INTERIM NURSING LEADER - CASE MANAGEMENT

INTERIM NURSING LEADER – CASE MANAGEMENT

AVAILABLE IMMEDIATELY

OPEN TO ROLES:

CASE MANAGEMENT DIRECTOR/MANAGER

HOSPITALS OVERSEEN: 2
EDUCATION, LICENSES & CERTIFICATIONS:

BS, Chemistry/Biology – Ashland College

BSN – West Suburban College of Nursing

RN Currently Licensed: WA (Compact) & CA

Certification: BLS
RELEVANT EXPERIENCE:

Interim Senior District Director Clinical Resource Management

Interim Regional Director Case Management Utilization Review

Manager Clinical Denials

Director Case Management Utilization Review

PROFESSIONAL SUMMARY:

Providing a blend of hands-on nursing and financial-leaning business experience. Able to utilize comprehensive knowledge to deliver superior medical services while simultaneously understanding and utilizing business concepts to ensure cost containment and budget optimization.  Highly organized with the ability to navigate competing priorities effectively while maintaining a positive outlook and approachability. Tangible and intangible skills bring new and strategic angles to productivity improvement and performance enhancement, utilization review, throughput discharge planning, and denial management.

 

STRENGTHS:

  • Cost Management & Reduction
  • MCG Guidelines
  • Lean Concepts & Change Management
  • Contract Negotiations
  • Highly Relatable Leader
  • Data Analysis and Reporting
  • Utilization Management
  • Financial & Budgetary Expertise
  • Knowledge of ICD and CPT Coding
  • Strong Work Ethic
  • Cultivate Business Relationships

PROFESSIONAL HIGHLIGHTS:

  • Developed and implemented cost-saving measures reducing long length of stay cases totaling $25M, appointing a small team of CM to resolve barriers to discharge.
  • Improved LOS by launching a new model for LLOS Complex rounds, reducing DC cycle time and outlier cases by 2% in potentially avoidable days. Continued reduction in LLOS by 5% in the first 90 days after implementation of new staffing model, which focuses on equilibrating staffing and level loading of cases per case manager, attaining goal target of 20:1.
  • Reduction in OBS cases over 20hr by 5%.  Enacted biweekly meetings with utilization review staff, hospital physicians, and UR physician advisors, focusing on OBS cases over 20 hours to elicit a clear treatment plan, justification for continued OBS level, or recommendations for discharge.
INTERIM LEADERSHIP PLACEMENT The right talent – right when you need them.
Our Interim Leaders are instrumental in leading change for our client organizations. HARTZ Search is hands-on throughout the interim assignment, providing oversight and guidance for our interim professionals. Our Interim Leaders provide weekly progress reports to ensure alignment with our client’s goals. Communication and performance are our number one goals – we achieve this consistently for our clients with interim leaders that make a difference.
We know our interim talent pool, keep open communication, and provide seamless transitions from interim to permanent placements.