Tamra Sappington
Boise
Summary
Accomplished Utilization Management Clinician with a proven track record at PacificSource, adept in evidence-based practice and patient health education. Excelled in multidisciplinary collaboration and clinical documentation, demonstrating exceptional organizational and patient assessment skills. Achieved significant improvements in patient care coordination and outcomes.
Overview
16
16
years of professional experience
Work History
Utilization Management Clinician
PacificSource
03.2021 - 12.2024
- Reviewed pre-authorization requests for appropriateness of care within established evidence-based criteria sets.
- Worked with multidisciplinary teams utilizing an integrated team-based approach to best support members.
- Coordinated necessary resources to achieve member outcome goals and objectives
Case Manager
St Lukes Regional Medical Center
04.2020 - 08.2021
- Partnered with physicians, social workers, activity therapists, nutritionists, and case managers to develop and implement individualized care plans and documented patient interactions and interventions in electronic charting systems.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented comprehensive case management plans to address client needs and goals.
Registered Nurse Clinical Liaison
Genesis Healthcare
09.2008 - 04.2020
- As the team lead for the Idaho and Montana region, my responsibilities included managing a team of clinical and non-clinical personnel to ensure safe, appropriate admissions to area skilled nursing facilities, assisted living facilities, and independent living facilities owned by Genesis Healthcare
- Developed programs that improved treatment outcomes for patients such as a new CHF program that aligned with area hospital programs for continuity of care
- Worked with community partners to ensure patients transferred from hospital or home to facility with accurate orders and other necessary paperwork
Education
Bachelor of Science - Nursing
Georgia Southern University, Armstrong Campus
Savannah, GA12-2005
Skills
- Evidence-based practice
- Patient health education
- Treatment Planning
- Clinical documentation
- Patient assessments
- Organizing staff schedules
Timeline
Utilization Management Clinician
PacificSource
03.2021 - 12.2024
Case Manager
St Lukes Regional Medical Center
04.2020 - 08.2021
Registered Nurse Clinical Liaison
Genesis Healthcare
09.2008 - 04.2020
Bachelor of Science - Nursing
Georgia Southern University, Armstrong Campus
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