HCHopeAnn Clark
@hopeannclark
Experienced nursing supervisor with expertise in revenue cycle management.
United StatesWhat I'm looking for
I am a highly skilled nursing supervisor with extensive experience in both inpatient and outpatient hospital settings. My background includes a strong focus on patient access management, case management, and revenue cycle operations. I have demonstrated leadership in overseeing clinical care delivery, coordinating admissions, and ensuring compliance with insurance verification and authorization requirements.
Throughout my career, I have developed a proven ability to align clinical operations with revenue integrity, reduce denials, and enhance documentation practices to support optimal reimbursement. I am committed to promoting high-quality, patient-centered care while driving operational efficiency and financial performance. My experience includes conducting clinical reviews of denied claims, collaborating with interdisciplinary teams, and educating medical staff on best practices for documentation.
Experience
Work history, roles, and key accomplishments
Revenue Cycle Manager/Clinical Appeals Nurse
CHRISTUS Health
Jun 2012 - Present (13 years 4 months)
Conducted clinical reviews of denied claims to determine medical necessity, ensuring alignment with payer criteria (Milliman, InterQual) and clinical guidelines. Authored persuasive first- and second-level appeal letters for inpatient and outpatient denials.
Utilization Review Nurse / Case Manager/ CDI
Huey P. Long Medical Center
May 2008 - Present (17 years 5 months)
Conducted concurrent and retrospective utilization reviews, applying InterQual and Milliman criteria to validate medical necessity and level-of-care determinations. Collaborated with physicians, interdisciplinary teams, and insurance payors to expedite authorizations and ensure timely discharge planning.
Emergency Department Charge Nurse
Huey P. Long Medical Center
May 2001 - Present (24 years 5 months)
Performed triage, assessment, and stabilization of critically ill and injured patients. Administered IV fluids, emergency medications, and advanced cardiac life support (ACLS) protocols.
Education
Degrees, certifications, and relevant coursework
LALouisiana State University- Alexandria
Bachelor of Science in Nursing (BSN), Nursing
1993 - 1996
Completed a comprehensive curriculum focused on nursing principles and practices. Gained foundational knowledge in patient care, health assessment, and clinical procedures. Prepared for a career as a registered nurse through rigorous academic and practical training.
Availability
Location
United StatesAuthorized to work in
Job categories
Interested in hiring HopeAnn?
You can contact HopeAnn and 90k+ other talented remote workers on Himalayas.
Message HopeAnnFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
