Experienced Case Manager,with 12 years in emergency medicine and observation units. Thorough knowledge of Medicare and commercial insurance guidelines. Known for solving the varied problems of the emergency patient in a timely manner
Registered Nurse NH license # 074339
Certified Case Manager # 0008904 2005 to present
Certified Case Manager with case management & liaison experience, as well as experience in quality improvement, home care and clinical nursing. Recognized by management for the following:
Excellent assessment skills
Flexibility & Enthusiasm
Emergency Department Case ManagerNov 2011 to May 2016 Massachusetts General Hospital － Boston, MA
Sole Case Manager of a large metropolitan Emergency in the heart of Boston. Assessment of all clients for case management and social needs. Collaborated closely with the Medical team and Social Services. Managed frail elders, pediatric, homeless and substance abuse patients. Assessed the need for admission versus discharge to alternate level of care.
Case managed the observation unit in which the patient was allowed a 24 hour stay. Worked closely with Nurse practitioner to determine level of care.
Case ManagerJan 2003 to Nov 2011 NSMC/ Salem Hospital
Piloted Emergency Department Case management position lucratively.
Patient Advocate - Worked in Partnership with patients, nurses and physicians to create positive outcomes Assessment and evaluation of patients in Emergency Department, particularly frail elders for home safety and special needs Referrals to Homecare and placement to rehabilitation facilities as needed.
Increased homecare referrals directly from Emergency Department by 20%.
Collaborated with Directorship of Emergency Department and Community Health Clinics to establish the E.D.Primary Care Connection Program that provides clinic appointments for the uninsured, underinsured and those without a primary care physician.
Supervised and maintained the program.
Referral LiaisonJan 2002 to Jan 2003 Spaulding Rehabilitation Hospital
Screened inpatient population at hospitals in the North Shore and Boston for admission to the Medical, Orthopedic, Cardio-Pulmonary, Brain Injury , Ventilator and all other programs for admission to acute rehabilitation.
Duties included marketing and interfacing with case managers & physicians.
Increased referrals on the North Shore by 10-15%.
Clinical Nurse LiaisonJan 2001 to Jan 2002 Jewish Memorial Hospital
Screened inpatient population at several hospitals in the Greater Boston area for admission to Medical, Orthopedic, Pulmonary, Telemetry and Ventilator programs.
Increased referrals from 0 to 15-25 referrals a week at the Brigham & Women's and Beth Israel hospitals in Boston.
Float Case ManagerJan 2000 to Jan 2001 Harvard Pilgrim Healthcare
Case management at several different hospitals in the Greater Boston Area.
Case ManagerJan 1997 to Jan 2000 Melrose-Wakefield Hospital/Hallmark Health
Discharge planning and utilization review for the Telemetry, ICU, medical, and orthopedic floors.
Quality Improvement: Reviewed records for OB/Gyn, Medical & Surgical cases for quality of care.
Organized and facilitated physician QI meetings and conducted various studies to improve the quality of care in the hospital.
Jan 1979 to Jan 1997
Recruiting; Maternal-Child Health Home care; Medical-Surgical floor nursing; Brain Injury Rehabilitation; NICU.
Education and Training
AA Degree, Nursing1979DeAnza Community College － Cupertino, CA.Nursing
BS Degree, English1971Boston State College － Boston, MAEnglish
AS Degree, General Education1968Quincy Jr.College － Quincy, MAGeneral Education
Successfully completed courses in statistics and family counseling1991Salem State College － Salem, MA
Case Manager, Case management, Community Health, counseling, Discharge planning, fashion, Home care, Homecare, marketing, meetings, nursing, OB/Gyn, Patient Advocate, evaluation of patients, Primary Care, problem solving, quality, Quality Improvement, Recruiting, Rehabilitation, safety, statistics, Telemetry
Partners Service Excellence awards 2004 & 2005
" "Made My Day" Award 2011
Published Case Management Week Column in the MGH publication, "Caring" 2014 and 2015