Lisa Wichmann

Experience

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  Holy Family Hospital

  Jun 1983 - May 1985

  Registered Nurse

  Provided direct patient care to surgical, neurologic, and orthopedic patients.

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  Northeast Rehabilitation Hospital

  May 1985 - Dec 1993

  Liaison Nurse Manager

  Hired, trained and supervised a staff of 6 Registered Nurses to conduct pre-admission assessment of potential rehabilitation candidates and market NRH throughout New England. Managed marketing efforts and facilitated hospital census development.

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  HMO Blue

  Dec 1993 - Nov 1994

  Utilization Management Coordinator

  Conducted on-site admission and concurrent review of all hospitalized patients utilizing Managed Case Appropriateness Protocol (MCAP) criteria. Assured optimal quality and cost effective utilization of healthcare services at acute, rehabilitation, and skilled nursing facilities.

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  Blue Cross Blue Shield of Massachusetts

  Nov 1994 - Jan 1996

  Case Management Team Leader

  Member of core leadership team responsible for the high profile, high risk Raytheon account. Integrated medical and mental health associates into a dedicated co-management unit. Identified members at risk for disease management and case management. Collaboratively designed education, prevention, and wellness programs. Measured and managed financial risk, performance standards, and member satisfaction. Facilitated the consolidation and re-organization of the onsite review and case management departments. Hired, trained, and provided oversight to a team of 6 case managers, 4 onsite reviewers, 1 referral/SNF coordinator, 2 homecare reviewers and 2 assistants. Developed and maintained business relationships with key personnel at Southeastern Massachusetts Hospitals. Show less

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  Harvard Pilgrim Health Care

  Jan 1996 - Aug 1999

  Regional Clinical Manager

  Hired, trained and built a team of 2 supervisors and 21 nurse case managers responsible for case management activities at metro Boston hospitals. Developed collaborative working relationships at metro Boston hospitals, risk units and HPHC. Designed work processes and reports to support the improvement of medical management at metro Boston risk units and hospitals.

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  Beth Israel Deaconess Medical Center

  Aug 1999 - Apr 2008

  Director of Case Management

  Responsible for overseeing the 45 member case management department at a 665 bed tertiary academic medical center. Led department transition to 3M case management system (10/06) and Interqual software (12/06) resulting in more accurate leveling and documentation. Implemented new nurse case manager model at recently merged institution (Jan. 2000) that integrated two diverse departments into one unified group. Increased visibility and customer satisfaction with case management throughout the organization resulting in improved communication and patient flow. Oversaw the development of on line utilization reports that identify pending reviews, non-acute admissions, discharge delays, clinical delays, and LOS outlier patients. Lead weekly LOS Outlier Committee. Member of medical center’s Contracting Committee, Capacity Management Committee, and Volume and Operations Committee. Show less

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  Brigham and Women's Hospital

  Apr 2008 - now

  Nursing Director, Ambulatory Care Coordination. Nursing responsibility for BWH's integrated Care Management Program whereby 25 RN Care Coordinators help to organize and facilitate care for 3200 high risk and vulnerable primary care patients.

  • Nursing Director

    Jul 2012 - now

  • Nursing Director

    Apr 2008 - now
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  Brigham and Women’s Hospital

  May 2008 - Jul 2012

  Nursing Program Director

  Professional development, education programming, training, and orientation of ambulatory and inpatient RN Care Coordinators.Implementation and management of the BWH Care Management Program, aka CMS Demonstration Project, for Care Coordination.Developed and oversaw CMS PAC-Demonstration Project with RTI on Orthopedic, Medicine, and Neuro UnitsOrganized and contributed to Care Coordination’s re-admission reduction pilot as part of a Partner’s Sig-P grant. This focused nursing and social work practice on patients at high risk for re-admission. Show less