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Click here or scroll down to respond to this candidateDixie Wierman RNEMAIL AVAILABLE Phone: PHONE NUMBER AVAILABLESUMMARY:I am a Registered Nurse with ten years of Utilization Review and Case Management experience. I am comfortable managing an average daily caseload of 25-40 patients being responsible for reviewing clinical information for initial, concurrent and retrospective cases. I have provided CM/UR services in the Departments of Care Coordination as a contractor and staff member. Interfacing daily with physicians, interdisciplinary staff, and families, to provide continuity of care, coordinate services, and safe discharge planning while ensuring fiscal responsibility. I have extensive experience with Interqual guidelines. I am proficient with Epic, Cerner/Powerchart, Meditech, Mckesson, Allscripts, Navi Health and Point Click Care. I have excellent communication skills and can interface with customers at various levels. I am now local to Ft Wayne, Indiana and available June 2024. Most Recent Work Experience:CSL Plasma Clinic, Ft Wayne, In. 6/04/23 to 09/26/23 Worked as triage medical staff RN and case manager. Provided patient population eligibility/denial to donate plasma. This process included psychosocial interview, lab work and lab result interpretation, as well as physical exams to determine appropriateness for donation. Responded to clinic emergencies,and collaborated with clinic physician medical director.Lutheran Hospital, Ft Wayne, In. 10/3/2022 to 01/20/2023 Hired as traveler RN CMProvided Case Management services across the facility for the adult population. Demonstrated flexibility to float and have sound knowledge of critical care medicine, in the ICUs and the Burn Center. Assessed patient needs to facilitate movement through the care continuum safely. Interfaced and made referrals to different levels of care, with follow up for timely discharge. Attended IDT rounds on assigned units to be educated in patient status and medical readiness for disposition.Mt Sinai Hospital, Chicago, 8/21 to 06/22, Most recent staff experience: Hired as a RN Case Manager, Registry status. Responsible for Case Management of the MICU/SICU Responsible for Case Management of the Lawndale Christian Health Center patients for LOS Assisted Critical Care Attendings in discharge planning, for level 1 trauma patients Worked closely with families of multi trauma patients to move to the next level of care Additionally, made referrals to hospice/Gift of Hope working with Palliative care serviceLoretto Hospital, Chicago, 02/20 to 12/20 Hired as Nurse Manager for Case Management/UR and Social Services Transitioned to RN Coordinator for the dedicated Covid 19 unit Performed all UR/CM/SW duties. Ensuring safety/continuity of care with CDPH Continued to advance my knowledge, assist in tracing, and provision of care for Covid patients Served as a primary point of knowledge and action for ensuring bed availability Provided guidance, support, and collaboration to staff surrounding transition of patients in the UnitBright Star Care Elmwood Park, Chicago (Interim) 11/19 to 2/20 Acted as Nurse Manager and administrative team member Performed onsite clinical assessments/reassessments Opened new cases for skilled and non- skilled care Performed supervisory visits of all field staff as well as competencies Completed all pre- authorizations, continue care reviews and discharge summaries for private payers Created and provided staff with educational in-services Served as staff RN for any case as requiredContinental Nursing and Rehabilitation Center 06/19 to 10/19 Acted as Interim ADON, completed staffing assignments, scheduling Performed daily rounds on units Worked as a RN on all units as required, average assignment 30-35 residents Saint Mary and Elizabeth Medical Centers. Utilization Management RN Specialist 08/18 to 12/18 Completed daily assignment of Units for Initial, concurrent, and discharge reviews. Communicated and completed daily rounds with Physician Advisor Coordinated Peer to Peer sessions for denials. Actively worked denials/appeals for positive outcomes utilizing Interqual Standards. Blue Cross/Blue Shield (Contract) Utilization Management/ Care Coordinator 01/18 to 4/18 Provided Utilization Management services following Milliman guidelines. Completed Pre-authorization for diagnostics and procedures for members. Acted as a resource for members to enhance their service experience and benefits. Northwestern Memorial (Contract) Utilization Review Registered Nurse, 07/17 to 10/17 Responsible for review of clinical information for initial, concurrent and retrospective cases. Handled denials, appeals and peer to peer coordination. Managed average daily caseload of up to 50 60 patients. Provided accurate assessment and documentation to avoid and/or correct denials. Utilized Interqual Guidelines to determine quality of care and services utilized. Jackson Park Hospital (Contract) Director of Case Management and Utilization Review, 05/16 to 08/16 Responsible for fiscal oversight for all payers. Completed pre-cert authorizations, continued stay reviews and contested denials. Managed average daily case -load of 30-35 patients. Supervised 6 staff case managers. Provided daily and weekly financial reports to hospital VP of Quality. Saint Anthony Hospital, Psychiatry Registered Nurse, 10/15 to 03/16 Staff and Charge RN on Intensive Inpatient Psychiatric Unit. Managed milieu of 20-25 clients, assessed, documented, and supported patients while maintaining safety. Provided ordered medications, monitoring lab values, and individual response to medication therapy. Participated in daily rounds and care planning with Unit Medical Director and other staff Psychiatrists.Med-Call (Contract) Case Manager/Utilization RN, 07/15 to 10/15 Provided Case Management services at the University of Chicago Medical Centers, in the Department of Care Coordination. Interfaced with physicians, families, interdisciplinary, and other regulatory bodies to provide continuity of care, coordinate services, and ensure disposition of patients to the next Level of Care. Completed daily assignments across two Adult and one Childrens hospital in a responsible manner.Stroger Cook County Health Systems Clinical Case Manager, 08/14 to 05/15 Acted as the primary Case Manager for the Trauma, Burn, Burn Step-down, Neurological, and Surgical Intensive Care Units Provided all 5 units Clinical Case Management oversight and Utilization Management activities Assessed and initiated mechanisms to move patients through the continuum of care, while ensuring fiscal responsibility for the facility Provided coordination of all payers including public aid, commercial payers, and workers compensationThe Imperial of Lincoln Park, Charge RN, 06/14 to 06/15 Delivered skilled care to 25-30 sub-acute high acuity patients. Supervised all unit staff on the assigned shift to ensure quality care and safety. Maintained accountability for the other unit RNs to monitor all unit activities, admissions discharges, vitals, lab work, patient appointments, wound care, and coordinate the rapid response activities for all units in the facilityChicago-Lakeshore Hospital Medical Detoxification and Psychiatric RN Team Leader, 03/13 to 04/14 Provided comprehensive clinical detoxification and psychiatric nursing services to a diverse milieu Coordinated as the active RN in charge, a patient population of 25-30 patients who ranged from dual diagnosis to higher functioning psychiatric clients, to those who required intensive drug detoxification Serving as the team leader required ensuring milieu safety, staffing, completing admissions, discharges, and transfersNorwegian American Hospital 12/11 to 05/12 Bed Control Nursing Supervisor, Nursing Administrative Team Member Transitioned into facilitys new role with great enthusiasm and energy, gaining the respect and trust of physicians and staff alike. Coordinated all throughput activities from the ED throughout the entire house. Case managed all the observation patients in the telemetry units using Interqual standards and developed educational programs for staff and physicians, as well as all new hires. Championed several committees: created new bed board with Meditech, created a throughput Committee, and developed a process to streamline direct admissions. St. Bernard Hospital and Healthcare Center Patient Access Clinical Coordinator, 09/10 to 06/11 Case Managed the Emergency Department and assisted with streamlining the admission of acute care patients to the appropriate care setting Facilitated the ED direction of care by transferring patients who were out of network or required other procedures and/or diagnostics not available at the facility Collaborated with the ED physicians to ensure appropriate admitting diagnosis and admission of observation status patients Additionally, followed all observation patients in the house to ensure timely, safe discharge or status change to Inpatient Completed telephonic clinical assessments on all outpatient surgical patients prior to surgery: reviewed and ordered pre-surgical labs and diagnostics, and reported any abnormal findings Circulated throughout the facility completing the above tasks, interfacing with professional nursing staff, physicians, registration, and diagnostic staff Bryn Mawr Care Facility Assistant Director of Nursing, 10/10 to 12/10 Provided behavioral oversight for 174 psychiatric clients in a non-restricted milieu Reviewed all resumes and applications; interviewed prospective nursing staff; created the monthly staffing schedules, completed the CNA payroll. Ensured immunization standards as required by the state participated in daily staffing meetings, provided educational in-services, made psychotropic rounds with physicians, reviewed labs and documented behavior changes and served as a staff nurse when neededSherwin Manor Nursing and Rehabilitation Center RN Charge Nurse 07/09 to 08/10 Monitored and promoted quality care to 52 skilled clients. Acted as a preceptor to new and contractual staff. Authored policy and procedures as required by administration. Participated in daily staffing, discharge planning and mock survey team. Provided educational in-services.Progressive Hospital of Merrillville, Director of Case Management 2007 to 2008, Now Vibra Participated as foundation management staff for a new LTAC hospital start up. Responsible for physician recruitment, marketing, and coordinating contracts with local hospitals for services. Completed all onsite assessments of critical patients, verified benefits, completed pre-certification authorization, directed the weekly team conferences, and performed all continue stay reviews. Developed all the marketing peripherals and the clinical assessment tool for the admission screening process. Authored policy and procedure for the Case Management and Clinical Liaison departments for successful, State, Medicare and AOA surveysEDUCATION:Purdue University: 1988, Baccalaureate of Arts Degree in Mass Communication Purdue University: 1985, Associate of Science Degree in Nursing Professional Licensure:ILLINOIS REGISTERED NURSE: obtained 1988, expires 05/31/2026 INDIANA REGISTERED NURSE: obtained 1985, expires 10/31/2025 |
