Mary Jo Everson, Rn Email & Phone Number

Columbus, OH, US

Dublin, Ohio, United States

Columbus, Ohio Area

• Overhauled departmental metrics and KPI process, creating a specialized team that took over day-to-day operations of identifying areas for improvement, drives department and organizational goals setting, and developing.
• Doubled call columes with payer companies and increased revenue 4x to $16M by working closely with payers to standardize and reduce arbitrary calls and moving to a scheduled call process, allowing for 3 new physician.
• Increased payer involvement and doubled physician productivity by streamlining processes and creating administrative roles
• Conducted root cause analysis, case audits, and facilitated multiple cross-functional projects
• Trained staff to utilize multiple EHRs including Epic, McKesson, Citrix, Paragon, Meditech, and Milliman Care Guidelines (MCG) which streamlined workflows and more robust reporting capabilities
• Chosen for 4-month Emerging Leader Training to develop leadership within OhioHealth

Columbus, Ohio Area

• Maintained productivity of 9+ inpatient cases per hour while maintaining a high accuracy rate. Reviewed initial denials from payers, including medical necessity, length of stay, retrospective, and administrative..
• Participated in a team that decreased Inpatient Only Procedure misses by 43% in one fiscal year
• Analyzed cases denied by payer and determined if cases were clinically strong enough for peer to peer or appeals by the physician advisor team
• Reviewed outpatient and inpatient surgeries utilizing the correct CPT Code according to CMS guidelines
• Expert in the application of Milliman Care Guidelines (MCG), a medical necessity review criteria tool.
• Supports the development of performance improvement strategies in response to identified patterns and trends involving government payers

Columbus, Ohio Area

• Collaborated to establish an experimental nursing unit that shortened patient stay by 1 day compared to the national average, maintained patient satisfaction scores in the top 99%
• Participated and worked on numerous continuous improvement projects for the unit including early sepsis detection, reducing patient falls, and developing patient education process
• Precepted new graduate nurses to the unit
• Member of Shared Governance Committee and of Education Committee

Toledo, Ohio Area

• Provided vigilant care in assessing acute stroke and oncology patients and identified physical decline and improvement
• Trained to access implanted ports
• NIH Stroke Certified
• Geriatric Certified Nurse
• Administered blood products and chemotherapy products
• Floated and worked on Ortho Unit, Medical Behavior Health Unit, Cardiac Unit, and Infusion Clinic on a regular basis

Master Of Healthcare Administration

Bachelor Of Science In Nursing

Activities and Societies: National Student Nurse Association, President of Toledo Campus Ministry