Avp Utilization Review And Case Management
Current
Sep 2023 - Present
AeroLeads people directory · profile
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn Email & Phone Number
AVP of Utilization and Case Management
at
LifeBridge Health
1 work email found
@hcahealthcare.com
LinkedIn matched
✓ Verified Jun 2026
4 data sources
Profile completeness 100%
Current company
Role
AVP of Utilization and Case Management
Location
Baltimore, Maryland, United States
Who is Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn? Overview
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Quick answer
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn is listed as AVP of Utilization and Case Management at LifeBridge Health, based in Baltimore, Maryland, United States. AeroLeads shows a work email signal at hcahealthcare.com and a matched LinkedIn profile for Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn.
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn previously worked as AVP Utilization Review and Case Management at Lifebridge Health and Regional Director of Utilization Review Services, Florida at Hca Healthcare. Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn holds Master'S Degree, Health Care Systems Managment from Loyola University New Orleans.
Company email context
Email format at LifeBridge Health
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*@hcahealthcare.com
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Profile bio
About Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn
20+ years in hospital Utilization and Case Management leadership in acute care and behavioral health settings and Centralized UR development. Extensive use of analytics and KPIs. Strong RN clinical background in critical care with a MSN in Health Care Systems Management, Board Certified Case Manager (CCM) and Certified Managed Care Nurse (CMCN);
Listed skills include Leadership, Powerpoint, Interqual, Public Speaking, and 42 others.
Current workplace
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn's current company
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11 roles
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn work experience
A career timeline built from the work history available for this profile.
Regional Director Of Utilization Review Services, Florida
Jan 2020 - Jun 2023
Vice President Of Utilization Management
Jun 2018 - Jul 2019
Independent Consultant
Consultant for Utilization Management and Interim Director of Case Management
May 2018 - Jun 2018
System Director Of Utilization Management
- Supervise 75+ employees for 1400+ system beds (5 Hospitals)
- Provide oversight of the Denials and Appeals Department
- Coordinates and directs compliance and operational activities related to UM
- Facilitated UM model change to payor based model reducing denials
- Facilitated telecommuting of 75 nurses for the UM DepartmentIncrease productivity by >40%Analysis of data for action planningDevelop standardization of processesProvide Professional Service Review2014 Speaker for.
Apr 2015 - May 2018
Director Of Utilization Management
- Report to VP of Care Management and VP of Revenue Cycle
- Supervise 75+ employees for 1400 system beds (5 Hospitals)
- Provide oversight of the Denials and Appeals Department
- Coordinates and directs compliance and operational activities related to UM
- Facilitating UM model change to payor based reviews.Assisted with the development of a Physician Advisor program
Oct 2013 - Apr 2015
Director Of Case Management
Supervise RN Case Managers responsible for Utilization Review and Discharge Planning for Acute Care and Behavioral Health.Supervise Inpatient Diabetes EducationLOS reduction, appeals for payor denials, maximization of reimbursement, documentation improvement, and transition of care to post acute care services.
Jun 2007 - Sep 2013
Director Of Case Management
Supervised RN Case Managers and Social Workers for Acute Care, Child, Adolescent, Adult and Geriatric Behavioral HealthAnalyze detailed clinical, financial, physician specific and marketing data. AMI/CHF/CAP/TICU/CVA Clinical Team Leader/Project Facilitator for VHA projects and Core Measures. Performed utilization reviews using InterQual (book method) for.
Sep 2001 - Jun 2007
Clinical Case Manager And Educator
Educated/Oriented new staff to Telemetry and Critical Care areasDeveloped EBP orders for CHF, AMI, Stroke, chest pain and nursing pathways from cardiovascular guidelines (AHA/ACC/ASA)Provided education for patients with AMI, CHF and CVAOrganized core AMI and CHF teams to carry out change and improve performance for cardiovascular initiativesTrained in.
Jul 1999 - Aug 2001
Critical Care Rn/Icu/Picu
Cared for surgical (includes open heart surgery), cardiovascular, respiratory and neurologically compromised adults and pediatric patients. Served as charge nurse—delegated tasks and made patient assignments. Relief staff member to surgical and telemetry units and LTAC Provided orientation of new nurses BLS, ACLS and PALS instructor
May 1993 - Aug 2001
Rn Physician Liason
Feb 1999 - Feb 2000
2 education records
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn education
Master'S Degree, Health Care Systems Managment
Loyola University New Orleans
Bachelor Of Science (Bs), Registered Nursing/Registered Nurse
Mcneese State University
FAQ
Frequently asked questions about Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn
Quick answers generated from the profile data available on this page.
What company does Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn work for?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn works for LifeBridge Health.
What is Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn's role at LifeBridge Health?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn is listed as AVP of Utilization and Case Management at LifeBridge Health.
What is Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn's email address?
AeroLeads has found 1 work email signal at @hcahealthcare.com for Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn at LifeBridge Health.
Where is Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn based?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn is based in Baltimore, Maryland, United States while working with LifeBridge Health.
What companies has Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn worked for?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn has worked for Lifebridge Health, Hca Healthcare, American Addiction Centers, Harmony Healthcare—Human Capital Management And Consulting Solutions, and Lee Health.
How can I contact Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn?
You can use AeroLeads to view verified contact signals for Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn at LifeBridge Health, including work email, phone, and LinkedIn data when available.
What schools did Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn attend?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn holds Master'S Degree, Health Care Systems Managment from Loyola University New Orleans.
What skills is Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn known for?
Audrey Cantu-Alves Msn, Rn, Ccm, Cmcn is listed with skills including Leadership, Powerpoint, Interqual, Public Speaking, Epic Systems, Qlik, Conditions Of Participation For Ur, and Nursing Education.
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