumental in developing concurrent Quality Physician peer review
Mercy Health Center 6/2005-12/2006
Family Case Manager – Health Management Services
Accomplishments upon request
Kingfisher Regional Hospital 12/2006-12/2007
Chief Nursing Officer
Accomplishments upon request
Deaconess Hospital 12/2007-6/2009
Director of Case Management
Accomplishments upon request
Education
Master of Science – Nursing Administration, 2007
Oklahoma City University
Academic Excellence award - 2007
Recipient of Outstanding Graduate Student Award Sigma Theta Tau - 2006
Bachelor of Science- Nursing Major, 2000
Southern Nazarene University
Recipient of Distinguished Achievement Award – 2000
Research School if Nursing- Diploma in Nursing, 1979
Professional Licenses /Certifications
Registered Nurse- California
Board Certified General Nursing Practice ANCC
Certified Case Manager – ACMA
BLS - current
Professional Affiliations
American Case Management Society
Case Management Society of America (CMSA)
Speaker CMSA Regional/State conferences 2004,2006,2009,2010, and 2015
Publications
Hospital Case Management: (CM redesign: how one organization tackled the process, 2004