Doris Mccann Email & Phone Number

United States

Training, webex presentations, Virtual team building, Specializing in auditing and management training

Memphis, Tn

Manager Utilization Care Management Supervise Inpatient Care management staff. Participate in inpatient care rounds.

Director of Utilization Management, Case Management, Outreach, Pre-certification day to day operations, hiring, staff development, Staff included registered and practical nurses, as well as non clinical staff. Company was contracted with the state of Tennessee and MCO for the state Medicaid program (TennCare). Developed policiies and procedures as per requirements fo the Contract Risk Agreement with the state. Attended and participated in departmental, state and corportate meetings.

Developed and implemented auditing process for evaluation of performance in utilization management and pre certification. Participate in community development of resources for out reach efforts for the Plan. Participate in collaborative projects with other West Tennessee MCO's in order to improve member utilization of EPSDT services. Supervise EPSDT/Out Reach, Utilization Management, Pre-certification, Case Management for TennCare and Medicare Product line. Maintain compliance of UM and Medical Services requirements of Contract Risk Agreement (CRA)

of clinical and office staff that provided billing and EPSDT exams in Memphis City Schools. Developed employee handbook, policies and procedure manual, hired for all positions, discipline, budgets. Supervised all aspects of operations for the company. Increased revenues, achieved a long term contract with the Memphis City Schools and initiated contracts with other counties to provide EPSDT exams to TennCare children.

Area Administrator 4 dialysis clinics, 5 hospital contracts for dialysis services, 100 employees, P&L responsibilities, operations and facility management, government regulations, hiring, staff development

hospital based dialysis unit, acute units Regional Medical Center. Policies and Procedures, JACHO, OSHA, Health Care Facility surveys

Master Of Health Administration, Healthcare Administration, Nursing

Associate Degree Nursing 1973, BSN 1984 MHA 1997 Good healthcare experience, with the educational background as well. Worked for both non.

Bachelor, Science Nursing (Bsn)