Denise Sisson Email and Phone Number

Manage and prioritize a caseload of patients in the SNF setting remotely, partnered with United Health Group. Provides continued stay authorizations and medical necessity reviews based on Medicare Guidelines. Collaborates with the interdisciplinary team to facilitate early and safe discharge planning for patients in the skilled nursing facility using Home & Community’s proprietary and evidence-based functional assessment. Provides support and telephonic engagement with patients and their families to facilitate safe discharge planning, optimize the patient experience and prevent readmissions. Proficient with Microsoft Office and Medicare guidelines

RN Care Coordinator partnered with a local hospital managing a large caseload of patients for the Medicare BPCI-A program (bundled payments for care initiative). Autonomously oversaw and managed patients using a data driven proprietary tool to coordinate an optimal transition plan. Collaborated with the interdisciplinary team to plan, implement and monitor healthcare needs to promote effective outcomes. Engaged with patients and providers telephonically after discharge to assess the effectiveness of the transitional care plan, provide resources and education to patients and caregivers to reduce hospital readmissions. Used Microsoft Office programs heavily on a daily basis.

Provided all aspects of care and rehabilitation in a cardiac ICU setting including recovery of open heart patientsDelivered care for complex patients in an ICU setting including mechanical ventilation, hemodynamics, management of shock, multi system organ failure and patients with complex multiple medical problemsCritical decision making in a fast paced environment providing ACLS care during emergent situationsAssisted physicians with multiple procedures including administration of moderate sedationManagement of IABP, CVVH, Rotorest beds and specialty bedsPost cardiac arrest hypothermia careTrained nurses and physicians during conversion from paper to Meditech computer chartingPrior two years experience in telemetry nursing and relief charge nursing in a 36 bed unitProficient in Core Measures Provided patients and families with teaching, empathetic and compassionate care including initiation of comfort care measuresCollaborated with all members of the healthcare team and had excellent working relationships with physicians