Certified Case Management and Hospital Utilization Review Expert Witness
A nursing professional with over 40 years of clinical experience and more than 25 years in case management leadership, specializing in patient care coordination and discharge planning. Skilled in overseeing case management operations, utilization review, compliance with healthcare regulations, and optimizing resource use to enhance quality outcomes. Certified as a Case Manager (CCM), with expertise in managing multi-disciplinary collaboration, risk management in care transitions, and healthcare reimbursement processes.
Areas of expertise:
Community Mental Health
Elder Abuse
Group Home Health/Medical/Disability Insurance
Hospital Administration
Life Care Planning
Long Term Care Nursing
Wound Care/Pressure Sores
Wrongful Death
Case Study:
Case Management Operations
Hospital Utilization Review
Discharge Planning
Post-Acute Care Referral
Healthcare Compliance (CMS, Joint Commission)
Medicare/Medicaid Reimbursement
Risk Management in Care Transitions
Patient Safety
Quality Assurance
Cost-Containment in Case Management
Certifications:
Certified Case Manager (CCM)