Danielle B.

Experience

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  Newton-Wellesley Hospital

  Jan 2009 - Jan 2010

  Emergency Department Nursing Assistant

  ● Assisted in directing patient care including trauma team support and CPR.

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  ADL Data Systems, Inc.

  Jan 2010 - Jan 2011

  Registered Nurse Clinical Software Specialist

  ● Led user-acceptance testing and orchestrated training for go-live initiatives, facilitating seamless software implementation.● Drove customer acquisition by providing clinical leadership and crafting targeted clinical training materials.● Resolved post go-live issues, actively coordinating bug resolutions and conducting reeducation sessions for client support.● Collaborated with product management for insights, improvements, and new feature development.

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  FluEase

  Jan 2010 - Jan 2010

  Registered Nurse

  ● Conducted screenings and administered immunizations for passengers and employees at a major international airport.

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  C2 Staffing Solutions, Inc.

  Jan 2010 - Jan 2011

  Registered Nurse

  ● Conducted health risk assessments, counseling, phlebotomy, and vaccine administration.

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  Summer House Detox Center

  Jan 2011 - Jan 2012

  Registered Nurse

  ● Led the nursing care for a 24-bed inpatient withdrawal management center, directing and supervising ancillary nursing personnel.

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  UPMC Mercy Hospital

  Jan 2012 - Jan 2014

  Emergency Department Certified Addictions Registered Nurse

  ● Pioneered and implemented an award winning role focused on providing exceptional care for clients with substance use issues in the Emergency Department. ● Reduced assessment time by 75% while significantly increasing the number of assessed clients.● Achieved a first place award at the Southwestern Pennsylvania Organization of Nurse Leaders conference and received the prestigious Emergency Department Innovation of the Year Award.

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  Maxim Healthcare Staffing

  Dec 2014 - Jun 2015

  Care Management Registered Nurse for Gateway Health

  ● Key contributor to developing and launching 2 state Medicaid and 4 state Medicare Advantage utilization review programs, involving extensive staff education and training.● Guided initial workflow development for compliance with industry standards, CMS, and state specific regulations.

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  Highmark Wholecare

  Jun 2015 - now

  ● Successfully navigated challenges, maintaining productivity during the supervisor's absence.● Utilized data analysis to strategically enhance utilization review processes, ensuring cost-effectiveness and improved member outcomes. ● Cultivated cross-departmental partnerships to optimize member outcomes and enhance financial performance.● Spearheaded interdisciplinary care team meetings, leading to optimal discharge planning for at-risk members.● Achieved a 30% reduction in abandon rate by enhancing phone performance in line with service level agreements.● Implemented a cross-training program, with 57% of the team now handling outpatient requests and 43% managing both medical and behavioral health.● Facilitated efficient task delegation, optimizing staffing schedules and inspiring team members to excel while maintaining work-life balance. Show less ● Promoted team collaboration, improving company communication and issue management.● Improved compliance with review processes, enforcing policies through audits and remediation, maintaining a high average of audit evaluations of 95% or above in all case reviews.● Pioneered a protocol, leading to a 17% decrease in admission rates, a 12.9% reduction in readmission rates, and strengthened collaboration with providers and hospitals.● Designed and executed software platform transitions, achieving 100% adoption in the department. Conducting user acceptance testing, regression, and end-to-end testing for launches and updates.● Guided staff through system upgrades and process enhancements, providing vital cross-departmental support.● Mentored new team members and conducted staff training, offering constructive feedback to improve their understanding of job responsibilities.● Spoke at a Provider Healthcare Symposium, serving as a Subject Matter Expert (SME) on substance use disorders.● Improved operations by managing the department SharePoint site, overseeing redesign and access maintenance. Show less

  • Behavioral Health Utilization Department Supervisor (Interim)

    Apr 2023 - now

  • Senior Behavioral Health Care Manager

    Jun 2015 - now
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  Gateway Health

  Jun 2015 - Oct 2018

  Behavioral Health Care Manager Registered Nurse

  ● Contributed to formulating and executing the organization’s substance use and behavioral health utilization strategy, leading to a Medicare Advantage plan achieving a 4% reduction in inpatient discharges per 1000 admissions and an impressive 24% decrease in readmission rates.● Recorded notable achievements in Medicaid plans, with one achieving a 2.5% reduction in inpatient discharges per 1000 admissions and a 1.8% decrease in emergency department visits per 1000, while the other accomplished a 1.1% decrease in emergency department visits per 1000.● Successfully migrated the Medicaid utilization program to a state-based office, providing training and support post go-live. Show less