MARLA CZECHOWSKI

262-***-**** adwbf2@r.postjobfree.com

RN CASE MANAGER

Highly motivated RN Case Manager experienced in initiating and developing patients’ plans of care, establishing goals based on nursing diagnosis and incorporating therapeutic, preventive, and rehabilitative nursing. Proven ability to establish a compassionate environment by providing emotional and psychological support to patients, friends, and families. Expert in both MCG and Interqual criteria. Expertise in Epic EHR and demonstrated ability to identify discharge planning needs as part of the care plan development and implementation prior to discharging patient.

Areas of Expertise:

Utilization Review Acute Care Communication

Conflict Resolution Critical Thinking Cultural Sensitivity

Patient-Centric Care Advocacy Professionalism PROFESSIONAL EXPERIENCE

Waukesha Memorial Hospital 2019-2022

Emergency Room RN Care Manager/Utilization Review

● Assigned appropriate status to incoming patients using MCG guidelines.

● Efficiently developed plans for continuing care for complex patients that have been discharged while utilizing the financial and insurance resources of the patient to maximize their healthcare benefits.

● Proactively anticipated potential barriers and variances to the delivery of care, and intervened as necessary.

● Utilized critical thinking and decision-making to implement change to meet the needs of complex and high-risk patient care plans.

● Served as a clinical expert resource for the entire care team, and planned and implemented comprehensive care plans.

● Critically evaluated and analyzed physical and psychosocial assessment data while maintaining meticulous case notes. Independent Physician’s Network 2018-2019

RN Care Manager

● Efficiently perform pre-enrollment assessments, care plan development, and ongoing monitoring.

● Proactively developed a Case Management Disease Management Program.

● After discharge, performed telephone follow-ups with patients for care coordination purposes.

● Identified high-risk patients for disease and case management needs, coordinating with patients, physicians, and other healthcare providers to establish a plan of care to best serve the patients. Ascension St. Francis Hospital 2018

RN Case Manager

● Successfully managed a caseload of patients with varying needs and complexity.

● Constantly displayed robust assessment and documentation skills.

● Successfully developed start-of-care plans, provided direct patient care, and collaborated with clinicians from other disciplines to provide overall patient wellness.

● Performed patient throughput on a medical oncology unit as well as discharge planning, ensuring patients had a safe discharge plan.

Exceedent (Froedtert Health) 2016-2018

Vice President of Population Health/Manager of RN Case Management

● Successfully served as a key member of the leadership team, collaborating and leading the population health and physician relations strategies.

● Collaborated and actively participated in contracting strategies, the development of payor products and sustainable reimbursement models, ensuring operational alignment with strategy and market demands.

● Coordinated with finance to refine cost and accounting structures, pricing strategies, and reimbursement distribution models to maintain financial relevance to the market and strategy.

● Used available tools and resources and leveraged best practices to ensure organizational readiness for risk.

● Meticulously defined and drove the integration of community ambulatory care with high-end specialty care as part of the care continuum.

● Collaborated on the integration of health-enabling technologies, e-health, and other innovative models of care. MARLA CZECHOWSKI

262-***-**** adwbf2@r.postjobfree.com

● Oversaw the data and analytic capabilities required to effectively manage and promote innovation for the clinical care of patient populations.

● Ensured compliance with all regulatory agencies and bodies.

● Coordinated with executive management to refine the structure and function of the population management operating model, including the scope of activities, governance and accountabilities, leadership structure, financial structure, incentives and compensation models, performance reviews, and management processes.

● Enthusiastically drove the execution of innovative and transformative approaches within multidisciplinary teams related to the population health management function.

● Assumed responsibility and effectively managed the total cost of care and optimization of reimbursement potential for at-risk patient populations.

● Successfully established and achieved financial, operational, and strategic goals of population management.

● Efficiently managed and coordinated the case management and utilization review program.

● Provided direct supervision to case managers and social workers.

● Oversaw and directed the day-to-day case management departmental activities, ensuring quality services for customers.

● Served as a resource to and collaborated with case managers and social workers to ensure appropriate services and resources were arranged for the timely discharge of patients.

● Provided care management services, including assessment, case management, discharge planning, and utilization management as needed.

Aurora Grafton Medical Center 2010-2016

RN Case Manager

● Performed case management duties and conducted nursing assessments.

● Efficiently drafted plans of care and in-depth letters of medical necessity.

● Successfully trained new clinical staff as needed.

● Effectively coordinated care with clients.

● Reviewed nursing progress notes and educated clients and family members regarding nutrition, treatments, and safety risks.

● Administered medications, treatments, respiratory exercises, and therapies.

● Prepared accurate, orderly, and timely reports and documentation. Horizon Home Care and Hospice 2010

Home Care Case Manager

● Performed supervisory visits to provide client and caregiver instructions, caregiver training, orientation, and supervision.

● Meticulously completed documentation to insure the highest quality of customer service and communication. Froedtert Memorial Lutheran Hospital – Neurosurgery Spinal Cord Injury Center 2004-2010 Patient Care Supervisor

● Performed day-to-day operational duties and resolved all departmental problems.

● Interviewed and provided orientation to new hires, maintained unit staffing, and processed time sheets.

● Diligently performed annual performance reviews of 50+ direct reports. Froedtert Memorial Lutheran Hospital – Neurosurgery Inpatient Unit 2001-2004 Registered Nurse

● Successfully provided nursing care to patients in accordance with physician’s orders and emergent needs, coordinating care with other patient services.

● Carried out intensive evaluations and monitored the quality of nursing, patient care, and JCAHO compliance. EDUCATION & CERTIFICATIONS

Associate Degree – Nursing

Milwaukee Area Technical College

Bachelor of Arts – International Relations

University of Wisconsin – Milwaukee

Accredited Case Manager (ACM) Certified Case Manager (CCM) RN-BC Case Manager

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