SHALETTE AMANDA POND

**** *. ******** **.

Metairie, LA 70001

504-***-****

EXPERIENCE

JUNE 2021-CURRENT

DIRECTOR OF CENTRAL UTILIZATION MANAGEMENT, Ochsner Health

Currently report to the System AVP of Case Management

Oversee 6 hospitals, 2 freestanding surgery centers, and 2 freestanding Emergency Rooms. Have a staff 67. Functions include staffing, staff engagement, training, purchasing, departmental budgeting, and labor management. Develop Standard operating procedures and policies to incorporate best practices. Mange and monitor performance. Retro audits to identify and escalate opportunities with providers, facilities, and UM staff, payor- based concerns. Work with Revenue Cycle, registration, providers, and payors to reduce denials and write offs. Participate in both System and facility work groups.

DECEMBER 2015 – JUNE 2021

TRAINING, EDUCATION, AND DATA ANALYSIS MANAGER, Ochsner Health

Reported to the System AVP of Case Management

Coordinate, develop, and provide education for the frontline staff and leaders at the individual facilities. I assist in on-boarding new leaders, and offer continued support and guidance as required. Contribute to the system goals by working with the interdisciplinary team. Assist in reviewing, monitoring, and enhancing workflows to ensure compliance, efficiency, and identify areas for improvement both in individual performance and processes. Have led several work groups to improve documentation, while reducing frontline burden. Continue to work with EPIC to improve reporting. Complete and distribute multiple performance dashboards, and ad hoc reports.

SEPTEMBER 2014- DECEMBER 2015

RN-CARE MANAGER, East jefferson General Hospital

Service Line Care Manger for critical care and step-down general medicine. Responsibilities include utilization review, care coordination in acute care setting. Facilitating communication amongst the interdisciplinary team to ensure patients receive quality care in the most efficient manner, while managing resources. Provide clinical information to payers. Discharge planning and establishing connections to outside resources to help with community care once the patient is discharged. Active member of the general medicine performance improvement committee.

SEPTEMBER 2012- SEPTEMBER 2014

RN-CARE MANAGER SUPERVISOR, East jefferson General Hospital

Supervise a staff consisting of registered nurses, social workers, discharge planners, and patient

access/bed control. Responsibilities include staffing, scheduling, managing timecards for payroll,

disciplinary action, education, precepting, and filling in for care managers when they are off. Duties include meeting with physicians’ groups to ensure throughput, education of new physicians. Performed as a liaison for the family practice resident group. Responsible for managing difficult and time-consuming cases to allow care managers to focus on other patients. In this role I also assisted in building the case management specific electronic documentation, the transfer center and developed the emergency room care management program.

MAY 2008- AUGUST 2011

RN-CARE MANAGER, East jefferson General Hospital

Care management duties include utilization review, care coordination in the acute care setting.

Communicating with the interdisciplinary team to ensure patients receive quality care in the most efficient manner, while managing resources. Provide clinical information to payers. Discharge planning and establishing connections to outside resources to help with community care once the patient is discharged. Developed relationships with outside sources and vendors to facilitate patient transition back into the community.

EDUCATION

DECEMBER 2014

MASTER OF NURSING, University of Phoenix

DECEMEBER 2014

MASTER OF HEALTHCARE ADMINISTRATION, University of Phoenix

OCTOBER 2012

BACHELOR OF NURSING, University of Phoenix

DECEMEBER 2001

ASSOCIATES IN NURSING -RN, delgado Community College-Charity School of Nursing

SKILLS

Excellent written and verbal communications skills

Work well autonomously and in teams

Some experience in report building in Microsoft SQL Server 2016 Report Builder

Proficient in EPIC/Careport

Organized-able to prioritize, and remain flexible

Critical Thinking and Problem Solving

Proficient in Office Suite Products

Ability to anticipate issues that adversely impact the function of the department and use deductive reasoning skills to solve problems

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