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Allen, Texas Street Address | PHONE NUMBER AVAILABLE | EMAIL AVAILABLE
REGIONAL DIRECTOR OF CASE MANAGEMENT
H E A DL INE
Accomplished and results-driven healthcare professional with extensive experience in case management; backed by a proven track
record of optimizing patient care and boosting patient throughput.
Q UA L IF ICA T I ONS PR OF IL E
Expert at leading interdisciplinary teams, implementing innovative strategies, and ensuring compliance with regulatory
standards. Equipped with strong communication and interpersonal skills in collaborating with colleagues and other
healthcare providers. Known for spearheading innovative initiatives that consistently contribute toward the achievement
of organizational goals and objectives. Excels in guiding and mentoring future leaders in case management.
A RE A S OF E X PE R T IS E
Operations Management | Readmission and LOS Reduction | Quality Improvement | Problem and Conflict Resolution
Resource Utilization | Performance Evaluation | Leadership and Development | Protocols Creation and Implementation
Employee Engagement | Federal and State Regulations | Admission and Level of Care Criteria
PR OF E S SI O NA L E X PE R IE NCE
MEDICAL CITY DALLAS HOSPITAL | Dallas, TX
Director of Case Management 03/2023 07/2024
o Oversaw a team of 75 healthcare professionals comprised of registered nurses, social workers, and case
management assistants across three locations.
o Created and executed comprehensive protocols and procedures for case management.
o Enforced adherence to regulatory standards and guidelines.
o Provided constructive feedback to personnel based on performance appraisal.
o Worked closely with interdisciplinary teams for effective coordination of patient care.
o Evaluated data and trends to define areas for improvement in case management processes.
Key Accomplishments:
Decreased overall length of stay (LOS) by 15% through the implementation of effective strategies, along with
execution of initiatives to boost patient throughput.
Increased employee engagement by 10% through the implementation of monthly one-on-one meetings,
addressing staff concerns, and demonstrating transparency.
CHRISTUS SPOHN SHORELINE HOSPITAL | Corpus Christi, TX
Director of Case Management 07/2022 02/2023
o Spearheaded efforts to streamline case management processes and enhance patient outcomes.
Key Accomplishments:
Achieved the hospital's lowest ratio on record and a reduction in observation rate to below 20% by executing
LOS reduction strategies.
Improved associate engagement scores by emphasizing the why or rationale behind initiatives.
Partnered with IT and department leaders to create turnaround time reports that boosted operational efficiency
and decreased length of stay.
REDLANDS COMMUNITY HOSPITAL | Redlands, CA
Director of Case Management 05/2016 06/2022
o Formulated case management strategies aimed at maximizing patient care and achieving better outcomes.
o Supervised a team in charge of utilization review for a large group of capitated lives.
o Initiated efforts to improve patient throughput and reduce denials by creating and enforcing protocols.
o Optimized discontinuing cardiac monitoring procedure in coordination with other healthcare providers.
o Built and maintained delegated payer relationships with major health plans for more than 200,000 capitated lives.
Key Accomplishment:
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Candidate's Name
Allen, Texas 75002 | PHONE NUMBER AVAILABLE | EMAIL AVAILABLE
REGIONAL DIRECTOR OF CASE MANAGEMENT
Demonstrated expertise in case management, resulting in top 5% readmission rate attainment and record-
breaking net revenue for the hospital.
DOCTORS HOSPITAL AT RENAISSANCE | Edinburg, TX
Director of Case Management 12/2013 04/2016
o Led case management operations for over 500 beds across three campuses on a day-to-day basis.
o Introduced unit-based daily stoplight rounds to prioritize discharges, decrease length of stay, and enhance patient
throughput.
o Devised and executed strategies to improve patient care coordination and maximize resource utilization.
o Directed a team of case managers, offering assistance to ensure streamlined and efficient operations.
EARLIER POSITIONS HELD:
RN Case Manager 01/2010 12/2013
Float Pool Licensed Vocational Nurse 10/2009 01/2010
E A RL I E R CA RE E R
DEPENDABLE MEDICAL STAFFING | San Antonio, TX
President/CEO 01/2000 10/2009
CARESTAFF AGENCY | San Antonio, TX
LVN Staff Nurse 10/1998 01/2000
RETAMA NURSING CENTER | San Antonio, TX
LVN Charge Nurse 07/1997 10/1998
UNITED STATES ARMY | San Antonio, TX
91 Whiskey Vocational Nurse 09/1991 07/1997
E DUCA T IO N
Master of Healthcare Administration West Coast University | Anaheim, CA, 08/2023
Bachelor of Science in Nursing University of Texas | Arlington, TX, 01/2017
Associate s Degree in Nursing University of Texas | Brownsville, TX, 01/2011
Licensed Vocational Nurse Saint Philip's College | San Antonio, TX, 01/1997
PR OF E S SI O NA L DE V E L O PM E N T
License:
Registered Nurse, State of Texas, Valid Until:10/2024
Registered Nurse, State of California, Valid Until:11/2024
Certification:
Accredited Case Manager, Valid Until: 08/2026
American Case Management Association
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