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Deborah Sass personal email
Deborah Sass is a Care Coordinator at Baylor Health Care at Baylor Health Care. She possess expertise in healthcare, healthcare management, hospitals, disease management, critical care and 15 more skills.
Baylor Health Care
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Patient Care CoordinatorBaylor Health Care Oct 2013 - PresentThe Heart Hospital- Baylor Plano, TexasResponsible for Coordinating Care for highrisk/complex patients. Collaborates with patient and healthcare team to expedite cost effective treatment. Communicate plan of care to patient and family.Advise healthcare team and provide leadership for outcome managment, disease management and prevention. Arrange and facilitate effective discharge planning for the patient. Facilitate transfers to alternative levels of care. Responsible for Coordinating Utilization Review by providing clinical information to payer. Perform initial,concurrent and retrospective reviews.. Review charts for appropriateness and correct admission status. Communicate with payer sourse and obtain admission and stay certification/recertification. Responsible for communicating with Medical Director.
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Case ManagerTexas Health Resouces Sep 2010 - Oct 2013Texas Health Resoures, Allen, TexasResponsible for UR and Discharge Planning for 78 bed acute hospital. Responsible for determining admission appropriateness and cost effective treatment. InterQual and Milliman proficient. Collaborate with physicians and interdisciplinary team to evaluate and implement cost effective treatment.Responsible for managing department escalated issues, Work closely with CFO regarding reimbursement issues. Responsible for leading , directing CM team of 3 Cm and 2 LMSW. Serve on Quality Managment Committee.Report to VP Quality.
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Case ManagerCirrus Health 2007 - 2010North Texas Hospital/Craig Ranch,Mckinney, TexasDeveloped and implemented hospital Case Managment program to ensure TAC&DNV compliance. developed policies and procedures specific to CM and hospital processes. collaborated with ELT regarding revenue issues. Responsible for exploring strategies to reduce LOS and resource consumption and implement and document results. Supervised,educated and directed RN's and support staff regarding patientcare issues. Responsible for Hospital wide UR and Discharge Planning. Responsible for developing and implementing PI process. Managed dialy issues related to CM process including length of stay and physician specific issues. Coordinated support services needed by patients to achieve quality and cost effective outcomes. Developed HIIM/UR and Nurse advisory Committees. Responsible for RAC Audit preparedness. Developed and presented new hire orientation program. Worked closely with VP Quality regarding compliance, quality and risk managment issues. Report to CEO. -
Quality ConsultantUnited Health Group 2006 - 2007Plano, TexasDeveloped and established Internal Quality audit process, objectives and criteria based on NCQA and URAC accreditation standards. Collaborated with operations. products, training , compliance and quality. Communicated audit plan to all designated functional areas. Conducted audits by reviewing documents, interviewing staff/management and case reviews. Synthesized and analyzed all audit findings. Created quality improvement plan with recommendtations for improvement. Prepared, distributed and presented audit finding to ELT.
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Team Lead/Case ManagerUnitedhealth Group 2003 - 2006Plano, TxManaged team of 5 RN's assigned to three custom accounts with combined membership of 35,000 .Primary resource health advocate for member issues and patient care. Analyzed account performance and effectiveness assessing data and trends. Collaborated with Medical Dire ctorregarding quality and efficiency of care. Assess, evaluated and educate members regarding disease process, benefits and network steerage, Handled account escalated issues, Reviewed client based reports, recommended process changes, track trends and direct team to meet client needs.
Deborah Sass Skills
Deborah Sass Education Details
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Business -
Nurrsing -
Nursing -
Hazelwood
Frequently Asked Questions about Deborah Sass
What company does Deborah Sass work for?
Deborah Sass works for Baylor Health Care
What is Deborah Sass's role at the current company?
Deborah Sass's current role is Care Coordinator at Baylor Health Care.
What is Deborah Sass's email address?
Deborah Sass's email address is de****@****lth.org
What schools did Deborah Sass attend?
Deborah Sass attended Texas Woman's University, Texas Woman's University, Midland College, Hazelwood.
What skills is Deborah Sass known for?
Deborah Sass has skills like Healthcare, Healthcare Management, Hospitals, Disease Management, Critical Care, Acute Care, Inpatient, Managed Care, Emr, Bls, Medicare, Clinical Research.
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