Marie Foster
Bath
Summary
Dynamic Utilization Manager at Gentiva with a proven track record in resource efficiency and strategic decision-making. Successfully developed internal processes that enhanced departmental efficiency and optimized patient care. Adept at data analysis and fostering collaborative environments, ensuring compliance with healthcare regulations while mentoring new team members for improved performance.
Overview
10
10
years of professional experience
Work History
Utilization Manager
Gentiva
05.2022 - Current
- Established strong working relationships with branches, effectively advocating for patients while remaining within contracted PPD rates.
- Collaborated with interdisciplinary teams to develop effective care plans tailored to individual patients'' needs.
- Provided training and mentorship to new team members, fostering a collaborative work environment focused on achieving departmental goals.
- Developed internal policies and procedures related to utilization management, resulting in improved efficiency throughout the department.
- Identified gaps in service delivery and recommended improvements to optimize resource utilization and quality of care.
Case Manager, PCM, Triage Nurse, Weekend Admin
Gentiva
11.2018 - 04.2022
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Collaborated with multidisciplinary teams to address client needs and formulate individualized patient care.
- Counseled patients via telephone according to established guidelines and protocols, advising on provider-established plans of care.
- Maintained accurate patient records, ensuring thorough documentation of triage assessments and treatment plans.
- Piloted innovative staffing models designed not only to meet patient needs but also boost employee engagement and satisfaction.
- Oversaw day-to-day operations of the department, ensuring seamless coordination between all members of the care team.
Urology Clinic Nurse
Carolina East Medical Systems
05.2015 - 10.2018
- Educated patients, families and caregivers about conditions and treatments.
- Maintained detailed documentation of patient records, ensuring compliance with regulatory requirements.
- Educated patients on disease prevention and management, promoting healthy lifestyle choices.
- Assisted physicians during examinations and procedures, providing expert clinical support as needed.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
Education
Associate of Science - Registered Nurse
New Hampshire Communication College
Claremont, NH05-2005
Skills
- Resource Efficiency
- Deadline-Oriented Planning
- Attention to Detail in Documentation
- Strong Time Management Skills
- Strong Technical Computer Skills
- Knowledge of Healthcare Regulations
- Process improvement strategies
- Data analysis
- Experienced in Project Execution
- Critical Thinking Skills
Timeline
Utilization Manager
Gentiva
05.2022 - Current
Case Manager, PCM, Triage Nurse, Weekend Admin
Gentiva
11.2018 - 04.2022
Urology Clinic Nurse
Carolina East Medical Systems
05.2015 - 10.2018
Associate of Science - Registered Nurse
New Hampshire Communication College
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