Colette Campbell-Williams

Experience

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  Henry Ford Health

  Jun 2003 - Aug 2008

  Developed quality indicators and quantified statistics for a select group of patientsAssessed medical and social discharge planning needs for frequently admitted patientsPerformed initial and concurrent utilization reviews using designated criteriaCollaborated with Medical Director and patient’s physician group dailyEducated patients and families on patient’s aftercareProvided assistance with obtaining durable medical equipment, placement and HHS Assess discharge needs of patients and familiesPerformed initial and concurrent utilization reviews using designated criteriaProvided assistance with obtaining home health care services and medical equipmentAssisted patient and families with patient placement and obtaining medicationsProvide orientation for newly hired employees within infectious disease department

  • Complex Nurse Case Manager

    Jan 2008 - Aug 2008

  • Infectious Disease Case Manager

    Jun 2003 - Jan 2008
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  Blue Cross Blue Shield of Michigan

  Aug 2008 - Apr 2010

  Integrated Disease Case Manager

  Verified insurance eligibilityAssessed contracts for exclusions and limitationsTelephonically assess enrollee’s for medical needsDesigned teaching plans for enroll’s medical needsPerformed telephonic teachingMeasured and documented outcomes post teachingCollaborated with physician and support staff as needed

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  Savannah Rehabilitation and Nursinng

  May 2010 - Jul 2011

  Nursing Supervisor

  Visually inspected all residentsRecorded accurate census dataDocumented quality indicators on assigned logsResourced and assisted the charge nurse as neededDelegated and assisted support staff and residents a neededCollaborated with management staff as neededAdministered discipline as neededCollaborated with assigned physician as neededParticipated in process improvement plans

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  Savannah Rehabilitation and Nursing

  Jul 2011 - Apr 2013

  Long Term Care Unit Manager

  Provided administrative support to multiple ancillary departmentsProvided administrative support to a staff of of approximately 20 professional and non professional employeesCollaborated with physicians, administrators, patient’s and familiesconducted in-services Provided clinical support as neededProvided required assessments and audits as neededMonitored staffing based on acuity within budgetary guidelinesParticipated in process improvements

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  WellCare Health Plans

  Aug 2013 - Jul 2021

  Onsite Nurse Care Manager

  Assess clinical documentation for inpatient’s medical necessity utilizing MCG/Interqual CriteriaPerform concurrent reviews assessing for medical necessityCollaborate with facility staff onsiteAssist in placement, Obtaining DME and HHHC

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  Centene Corporation

  Jul 2021 - Dec 2023

  Utilization Review Nurse

  Concurrent Review NurseAssess clinical documentation for inpatient’s medical necessity utilizing MCG/Interqual CriteriaPerform concurrent reviews assessing for medical necessityCollaborate with facility staffAssist in placement, Obtaining DME and HHHC