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Patty McGee-Sutton, BSN Alexandria, VA *2302 • 703-***-****

adprmg@r.postjobfree.com

Registered Nurse Case Manager

Compassionate and dedicated Registered Nurse with expertise in case management, utilization review, geriatric psych, chemical dependence, clinical research, and acute care nursing while ensuring superior patient safety standards in complex patient situations.

Collaborative nursing leader skilled in streamlining clinical processes and procedures, effective resource allocation, and using sound judgment to optimize patient outcomes in ever-challenging pediatric, adult hospital, and outpatient clinic environments requiring adaptability and decisiveness to succeed. Nursing Leadership

Motivational leader who boosts morale with a positive workplace camaraderie for cohesive team environment

Creative problem-solver who uses sound judgment to resolve challenges with persistence and patience

Superior Patient Services

Skilled Nursing Home Care

Clinical Program Administration

Ambulatory/Outpatient/Home Health

Discharge Planning/Referrals

Continuous Improvements

Transformational change leader proactive in enhancing processes & procedures to streamline operations

Successful resource allocation leads to high-quality patient services to enhance patient expectations

Leadership & Communications

Cross-functional team collaboration to enhance care

Clinical Research & Acute Care Nursing

Sound judgment, thrives under pressure, remains calm

Customized patient tactics and healthcare solutions Professional Experience

CHILDREN’S NATIONAL HOSPITAL – Washington, DC July 2018 - Present Rheumatology Clinical Program Coordinator

Patient Services – Manage telephone triage for rheumatology patients, refills of prescriptions, prior authorizations for new medications, radiology procedures, and home infusions, and requests for lab results from outside providers.

Administrative Services – Assist with completion of letters of medical necessity for denied medications or procedures, school medication and 504 school letters, and FMLA or camp forms.

Home Infusions – Coordinated home infusion services with the insurance companies and the home care agencies, along with translation of materials into Spanish to enhance ability to serve population.

Creative Problem Solving – Proactive in identifying complaints or problems with services and developing timely resolution to optimize patient care and support.

Education – Proactive in educating patients and families about medications, procedures, and response to inquiries. INOVA FAIRFAX HOSPITAL FOR CHILDREN – Falls Church, VA May 2019 – June 2018 Case Manager / Discharge Planner via Accountable Healthcare Staffing

Case Management – Managed coordination of skilled home care services including nursing, PT/OT/ST, dietician, medical equipment and supplies. Managed discharge planning, resource management, and documentation.

Patient Advocate – Actively mediated and negotiated with home care providers for benefits and coverage of home care services. Formulated a cohesive plan for enhancing or maintaining the patient’s health status, and oversee movement to next level of care.

Admissions – Significantly increased admission assessment rates by 50% with >95% within that time. Also decreased the admission time for psych population.

Collaboration – Liaison with Medical, Nursing and Ancillary staff to facilitate quality-based, cost-effective patient outcomes with care provided in the most appropriate setting. Page 2 3

Patty McGee-Sutton, BSN

CHILDREN’S MEDICAL CENTER – Dallas, TX January 2016 – May 2017 Ambulatory Nurse Case Manager

Case Management – Managed coordination of skilled home care services including nursing, PT/OT/ST, dietician, medical equipment and supplies

Patient Advocate – Actively mediated and negotiated with home care providers for benefits and coverage of home care services. Formulated a cohesive plan for enhancing or maintaining the patient’s health status, and oversee movement to next level of care.

Increased Earning – Successfully facilitated recouping of physician, DC, and VA Medical retro payments.

Collaboration – Liaison with Medical, Nursing and Ancillary staff to facilitate quality-based, cost-effective patient outcomes with care provided in the most appropriate setting.

Discharge Planner – Facilitated care after discharge from an inpatient hospital stay with oversight of clinical resource management, and core measure documentation.

Continuous Improvements – Proactive in identifying areas of opportunity for improvements related to barriers in service delivery systems, and home care issues with development of innovative solutions.

Advanced Nursing Skills – Knowledgeable in resource and fiscal management for coordination of clinical care for a designated patient population across the continuum of care. Ensure effective transition after discharge from inpatient hospital stay while optimize quality care to optimize patient outcomes. AXIOM HOME HEALTH – Eagle Pass, TX January 2015 – May 2015 Nurse Case Manager

Patient Services – Managed scheduling of appointments for outpatient facilities, obtained prior authorizations for same-day surgeries and outpatient procedures, and set up of needed services for Home Health, Home Physical and Occupational Therapy, setup of DME walkers, bedside commode chairs, hospital beds and ECT. NATIONAL MEDICAL HOME CARE – Eagle Pass, TX August 2014 – January 2015 Alternate Director of Nursing / Alternate Supervising Nurse

Agency Services – Managed daily operations for agency for new location.

Administrative Services – Identified organizational lines of authority, development and maintenance of policies and procedures, developed marketing plan, and prepared annual budget.

Official Spokesperson – Representative of the agency to ensure accuracy of all communications and information presented to the public. Attended meetings and seminars sponsored by local, state, and national trade associations for the home health industry.

Credentialing – Capably managed state licensing process and federal rules and regulations that govern the operations of home health agencies.

Staff Leadership – Managed contract negotiations and employment agreements with other health care providers. Ensured appropriate resource allocation and training of staff to quality services; supervised annual performance reviews and the agency’s annual program evaluation. MOUNTAIN VIEW REGIONAL MEDICAL CENTER – Las Cruces, NM April 2014 – July 2014 Nurse Case Manager via Aureus Medical Group Travel Nurse Agency

Case Management – Managed coordination of skilled home care services including nursing, PT/OT/ST, dietician, medical equipment and supplies

Patient Advocate – Actively mediated and negotiated with home care providers for benefits and coverage of home care services. Formulated a cohesive plan for enhancing or maintaining the patient’s health status, and oversee movement to next level of care.

Collaboration – Liaison with Medical, Nursing and Ancillary staff to facilitate quality-based, cost-effective patient outcomes with care provided in the most appropriate setting.

Discharge Planner – Facilitated care after discharge from an inpatient hospital stay with oversight of clinical resource management, and core measure documentation. Page 3 3

Patty McGee-Sutton, BSN

OUTPATIENT NEUROLOGY CLINIC, CHILDREN’S MEDICAL CENTER June 2013 – March 2014 Nurse Case Manager via NursStat Staffing Agency

Patient Services – Managed scheduling of appointments for outpatient facilities, obtained prior authorizations for same-day surgeries and outpatient procedures, and set up of needed services for Home Health, Home Physical and Occupational Therapy, setup of DME walkers, bedside commode chairs, hospital beds and ECT.

Administrative Services – Managed utilization review, pre-admissions, and discharge planning for patients.

Patient Education – Co-established a monthly after-hours seizure clinic with a Nurse Practitioner to educate the patients and families about their new diagnosis and how to manage it. CHILDREN’S NATIONAL MEDICAL CENTER – Rockville, MD February 2011 – May 2013 Clinical Program Coordinator – Neurology Development Pediatrics

Patient Services – Managed patient assessments, planning, and evaluation of clinical care to ensure continuum of care. Coordinated nursing care and services in specific healthcare specialties, consulted with physicians and other providers to resolve health concerns.

Safety Coach – Provided education, verification and validation of core values and expectations for safety.

Patient Education – Provided education and response to inquiries to patients, families, and caregivers regarding administration of chloral hydrate prior to EEG procedures, and New Onset Seizure diagnosis in collaboration with physician, physician assistant, and social worker. Other Experience

Clinical Case Manager / Utilization Review – Inova Health Systems, Alexandria, VA Case Manager I / Utilization Review / Medicaid Nurse – Children’s National Medical Center, Washington, DC Clinical Manager I – Children’s Medical Center, Washington, DC Education & Credentials

Bachelor of Science in Nursing

University of Phoenix

Associate Degree / Registered Nurse

Hinds Community College, Nursing Allied Health Center Licensed Practical Nurse Diploma – Hinds Community College, Nursing Allied Health Center Technical Proficiency

Morrissey • Midas • Epic • HMS • Canopy • Cerner • InterQual • CPOE • Milliman Care Guidelines