Tracy Simerson
Kill Devil Hills
Summary
Dynamic System Manager of Case Management at East Carolina University Health System, proficient in LEAN Management and staff development. Spearheaded innovative care coordination strategies, resulting in 30% reduction in length of stay. Established a proven track record in regulatory compliance and quality improvement, cultivating a culture of excellence and collaboration among multidisciplinary teams.
Overview
24
24
years of professional experience
1
1
Certification
Work History
System Manager of Case Management
East Carolina University Health System
Greenville
04.2024 - Current
- Managed a team of 26 social workers and registered nurses to optimize case management processes at ECU Health Greenville and ECU Health North.
- Implemented innovative strategies to enhance patient care coordination and reduce hospital readmission rates.
- Oversaw transitional care, physician education, peer performance evaluations, and centralized authorizations while coordinating with payers.
- Collaborated with departments Managed Care, Nursing, Business Development, and Physicians for quality patient care.
- Structured ongoing employee professional development programs, including certifications and further education aligned with annual goals.
- Initiated complex case manager program focused on long LOS patients, resulting in improved revenue over six months.
- Transitioned travel case managers to full-time staff, saving North Hospital $200,000 annually by reducing reliance on contracted labor.
- Facilitated monthly one-on-one meetings and biweekly group discussions to decrease staff turnover and improve morale.
- Coordinated interdisciplinary team meetings to enhance patient care strategies.
- Streamlined documentation processes to ensure compliance with healthcare regulations.
Manager of Case Management
ECU Outer Banks Hospital
Nags Head
11.2023 - 04.2024
- Company Overview: (Critical Access Hospital)
- Supervised a dedicated team of social workers across the hospital, enhancing patient care from the Emergency Department to Medical-Surgical units.
- Implemented streamlined case management processes, improving patient flow and reducing discharge times by 20%.
- Collaborated with multidisciplinary teams to address the unique health needs of a seasonal population, ensuring quality care year-round.
- (Critical Access Hospital)
Assistant Manager of Case Management
Holy Cross Hospital (Trinity Healthcare)
Ft Lauderdale
08.2021 - 10.2023
- Company Overview: 559 – bed full service care hospital
- Managed a team of 52 direct reports in the Care Coordination/Case Management Department, enhancing operational efficiency.
- Directed departmental operations, ensuring adherence to quality objectives and regulatory requirements.
- Collaborated with multidisciplinary teams to optimize patient care and reduce readmissions, contributing to improved patient outcomes.
- Increased transitional care satisfaction scores by formulation a folder that patients receive at time of admission when the CM introduces themselves to the patient that includes CM phone number and a brochure of case management services.
- Developed a complex case manager role to assist with long length of stays this position reduced LOS by 30% in 2022.
- Improved readmission rates by launching proactive discharge planning calls.
- 559 – bed full service care hospital
Case Manager
Duke University Hospital
Durham
06.2018 - 08.2021
- Company Overview: 957 bed full service care hospital
- Responsible for utilization review, discharge planning, IMM/MOON delivery, and peer to peer coordination.
- Coordinated continuum of care activities for patients, ensuring optimal resource utilization and compliance with regulations.
- Facilitated timely discharge planning and follow-up care, enhancing patient outcomes and satisfaction.
- Analyzed denial data to develop processes that improved reimbursement rates by 15%.
- Collaborated with healthcare teams to document and report on compliance, quality improvement, and resource utilization.
- 957 bed full service care hospital
Case Manager
Roper Hospital
Charleston
11.2012 - 06.2018
- Company Overview: 332 – bed full service care hospital
- Managed a caseload of 20-23 adult patients in a general medicine/nephrology unit at Roper Hospital.
- Provided comprehensive education to patients and families on treatment plans and community resources.
- Collaborated with multidisciplinary teams to streamline discharge planning.
- 332 – bed full service care hospital
Case Manager
Encompass Hospital
Anderson
03.2011 - 10.2012
- Managed a caseload of 20-23 patients, ensuring optimal rehabilitation outcomes through effective resource utilization.
- Advocated for patients from admission to post-discharge, facilitating communication between interdisciplinary teams.
- Oversaw fiscal management and payer relations, ensuring cost-effective treatment while adhering to patient rights regulations.
Marketing Director of Admissions
Grace Healthcare Skilled Nursing Facility
Asheville
05.2010 - 03.2011
- Managed the admissions process and occupancy levels for a skilled nursing facility, ensuring optimal patient care.
- Developed and implemented targeted sales and marketing plans, resulting in increased community engagement.
- Maintained a comprehensive database of medical contacts, enhancing referral efficiency and network growth.
Case Manager
New Hanover Regional Acute Rehab Hospital
Wilmington
04.2008 - 05.2010
- Managed complex cases for Traumatic Brain Injury patients, ensuring tailored discharge plans.
- Provided essential counseling and resources to patients and families, enhancing their understanding of care options.
- Led a TBI Support Group for Eastern North Carolina, fostering community support and resilience.
Social Worker/Maternity Care Coordinator
Brunswick County Health Dept
Bolivia
01.2006 - 04.2008
- Provided comprehensive case management services to women during and after pregnancy, promoting healthy outcomes.
- Assisted clients in accessing Medicaid, enhancing community awareness of expanded benefits.
- Developed individualized care plans based on client assessments, ensuring continuity of care and resource access.
Emergency Room Case Manager
Duke Raleigh Hospital
Raleigh
03.2003 - 04.2008
- Company Overview: 186 bed full service hospital
- Provided comprehensive counseling and resources to patients and families, enhancing their understanding of care options.
- Developed and implemented effective discharge plans, ensuring smooth transitions for patients’ post-hospitalization.
- Conducted psychiatric dispositions and coordinated placements to local hospitals, optimizing patient care pathways.
- 186 bed full service hospital
Social Worker
Wayne County DSS
Goldsboro
01.2002 - 03.2003
- Delivered in-home services to at-risk children, ensuring their safety and well-being.
- Conducted thorough investigations on reports of abuse, neglect, or dependency during on-call rotations.
- Collaborated with multidisciplinary teams to develop intervention plans, enhancing child welfare outcomes.
- Achieved a 20% reduction in repeat cases through proactive engagement and support strategies.
Education
Bachelor of Social Work -
Meredith College
Raleigh, NCMaster of Social Work -
USC Columbia
Columbia, SCSkills
- LEAN Management
- Performance Monitoring
- Staff Development
- Data Analysis
- Regulatory Compliance
- Budget Management
- Quality Improvement
Affiliations
Member at Large with the NC ACMA Chapter
Certification
- ACMA – SW
- CMSW – NC
- Lean Management
References
Available upon request
References
References available upon request.
Timeline
System Manager of Case Management
East Carolina University Health System
04.2024 - Current
Manager of Case Management
ECU Outer Banks Hospital
11.2023 - 04.2024
Assistant Manager of Case Management
Holy Cross Hospital (Trinity Healthcare)
08.2021 - 10.2023
Case Manager
Duke University Hospital
06.2018 - 08.2021
Case Manager
Roper Hospital
11.2012 - 06.2018
Case Manager
Encompass Hospital
03.2011 - 10.2012
Marketing Director of Admissions
Grace Healthcare Skilled Nursing Facility
05.2010 - 03.2011
Case Manager
New Hanover Regional Acute Rehab Hospital
04.2008 - 05.2010
Social Worker/Maternity Care Coordinator
Brunswick County Health Dept
01.2006 - 04.2008
Emergency Room Case Manager
Duke Raleigh Hospital
03.2003 - 04.2008
Social Worker
Wayne County DSS
01.2002 - 03.2003
Bachelor of Social Work -
Meredith College
Master of Social Work -
USC Columbia
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