Paula Fletcher work email
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Paula Fletcher personal email
Paula Fletcher is a Case Manager/Utilization Review Nurse at Palms West Hospital.
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Concurrent Review Nurse/ Utilization ReviewSunshine Health Sep 2012 - Feb 2015Palm Beach County, FlUtilization review for Medicaid/Medicare insurance company in acute and skilled nursing facilitiesLiaison between members, Doctors, nurses, case managers, and insurance company to assure quality of care.Coordination of benefits for optimum healthcare in an inpatient/outpatient settingDocumentation of hospital care of member using McKesson -
Qa/UrDane Street Mar 2012 - Jun 2012Palm Beach Gardens, FlQA/UR for a workman comp insurance company.Submission of claims for paymentCase reviews with plan's Medical Director -
Ur Field NurseCoventry Health Jun 2007 - Sep 2011Insurance reviews in acute care setting * Daily report to Medical Directors* Referrals to disease management programs* Discharge planning
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Admissions/Marketing DirectorJupiter Care Center Jan 2007 - May 2007Performed preadmission screenings* Admission of patients to SNF * Conducted Insurance Reviews* Procured new referral sources
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Medicare Case ManagerDarcy Hall Of Lifecare Feb 2006 - Aug 2006Preadmission screenings * Care Planning/UR* Discharge planning/Disease management, community service referrals * Follow up calls to ascertain completion of services ordered to maintain continuity of care in the home
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Weekend Case Manager/Discharge Planner Per DiemJfk Medical Center Nov 2003 - Feb 2006Responsible for admissions, continued stay reviews using Interqual criteria* Insurance reviews to obtain authorizations for admit, continued stay * Liaison between Doctors, nursing staff, insurance companies, patients and families to insure continuity of care* Discharge planning, community and disease management referrals and procurement of needed items, services or SNF's post discharge
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Utilization Review Nurse/Care Benefit CoordinatorBlue Cross Blue Shield Oct 2000 - Sep 2005Conducted insurance reviews in acute setting using Interqual criteria* Liaison between Doctors, hospital case managers, patients, families and insurance company to assure quality of care.* Discharge planning and referrals to disease management programs, community resources as needed for health maintenance
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Admissions Director/Case Manager/MarketerFlorida Healthcare Management Jul 1998 - Sep 2000Preadmission screenings, placement assessments, referral follow-ups.* Liaison between hospitals, Doctors, insurance companies, patients and families.* Case management/discharge planning for all admitted short term residents Marketer for a SNF, ALF and Rehab Center in the Palm Beaches.
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Independent Wound Care ConsultantAlterna Healing Arts Jul 1997 - Jun 1998Weekly in-house consultation in 4 LTC facilities in South. FL. * Implementation of wound care program, treatment modalities, and state required documentation * Coordination and procurement of DME supplies* Involved in UR and QA meetings in each facility * Development of marketing strategies for new comprehensive wound management program, as well as implementation and training program, targeting outcomes and cost management. * Conduction of clinical case studied for innovative new products, as well as collection of data for a national incidence and prevalence census.
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Clinical Nurse ManagerChrysalis Healthcare Mar 1997 - Jul 1997Development of in-house wound clinic in LTC facility * Introduction of hyperbaric therapy and use of laser doppler assessment to local physician's group as an adjunctive treatment modality resulting in the increase of wound healing by 11%* Implementation of training course for new nursing staff and physical therapist-speeding assessments and establishing a consistent cohesive documentation system exceeding present required standards
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Clinical Specialist/ConsultantEnterprise Medical Group Feb 1995 - Mar 1997Development of a comprehensive data collection system for DME * Coordination of clinical data and medical supplies for 14 SNF's in 4 states.* Monthly in-house wound consultation in 13 facilities* Development of training and educational programs * QA/UR in nursing departments for all facilities
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Treatment Nurse/Charge NurseDarcy Hall Of Lifecare Feb 1990 - Feb 1995
Paula Fletcher Skills
Paula Fletcher Education Details
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Florida Risk Management InstituteCase Management -
North Technical Educational CenterNursing
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Nursing Education
Frequently Asked Questions about Paula Fletcher
What is Paula Fletcher's role at the current company?
Paula Fletcher's current role is Case Manager/Utilization Review Nurse at Palms West Hospital.
What is Paula Fletcher's email address?
Paula Fletcher's email address is pf****@****tal.com
What schools did Paula Fletcher attend?
Paula Fletcher attended Florida Risk Management Institute, North Technical Educational Center, Palm Beach State College.
What skills is Paula Fletcher known for?
Paula Fletcher has skills like Wound Care, Case Managment, Utilization Review, Marketing, Admissions, Internet Friendly, Computer Proficiency, Cpr Certified, Iv Certified, Medicare, Healthcare, Nursing.
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Paula Fletcher
Greater Minneapolis-St. Paul Area -
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