Case Management Home Health

MENDY THORPE, MHA, BHS, RN

Gilbert, AZ · 417-***-****

*****@***.*** · linkedin.com/in/mendythorpe

Savvy healthcare professional with proven financial success in reimbursement increases. I recently achieved a financial gain of $1.3 million over a 12 Month period. I was able to craft appeal letters that resulted in 85% turnover in insurance denials. Additionally, an expert in Medicare, Medicaid, and other Managed Care Companies. I am incredibly organized, and detail oriented with a love and passion for these characteristics. I have a vast knowledge of credible sources for physician and facility placement needs. Furthermore, my nursing education is a valuable piece to this puzzle. Most recently, led the clinical team to a deficiency free state survey.

EXPERIENCE

9/2024- current

Health and Wellness Director

Broadway Mesa Village – Mesa, AZ

RN for Assisted Living and Memory Care Facility

Medication, Disease, Healthcare Education

Basic Nursing Duties and Cares

Oversee clinical staff of Medication Technicians and Care Givers

8/2023- current (Per Diem)

RN Case Manager and Admission Nurse

American Home Health – Mesa, AZ

Detailed review of patients’ Start of Care for Home Health Services

Medication, Disease, Healthcare Education

Basic Nursing Duties and Cares

12/2023 – 6/2024

Executive Director & Director of Nursing

Inspired Homecare - Tempe, AZ

Assisted with tripling patient census within a 2 month period which increased monthly revenue by $45,000 in that period of time

Maintained employee retention over an 8 month span

Direction of operations and care for AZ office

Ensure clinical staff are compliant with clinical cares

Coordinate referrals, ensure health plans are contracted, ensure appropriate staffing

(Company divested this branch)

8/2023 -12/2023

Director of Case Management

Desert Cove Nursing Center - Mesa, AZ

Directed case management for 110 bed Skilled Nursing Facility

Education to staff regarding Length of Stay, How to Negotiate Levels of Care

Coordinate and Collaborate with Therapy and Nursing weekly for expected outcomes

Coordinate length of stay and Levels of Care for optimal reimbursement

Interim role

4/2022 – 8/2023

Consultant and Manager of Case Management

Bandera Health Care – AZ

Identify reimbursement opportunities, >$1million in 12 months

Resource to case management teams for 35 skilled nursing facilities

Education and on-boarding

On/off site training for Case Managers

Assist facilities with appeals and reconsiderations of reimbursement levels

(Position eliminated)

5/2021 – 1/2022

Regional Director and Consultant of Case Management

Windsor/SNF Management – AZ and Northern CA

Supervised case management teams for 16 skilled nursing facilities

Collaborated with teams to maximize proper reimbursement, levels, per contract terms

Training, education, and on-boarding of all Case Managers

Managed Length of Stay for optimal reimbursement

Travel as needed to facilities between California and Arizona

(Company filed bankruptcy)

7/2017 – 4/2021

Director of Case Management

Select Specialty Hospital - Phoenix, AZ

Directed and supervised case management team for 48 bed LTACH facility

Construct appeal letters for proper reimbursement with 85% overturn rate

Coordinate and lead weekly IDT meeting

Coordinate length of stay with DRG dates for optimal reimbursement and patient outcomes

Participate in weekly financial meetings, monthly QAPI, MEC, and other pertinent meetings

Ethics committee lead

12/2015 – 4/2017

Director of Case Management

Kindred Transitional Care SNF - Phoenix, AZ

Assisted with new build of company

Proper completion of aspects of the RAI Process in accordance with CMS

Direct and lead weekly Utilization Review and daily PPS scheduling

RN lead during care plan meeting processes facilitated by Social Services

Establish contracts and relationships with various managed care venues

Ensure highest available reimbursement in collaboration with therapy manager

Interim Director of Nursing part-time (~3 months)

(Time off to complete Master’s program, Company was sold)

8/2014 – 12/2015

Director of Case Management & Social Services

Grace HealthCare – Phoenix, AZ

Oversee all MDS assessments and accuracy of interview process through IDT

Proper completion of aspects of the RAI Process in accordance with CMS

Assurance of Care Plans by appropriate date related to the MDS

Active participant of QAPI, IDT, TCC

RAI certification

(Company since divested)

2013 - 2014

MDS Coordinator

The Maples Health and Rehab - Springfield, MO

Completion of Care Assessment worksheets and Care Plans

Coordinator of care planning and Medicare meeting

Structured MDS training

Appropriate PPS scheduling, working closely with the therapy department

Proper completion of aspects of the RAI Process in accordance with CMS

2009 – 2013

Treatment Nurse

Laser Company of Springfield - Springfield, MO

Assess patients for laser needs and provide education

Maintain health records and other pertinent information

Provided Laser treatments as indicated (hair removal)

Medication management as needed

Aug 2006 - July 2008

Elementary School Nurse

Sparta School District – Sparta, MO

Assist and formulate grant writing for various district needs

Successfully applied for and received grants for playground equipment and medical supplies

Maintain student health records, vaccine records, and other pertinent information

Coordinated health fairs and education related to health topics

Medication management as needed

Fundraiser to assist in various purchases for needed equipment

2007 - 2009

Staff Registered Nurse Cardiac Unit

Cox Health - Springfield, MO

Delivery of patient care in conjunction with requirements of physicians

Manage patient needs through cardiac telemetry spanning basic to complex cardiac rhythms

Serve as patient advocate for all care needs or changes in conditions

Successfully completed required six-month internship program for Cardiac Unit Staff

2005 - 2007

RN Post-Partum, Newborn Nursery and Women's Services

Cox Health - Springfield, MO

Perform daily newborn care and daily weights / measurements

Serve as liaison for patient to physician care coordinating efforts with medical team

Provide family education regarding patient needs for care post dismissal

Successfully completed internship program for Post-Partum, Newborn and Women's Services

EDUCATION

2023

Certificate of Training in Botulinum Toxins & Dermal Fillers

MEDAesthetics Training, LLC – Phoenix, AZ

2015 - 2017

Master of Science in Health Administration

Grand Canyon University – Phoenix, AZ

GPA 4.0 (University) – GPA 3.86 (Career) - Magna Cum Laude

2012 - 2014

Bachelor of Science in Health Services & Leadership

Drury University – Springfield, MO

GPA 4.0 (University) – GPA 3.84 (Career) – Magna Cum Laude – Graduate with Distinction in Leadership

2003 - 2005

Associate of Science in Nursing

Cox College of Nursing – Springfield, MO

GPA 3.75 (University) – GPA 3.86 (Career) – Cum Laude

2000 - 2002

Associate of Arts

Ozarks Technical Community College – Springfield, MO

GPA 4.0 (University) – Summa Cum Laude – President’s list – Phi Theta Kappa

SKILLS

Appeal writing, Grant writing

Managed Care, Medicare, Insurance Expert

Organizational leader

Injectable Aesthetic Nursing

Extroverted with strong people skills

AZ RN, current, unrestricted

REFERENCES

Dr. Linn Bliss

Desert Hospitalist Group

602-***-****, ************@*****.***

Dr. Arya Nabavieh

Desert Hospitalist Group

480-***-****, ************@*****.***

Kelly Colvin Jenks

Director of Managed Care, PACS (CA)

858-***-****, *****.***********@****.***

Jason Devera

Flagstone, Managed Care Resource (CA/NV)

626-***-****, ********@**************.***

Michael Perez-Mesa

Director of Managed Care and Contracts (Midwest)

720-***-****, *****-****@***.***

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