Diane Raines Email and Phone Number
Fischer, TX, US
Diane Raines's Location
Fischer, Texas, United States, United States
Diane Raines's Contact Details
Diane Raines work email
- Valid
- Valid
Diane Raines personal email
n/a
About Diane Raines
Experienced Director of Care Coordination. Implemented department restructure, CMS compliance, training and education, and revenue cycle management. Regional oversight of multiple facilities. Case Manager (ACM-RN) with a demonstrated history of leadership in the hospital & health care industry. Skilled in Public Speaking, Healthcare Information Technology (HIT), Acute Care, and Critical Access. Strong community and social services professional with a Bachelor of Science (BS) focused in Nursing Science from The University of Texas Arlington and a paralegal degree from American River College.
Diane Raines's Current Company Details
Commonspirit Health
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Case Management and Social Services
Fischer, TX, US
- Website:
- commonspirit.org
- Employees:
- 43890
Diane Raines Work Experience Details
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Case Management And Social ServicesCommonspirit HealthFischer, Tx, Us
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Interim Director Care CoordinationDignity Health Southern CaliforniaFischer, Tx, Us -
Interim Director Care CoordinationYavapai Regional Medical Center Nov 2024 - PresentPrescott, Az, UsServing in Common Spirit leadership team at Yavapai Regional Medical Center in Prescott, AZ. -
Director Of Case ManagementBrundage Group Oct 2024 - PresentPinellas Park, Florida, UsHospital leadership, Director of Case Management and Social Services -
Experienced LeadershipGhr Healthcare Mar 2022 - Oct 2024Blue Bell, Pennsylvania, Us -
Interim Director Care CoordinationDignity Health California Dec 2023 - May 2024Glendale, Ca, UsInterim Director Care Coordination: Responsible for management of care coordination and social services, and support of the organization’s strategic plan and goals for the department. Provides support the implementation of alignment of hospital with Common Spirit strategic plan. Realign staffing to correspond to new implementation of Utilization Review Hub. Responsible for oversight of UM Committee and LOS Steering committee. -
Interim Director Care ManagementIsland Health Sep 2023 - Dec 2023Anacortes, Wa, UsInterim Director of Care Management and Social Services. Responsible for overall direction and management of care coordination for a rural facility, including clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent reviews. -
Interim Director Care CoordinationDignity Health Southern California Jun 2023 - Sep 2023Glendale, Ca, UsInterim Director of Care Coordination, Responsible for overall direction and management of case management and social services for 385 bed facility, including clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent reviews.Supports the organization's strategic plan and the goals and direction of the PerformanceImprovement Plan. Works closely with all departments at the Medical Center and the post-acute service providers to streamline the patient transition through the health care system and into the community post discharge.
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Director, Case Management, St Joseph Eureka And Redwood Memorial FortunaProvidence Sep 2022 - Apr 2023UsInterim Director of Case Management and Social Services. Responsible for overall direction and management of care coordination for a 140-bed facility, including clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent reviews. Oversight of remote critical care access hospital. -
Director Care CoordinationDignity Health Southern California Mar 2022 - Aug 2022Glendale, Ca, UsInterim Director of Care Coordination, Responsible for overall direction and management of care coordination and social services for a 342 bed facility, including clinical resource management, discharge planning activities, patient advocacy, clinical social work and best practice in medical necessity determination and concurrent reviews. Supports the organization’s strategic plan and the goals and direction of the Performance Improvement Plan. Works closely with all departments at the Medical Center and the post-acute service providers to streamline the patient transition through the health care system and into the community post discharge.
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Supervisor, Care CoordinationPacifica Hospital Of The Valley Jul 2020 - Mar 2022Los Angeles, Ca, UsPacifica Hospital of the Valley 9449 San Fernando Road Sun Valley, CA 91352 August 2020 – PresentSupervisor, Acting Director, Patient Care Coordination: Provides leadership and supervision to Case Management, Discharge Planning, and Social Services staff. Responsible for orchestration of case management programs and utilization review in accordance with current federal, state, and local standards, including The Joint Commission and CMS regulations. Provides input into strategic financial revenue decisions. Leads all appeal efforts, including chart summaries, and plan of care documentation. Developed, authored, and implement policies and procedures for the Case Management and Social Work departments. Responsible for overseeing Case Managers, Authorization Coordinators, Transfer Center, and TAR Analysts. -
Case ManagerHenry Mayo Newhall Hospital May 2017 - Jul 2020Valencia, Ca, UsRegistered Nurse, Case Manager, Utilization Review, Complex Case Management, Lead Case Manager: As a senior member of the interdisciplinary team, coordinates patient care and utilization review. Functions as resource to patient, family, nursing units, and other members of the interdisciplinary team. Acts as a liaison between insurance companies, medical groups, and community resources to ensure efficient use of resources and optimal patient outcomes, by utilizing clinical knowledge, necessary medical, regulatory requirements, and standards of care. -
Care ManagerGlendale Adventist Medical Center - Wilson Terrace Sep 2015 - Jul 2020Leads a multidisciplinary team across the continuum of care to initiate, implement and coordinate all aspects of the utilization management and discharge planning function from admission through post-discharge for an assigned patient population. Primary focus on the severity of illness of patients and intensity and appropriateness of medical services required during an inpatient stay. · Additional functions include planning, implementation, and evaluation of plans of care as well as ongoing concurrent monitoring of appropriateness of that care in conjunction with hospital and community resources.
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Medical WriterCinahl Information Systems Dec 2013 - May 2017Glendale, California, UsAuthor, update, review, and edit nursing education modules using systematic literature searches. Update resources in APA format. Formulate review questions to verify assimilation of educational materials, and validate competencies. -
Rn Neuro UnitGlendale Adventist Medical Center Apr 2011 - Sep 2015Roseville, Ca, UsPrimary care of patients on a 1:4 ratio and 1:3 ratio for DOU level acuity with neuro and cerebrovascular disorders, seizure disorders, traumatic brain injuries, central nervous system tumors and infections, degenerative disorders, autoimmune disorders, and pre- and post-neurosurgical conditions. Float to other telemetry neighborhoods as assigned. Supervise staff and maintain appropriate staffing ratios. Resource nurse and customer service. CPOE superuser: Instruct physicians and staff in new computer physician order entry system.
Diane Raines Skills
Nursing
Healthcare
Bls
Inpatient
Acls
Healthcare Management
Emr
Critical Care
Clinical Research
Acute Care
Nihss
Nlp
Legal Research
Healthcare Information Technology
Public Speaking
Diane Raines Education Details
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The University Of Texas At ArlingtonNursing Science -
College Of The CanyonsRegistered Nursing/Registered Nurse
Frequently Asked Questions about Diane Raines
What company does Diane Raines work for?
Diane Raines works for Commonspirit Health
What is Diane Raines's role at the current company?
Diane Raines's current role is Case Management and Social Services.
What is Diane Raines's email address?
Diane Raines's email address is dr****@****tal.com
What schools did Diane Raines attend?
Diane Raines attended The University Of Texas At Arlington, College Of The Canyons.
What are some of Diane Raines's interests?
Diane Raines has interest in Science And Technology, Environment, Arts And Culture.
What skills is Diane Raines known for?
Diane Raines has skills like Nursing, Healthcare, Bls, Inpatient, Acls, Healthcare Management, Emr, Critical Care, Clinical Research, Acute Care, Nihss, Nlp.
Who are Diane Raines's colleagues?
Diane Raines's colleagues are Joel James, Wendy Combs, Ph.d., M.s., Pmp, Kathy Krebs-Dean, Mph, Ma, Jennifer Llapa, Beth Miller, Jason Marsh, Kathleen Hutti.
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