Case Manager, Inpatient psychiatric bedside nurse, charge nurse

LISA MCCOY PITTMAN, RN, BSN

**** ******* ** *******, ** 73086

405-***-**** **********@***.***

Professional Summary

I am a Registered Nurse with 31+ years of experience in health care settings. I graduated in 1990 with a Bachelor of Science in Nursing degree from Oklahoma City University.

My background has been in hospital case management, behavioral medicine/psychiatric nursing, home health, hospice, disease management, acute physical rehab, long term acute care setting, cardiopulmonary step down, my most recent experience is inpatient case management. I have collaborated with the following patient populations, pediatrics, adolescents, adults, geriatrics, substance abuse and in a juvenile sex offender program.

I have experience with numerous payer sources and criteria for services, such as Medicare, Managed Medicare, Medicaid, private insurance and people that are non-insured or under insured. I am familiar with negotiating with payer sources, to facilitate the best outcome for the patient, facility and payer source. I have excellent chart auditing/ reviewing skills, for compliance and proper documentation to evaluate both severity of illness and intensity of services. I am skilled with InterQual and Milliman. I am also skilled with insurance denials and facilitating peer to peer reviews.

Experience

RN, Case Manager 04/2015 – current Oklahoma City, OK

Optum at SSM St. Anthony Hospital (Optum is now contracted with SSM as of 02/2022)

Inpatient Case Manager- Coordinates systems and services with an organized, transdisciplinary team approach with delivers quality, cost efficient care to patients through the continuum of health care services. Appropriateness of admission and continued stay reviews are conduced concurrently or retrospectively. Collaborates with the patient family and other members of the health care delivery team to help proper movement through the care continuum as demonstrated through quality outcomes. Works effectively with internal and external customers. I have excellent critical thinking skills and can solve problems effectively. I am initiative-taking and approachable. I am also accountable, responsible and respectful of all customers/ patients.

RN, Staff Nurse, Relief Charge Nurse 11/2007-04/2015

SSM/ St. Anthony Hospital/ Oklahoma City, OK

I worked in behavioral medicine for 8 years in the float pool and as a staff nurse on an adolescent unit. In the float pool, I floated to both SSM St. Anthony facilities throughout 14 psychiatric units. I then accepted a staff position in the adolescent unit which was a residential unit for mentally ill and violent adolescents. I am very experienced in this setting and caring for this population. I am experienced in de-escalation, therapeutic options, and supporting a positive milieu. I have worked all shifts, I supervised mental health technicians and collaborated closely with the medical director and physician assistant to coordinate care.

IOWA Foundation for Medical Care/ IFMC, Oklahoma City, Oklahoma

Registered Nurse/Case Manager 12/2007 -07/2009

IFMC was awarded the 5-year contract with the Oklahoma Health Care Authority managing considerable risk Sooner Care members. This program placed RN’’s in physician offices as practice facilitators and RNs as Case Managers in territories throughout the state of Oklahoma. I was a case Manager with a case load of 200+ Sooner Care members in the Southwest region of the state. I made home visits to high-risk members’ homes to teach them about their disease and to help them access community resources to decrease the number of emergency room visits. I worked from my home and was extensively trained on their computer software system in documenting progress and outcomes. We were accountable to the Oklahoma HealthCare Authority. This job required frequent traveling throughout my assigned territory.

Rehab Care Group at Norman Regional Hospital Norman, Oklahoma

RN/Nurse Liaison/Admissions Coordinator 12/2006-11/2007 4/2000 to 11/2003

I served as a liaison for the Rehab unit and screened potential patients for acute physical inpatient rehab. I collaborated closely with the medical director, case managers, social workers and referring physicians. I was responsible for insurance pre authorizations, coordinating the transfer, and educating the family and community on the inpatient rehab criteria and goals of care.

Walgreens Specialty Pharmacy / Walgreens Pilot Call Center Oklahoma City, Oklahoma

RN/ Specialty Disease Management team 3/2006-12/2006

Walgreens Specialty Pharmacy opened a call center in the Physician Research Park in OKC and I was offered a position on the Hepatitis C Disease management team. We were extensively trained in the disease and treatment Hepatitis C We supplied telephonic teaching throughout the US to patients who were prescribed Pegasus interferon and Ribavirin treatment and were using Walgreens Pharmacy to fill this prescription. Walgreens decided to move this program to Florida and closed the call center in Oklahoma City.

Life Springs Home Health Care/ Lifecare HHC Norman, Oklahoma

RN/Case Manager 9/2004-3/2006

I was a case manager and responsible for a case load of 30-35 patients. I made HHC visits for assessment, teaching, wound care, diabetic management, IV infusion, lab draws. I performed admissions, re certifications and supervised home health aides.

Heartland Hospice Norman, Oklahoma

RN/Intake Coordinator 11/2003-11/2004

I was the community liaison performing preadmission assessments for hospice care. I collaborated closely with social workers, case managers, nursing homes and acute long term care facilities to assess if a patient qualified for hospice care. I provided education to the family and to the community about hospice care.

IHS Specialty Hospital Midwest City, OK

RN/Nurse Liaison 7/1999-4/2000

I was and admission coordinator for the long-term acute care hospital. I did preadmission screening, community education, and coordination of admissions to the LTAC facility.

IHS Home Care Oklahoma City, Oklahoma

RN/Director of Nursing/Case Manager/Supervisor 7/1993-7/1999

I worked in several distinct positions at this home care agency. I carried a case management load, I also served as a DON and as a supervisor, coordinating HHC patient visits.

Norman Regional Hospital 5/1991-11/1993

RN/ Case Manager

I worked as a RN Case Manager in the home health care setting, delivering patient care to the home.

St. Anthony Hospital Oklahoma City

RN/Staff Nurse 5/1990-5/1991

I worked on a cardiopulmonary step-down unit as a staff nurse and relief charge nurse. We took care of vent dependent patients that were unable to wean from the vent, post op CABG, s/p heart cath recovery, telemetry, COPD. Performed all nursing duties associated with bedside nursing care on a step-down unit.

Skills-Trained in EPIC, Medi Tech, Pyxis, Interqual,Millimen

Education

Oklahoma City University 1990

Bachelor of Science in Nursing

University of Oklahoma

General Education

Northwestern Oklahoma State University

General Education

References

Provided upon request

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