MORROW, RN 8409 Squad Drive n n n (614) 309-8549 Galloway, Ohio 49119 lmff2bb8@westpost.net
CASE MANAGER : STAFF NURSE
OFFER SOLID EXPERIENCE MANAGING HIGH-VOLUME CASELOADS WITH OPTIMAL QUALITY OF CA RE Two-Time OhioHealth Prism Award Winner | Achieved Lowest Length-of-Stay | Ef fective Trainer & Mentor Proven record of success managing cases throughout the continuum of care, determ ining appropriate statusa"inpatient, observation, or outpatienta"and ensuring co mpliance with protocols, clinical care orders, and insurance provisions. Cultiva te collaborative relationships with internal and external process stakeholders i ncluding patients, clinicians, insurance representatives, and referral partners providing extended care post-discharge. Possess undergraduate degree in nursing. EXPERIENCED INa a- Protocol Development a- Utilization Review a- Patient Education a- Direct Care a- Rounding & Transcribing a- Orthopedic Radiograph Interpretation a- Staff Training a- Relationship Management a- Insurance Coordination a- Peer-to-Peer Reviews a- Paperless Charting EXPERIENCE & CONTRIBUTIONS OhioHealth a" Columbus, Ohio 1992-2001 & 2004-2010 Case Manager, Doctoras West Hospital (2005-2010) Floor Nurse & Case Manager, Grant Medical Center (2004-2005) Managed a caseload averaging 15-25 patientsa"with up to 40 patients on high-volu me daysa"ensuring best practices-based care by following patients from the time of admission through discharge. Conducted utilization reviews on a daily basis, maximizing reimbursement by ensuring patientsa length of stay and related servic es aligned with their benefits. Maintained open communications with insurance co mpanies to gain authorization for lengths of stay. Reviewed patientsa status and verified the accuracy of records at all times in OhioHealthas paperless medical records system. a- Made recommendations for continuous improvement and protocol development, ide ntifying recordkeeping inaccuracies and noncompliant procedures, and alerting ph ysicians and staff nurses to key concerns. a- Immediately recognized when patients no longer met criteria for services, exp editing discharge planning within allowed length of stay to ensure optimal patie nt care and reimbursement. a- Facilitated peer-to-peer reviews to gain authorization for previously denied services, working with physicians and insurance representatives to relay patient facts and the medical necessity of service requests. a- Served as a ago-toa resource for all staff, gaining a reputation as a subject matter expert (SME) in the case management arena; built exceptional working rel ationships with peers, quickly gaining their trust and respect. a- Achieved the lowest length-of-stay in Doctoras Hospitala"below the national a veragea"by effectively managing patient cases, swiftly identifying and changing patient status, and facilitating proactive internal communications. Case Manager, Grant Medical Center, Ohio Orthopedic Institute (1996-2001) Coordinated information management and patient education from admission to disch arge, collaborating with multidisciplinary teams to facilitate appropriate and b est-in-class patient care. Performed utilization reviews for orthopedic and EENT patients, working with payors to secure approvals and ensure patient length of stay fell within benefit criteria. a- Deployed care plans according to physician orders and established protocol, o rdered transcription, and facilitated daily communications with all members of t he patient care team to fuel case management activities. a- Ensured complete regulatory compliance with hospital policies, procedures, an d protocols, interacting with key hospital personnel to isolate opportunities fo r improved awareness and training. a- Participated in Grant Orthopedic Day by teaching and demonstrating best pract ices in dressing changes for total knee arthroplasty. LAURA D. MORROW (614) 309-8549 lmff2bb8@westpost.net n Page Two n EXPERIENCE & CONTRIBUTIONS aContinueda Charge & Staff RN, Grant Medical Center (1992-1996) Oversaw the delivery of care throughout the Orthopedic Unit while also serving a s a staff RN in the recovery room on a contingent basis. Managed any staff or pa tient-related issues that arose, ensuring best practices-based care throughout t he unit. Coordinated protocol and processes throughout the continuum of care fro m admission through discharge. a- Won an OhioHealth Prism Award for providing exceptional support to the unit, demonstrating an unyielding desire to go above and beyond to positively impact p atient care and staff relations. Mount Carmel New Albany Surgical Hospital a" New Albany, Ohio 2004 Case Manager Served as one of the original team members charged with preparing the staff for the launch of this 42-bed community-based surgery center. Developed and facilita ted in-depth training programs to ensure team members were equipped with the kno wledge of best practices to support Orthopedic, Neurology, and Physical Medicine professionals and patients. Contacted home health agencies, rehabilitation and extended care facilities, and DME suppliers to coordinate resources for patients . a- Trained staff on all post-operative protocol, expectations and information ne eded for rounds, communication with internal and external process stakeholders, and documentation related to discharge paperwork. a- Collaborated with multidisciplinary teams and insurance providers from admiss ion to discharge, determining length of stay, performing utilization reviews, an d establishing home health and extended care services. Joint Implant Surgeons a" Columbus, Ohio 2000-2003 Nurse Clinician Provided clinical support to local and satellite locations, seeing at least 100 patients each day in this high-volume private practice. Performed telephone and in-office triage for joint replacement orthopedic patients. Managed workflow thr oughout team of MAs, PAs, and RNs, ensuring maximum productivity, efficiency, an d quality patient care. Review and report test and lab results. a- Provided diligent clinical and administrative support, interfacing with the e lectronic medical records system to update all patient files and ensure accurate , on-demand information to members of the clinical team. EDUCATION & LICENSURE Columbus State Community College a" Columbus, Ohio (1992) Associate of Science in Nursing (ASN) Registered Nurse a" Ohio CPR Certification n n n