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@loissutherland
Certified RN Case Manager with 17+ years improving outcomes, reducing costs, and coordinating complex care.
United StatesI am a Certified RN Case Manager with over 17 years of case management experience across oncology, hospice, chronic disease, and transitions of care. I have a BSN (Cum Laude), multi-state RN licensure, CCM certification since 2016, and a track record of implementing cost-saving measures while maintaining high engagement and quality metrics.
I excel at remote work, EHRs, detailed care planning, and collaborating with multi-disciplinary teams to meet NCQA and NCCN standards. I consistently reduce readmissions, identify and close gaps in care, coach patients in self-management, and mentor team members to improve performance and wellbeing.
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Work history, roles, and key accomplishments
PHManaged a caseload of ~40–50 members across complex diagnoses and implemented cost-saving measures averaging $56,000 per case, contributing over $1M in total savings while exceeding engagement (84%) and quality audit (96%) targets.
Medical Rehabilitation Consultants
Jan 2021 - Jan 2024 (3 years)
Managed 30–50 client caseloads handling utilization review through disease management, achieving average cost savings of $27,000 per case and delivering monthly account reports to self-insured clients.
HHManaged chronic and transitions caseloads (35–120 members), reduced 30-day readmissions via timely outreach and medication reconciliation (82% completion), and identified/closed >10,000 gaps in care to lower utilization.
Community Nursing Services
Jan 2010 - Jan 2015 (5 years)
Provided home health and hospice case management for ~20 weekly clients, prevented over 500 hospital admissions, and coordinated interdisciplinary care while teaching complex clinical skills for patient self-management.
Degrees, certifications, and relevant coursework
BUBachelor of Science in Nursing, Nursing
Grade: Cum Laude
Activities and societies: Inducted into Sigma Theta Tau Nursing Honors Society; named Carl G. Maeser Scholar
Bachelor of Science in Nursing (BSN), graduated Cum Laude and inducted into Sigma Theta Tau Nursing Honors Society.
Software and tools used professionally
United StatesYou can contact lois and 90k+ other talented remote workers on Himalayas.
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