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I have worked as a nurse in healthcare for 30 years. My experiences have led me to gain expertise in back end revenue cycle with front end applications, payor relations, clinical appeals, care management, ICU, ER, and Surgery, and have allowed me to work with some of the industry's best caregivers and brightest minds.My recent experience as a clinical appeals specialist has given me the opportunity to observe the back end of the revenue cycle and develop a strategic business model addressing hundreds of millions of dollars at risk annually.My desire is to pursue my leadership passion to create right relationships in healthcare, from payor to provider, so that healthcare providers and the community are sustained for years to come.I have attached my resume below for your evaluation.
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Davinci Service Line Lead And Team SupervisorTrinity Health Oct 2023 - Aug 2024Muskegon, Michigan, United StatesdaVinci certified robot coordinator.In charge of maintaining and assisting in expanding the daVinci program with a goal to expand the program from one to four robots in the Surgery department. Oversight given with recommendations pertaining to: professional practice limitations, supply issues, professional education, agenda items for discussion at robot steering committees, and short/long range goal considerations for program expansion. Facilitated communication with physician practice and hospital scheduling departments. Maintained and defined collaborative relationships with the daVinci rep, hospital and private practice schedulers, and Sterile Supply (SPD), as well as developing ongoing physician relationships and managing physician preference cards. Ensured that needed new equipment and implants were cleared by purchasing, ordered, and ready by day of surgery. Implemented new process for achieving max utilization with the robot through short term notices of availability, streamlining robot related Gyn, Urogyn, Urology, and Thoracic cases; and installing new space for robot related equipment in the center core storage.Facilitated timely start of robot cases by providing extra nurse coverage, crewing rooms with orderlies, and aiding in communication with SPD for exchange of contaminated instrument trays.Also had responsibility of overseeing the General Surgery service line.Responsibilities include: Ensuring needed new equipment and implants were cleared by purchasing, ordered, and ready by day of surgery. Maintaining physician relationships, managing preference cards, and facilitating timely start of cases by providing extra nurse coverage, crewing rooms with orderlies, and aiding in communication with SPD for exchange of contaminated instrument trays. -
Clinical Payment ResolutionTrinity Health (Hq Michigan) Feb 2021 - Oct 2023Back End Revenue Cycle and Appeal writing: DRG and Medical NecessityPayor relations: Communication, diagnostic definitions, and payment escalationProcess development and training manual for DRG appealsEducational resource Development of strategic business model addressing at risk dollars totaling more than $1B with a projected savings of greater than $345M. -
Care Manager: Advanced Heart Failure ClinicPriority Health Sep 2018 - Feb 2021Greater Grand Rapids, Michigan AreaBuilding relationships to facilitate mentoring and lifestyle training for the prevention, treatment, and management of those who suffer from advanced heart failure. -
Care Manager: Congestive Heart FailureSpectrum Health Jan 2018 - Sep 2018Grand Rapids, MichiganCare manager for patients with Congestive Heart Failure -
Rn: Or, Icu, ErMercy Health Jun 1997 - Dec 2017Clinical Informatics, Surgery, Icu, Er -
RnBaptist Health System May 1995 - Jun 1997Er, IcuSan Antonio, TX -
RnSpectrum Health May 1992 - Jun 1993Icu
Paul Copeland Skills
Paul Copeland Education Details
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3.97 Gpa -
Registered Nursing/Registered Nurse
Frequently Asked Questions about Paul Copeland
What is Paul Copeland's role at the current company?
Paul Copeland's current role is DaVinci Service Line Lead and Team Supervisor.
What is Paul Copeland's email address?
Paul Copeland's email address is pa****@****lth.org
What is Paul Copeland's direct phone number?
Paul Copeland's direct phone number is +161683*****
What schools did Paul Copeland attend?
Paul Copeland attended Cornerstone University, Grand Rapids Community College.
What are some of Paul Copeland's interests?
Paul Copeland has interest in Leadership, Snowboarding And Cross Country Skiing, Mountain And Road Biking, Discipleship, Evangelism, Christian Worldview, Backpacking And Canoeing, Hunting And Fishing.
What skills is Paul Copeland known for?
Paul Copeland has skills like Icu, Emergency Room, Inpatient, Emr, Acute Care, Ehr, Bls, Telemetry, Acls, Critical Care, Nursing Education, Patient Education.
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