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PHONE NUMBER AVAILABLE EMAIL AVAILABLEEducation1992-2008 Masters in Health Services Administration University of St. Francis, Joliet, Il1987-1992 BSN, University of Dubuque, Dubuque, IA1984-1987 RN, Finley Hospital School of Nursing Dubuque, IA1982-1884 University of W Platteville Platteville, WI1979-1982 Platteville High School, Platteville, WICertification:Certified Case Manager (CCM)Awards:2022 Select Specialty Hospital Regional Case Manager of the year1993 Iowa City Chamber of Commerce Business Woman of the Year1989 Peer nominated award for Excellence in the Care of ChildrenMemberships:American Nurses AssociationIowa Nurses AssociationVolunteer Activities:American Red Cross VolunteerDavenport East Little LeagueAddictions Foundation of the Quad CitiesExperienceSelect Specialty Hospital Quad CitiesDirector of Case Management7/17 PresentCoordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are fulfilled.Develops and implements patient specific, safe and timely discharge plans. Maintains accountability for training and auditing of all staff.Builds relationships and coordinates with payer sources to assure proper reimbursement for the hospital provided services, promotes cost attentive care via focus on resource management within the plan of care.Demonstrates, monitors and audits UR compliance with facility wide Utilization Management policies and procedures.Maintains fiscal responsibilities. Assures the department is identifying and negotiating the fullest possible reimbursement to maximize insurance benefit coverage for the patient. Reviews insurance notification forms to minimize risk.Facilitates multidisciplinary team meetings including physicians, nurses, respiratory therapists and rehabilitation therapists.Preferred Home Health Care Galva, ILHome Health RN3/17 7/17Pediatric Home Health CareVentilator ManagementTrach CareGastrostomy CareQuad Cities Service Providers Davenport, IAQuality Assurance Nurse8/15 12/17Provided behavioral therapy with individuals in their home setting based upon their individualized treatment plans.Taught communication skills, social skills, self-help skills, and play skills through ABA principles.Implemented Behavior Plans and documented data accurately.Assessed changes in physical and mental health and communicated with providers or accompanied patients to appointments as needed to make changes in plan of care and then educated caregivers in the respective home on these changes.Licensed through the Illinois Department of Public Health and Iowa DHS to educate non-licensed professionals on Medication Passing and Medication Management.Lead of the Crisis Management TeamCertified in CPI (Crisis Prevention Intervention).TruStaffTravel Nurse Cincinnati, OHUtilization Review Nurse (University of KS Medical Center Kansas City, KS)5/14-8/14Responsible for running AM reports to determine what patients needed an admission review, a continued stay review or an insurance review.Ran reports to determine what insurance companies needed to be notified of patient admissions.Using Interqual criteria, patients were reviewed to determine if they met criteria for admission or continued stay. Patients not meeting criteria were reviewed with EHR (Executive Health Resources).Communication with Case Manager and physicians occurred daily to ensure the patients care was progressing and that documentation showed this and the insurance company could see the plan.Individual Advocacy Group East Moline, ILRegional Director/RN Trainer9/13-2/14Responsible for overall function of the agencyResponsible for overall training of non-licensed caregivers on how to assist individuals with developmental disabilities in taking their medications. Taught 8 hour training class at least monthly for new employees hired by the agency regarding medication administration.Go to homes and observe caregivers assisting individuals with taking their medications.Review labs results and other patient medical data as it arrived in office and collaborated with MDs to ensure the very best health and welfare of the individuals in our CILAs (group homes).Genesis Medical Center Davenport, IARN Care Coordinator/Resource Management Nurse Reviewer1/11-8/13Responsible for completing patient assessments within 24 hours of admission and confirming clinical plans for progression of care for discharge with bedside nurse and MD.Verified that patient in admitted into the correct status (Inpatient, Observation, Outpatient).Address needed status conversions with MD or EHR.Provides utilization review to all government and private pay insurance companiesComplete management of all referral servicesTrinity Medical Center Rock Island, ILAdmissions Case Manager/RN Case Manager8/08-1/11Responsible for reviewing all admissions on all three campuses to ensure that patients were admitted into the correct level of care.Coordinate with MDs and other providers to obtain orders for appropriate level of care.Complete Medicare Admissions reviews with HER.Responsible for integration of the Medical Case Management model into the psychiatric case management unit.Assisted in development of the psychiatric case management modelResponsible for the coordination, integration and facilitation of all care and services for the patients by all members of the health care team.United HealthCare Moline, ILMedical Underwriter3/06-8/08Reviewed and rated small group businesses for insurance coverageJohn Deere Health Care - Moline, IL12/93-3/06Medical UnderwriterReviewed and rated small group businesses for insurance coverage.Disease Management CoordinatorDeveloped and implemented programs for womens health, wellness and asthma for multiple populations served by John Deere Health, including the State of Tennessee Medicaid population.Quality Improvement CoordinatorDeveloped and monitored policies and procedures for quality improvement activities.Developed audit tools and audited nurses for compliance with policies and procedures.Case ManagerAssisted hospital case managers in arranging care and followed patients throughout their illness.Quality Improvement Coordinator/Utilization Review NurseReviewed inpatient stay on plan members who were inpatient, for appropriate length of stay, and set up services as needed.Home Life Health Services/Home Life Medicare Services Iowa City, IA3/91-12/96Director of Nursing/Staff NurseAssessed and admitted all patients to home care services.Responsible for all internal and external auditing and accreditation.Hired, trained and monitored all levels of staffRemained on as staff nurse after leaving as DONQuantum Health Services Iowa City, IA1991-1993Infusion RNProvided IV therapy services and functioned as on-call nurse for patients needs after hoursMercy Medical Center Cedar Rapids1991-1993Pediatric Staff NurseProvided general care to pediatric patients and ENT patientsUniversity of Iowa Hospitals and Clinics Iowa City, IAStaff Nurse/Charge Nurse/Clinical Preceptor3/88-3/91Care of pediatric and neonatal patients with bronchopulmonary dysplasiaVentilator ManagementTrach CareGastrostomy CareParental education on the above for discharge planning and managementClinical nurse preceptor for nursing studentsCharge nurseTurning Point Treatment Center Dubuque, IAStaff Nurse8/87-3/88Provided nursing care to patients in substance abuse treatment programFinley Hospital Dubuque, IAStudent Nurse/Staff Nurse8/86-8/87Provided nursing care to pediatric patientsStudent nurse on medical surgical floor |
