Clinical reviews based on Interqual criteria. Admission reviews completed within 24 hours of patient presentation. Completing “MOON” forms and notifying patients of admission status changes prior to hospital discharge. Assisting with “ Condition Code 44” notifications. Collaborate with social services in appropriate disposition. Utilization management documentation via MIDAS software with application into CERNER EMR.Work with other providers in delivering excellent patient care.

Utilization management for admission and continued patient stay. Monitoring accurate admission status, i.e., observation, outpatient in a bed, and inpatient.Collaboration with social service in discharge planning with after hospital services: home health care, LTACH, hospice, subacute and long term care placement, assisted living, homeless shelter referrals, interfacility transfers, etc.Physician and employee engagementWorking to improve HCAPS scoresEnsuring patient advocacy

Early retirement from this position in December 2012Critical care nursing in neuro and cardiac ICUCase Management: May 2001 to December 2012.June 1989-1999: Critical care staff RN in neuroscience 2000-2001: Assistant Clinical Manager ICU2001-2012: Case Manager