Dan Cavanagh Email & Phone Number

Albany, New York, United States

• Clinical Team Lead (2018-2021): Led a newly-created team of case managers for a dedicated national account.• Precepted case managers and team leads in proper workflows and best practices.• Identified cost savings opportunities for members based off of benefits package, level of care, and network level of providers.• Performed prior authorizations for network deficiencies, transitions of care, and homecare.• Evaluated healthcare needs, goals for treatment and available resources of each member and connected to optimal providers and care.• Remained knowledgeable in CPT and ICD-10 coding principles, government regulations and third-party billing rules.

• Provided support, education and care coordination for Commercial, Medicare Advantage, and Medicaid members.• Engaged in an initiative to reduce readmissions for Medicare and Commercial members through intensive case management upon discharge.• Preauthorized services for Medicaid members under the Long Term Services and Support Program.• Participated in local community outreach programs in underserved areas.

• Provided education, care coordination and support for National Account members (Fortune 500), and their families.• Precepted and mentored new case managers.• Authorized requests for inpatient admissions utilizing clinical judgment, reviewing corporate policies and applying Milliman Care Guidelines.• Implemented care plans by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

Albany, New York, United States

• Charge Nurse: Responsible for management of patient flow and staff assignments.• Aided in the development of a Center for Orthopedic Excellence in Surgery (HealthGrades).• Coordinated patient care with health care providers and case managers until discharge.• Minimized patient length of stay via appropriate planning and implementation of evidenced-based practices.• Floated to units in need: Pediatrics, Oncology, Cardiac, Med-Surg.

Bachelor Of Science - Bs, Biology

Associate Of Arts And Sciences - Aas, Registered Nursing/Registered Nurse