Joe Lavy

Experience

1. Rn Senior Complex Clinical Case Manager

   UCLA Health

   Sep 2016 — Present

   Complex Senior Case Manager 2023 - present• International Services Clinical Case Manager 2022• Emergency Department Clinical Case Manager 20••••22• Neurosurgery, Neuro Critical Care, Neurology, Stroke 20••••21Coordinating pediatric, adult, and trauma admissions and transfers to the in-network facilities at a Level One Emergency Department, boarding up to 100 patients, I take ownership of clinical cases across the Medicine, Surgery, and international departments. Optimizing patient throughput and resource utilization, I determine medical necessity and the intensity of service required plus coordinate discharges, leveraging InterQual criteria. Promoting a caring environment by providing patients and families with emotional and psychological support, I oversee the clinical cases of more than complex patients each year, adhere to regulatory procedures, MOON, IMM, Discharge Appeals/HINN, Code44, and Two Midnight Rule. I provide clinical reviews to the health plan plus coordinate and facilitate concurrent peer-to-peer calls-Our Mission is to deliver leading-edge patient care, research, and education-Our Vision is to heal humankind, one patient at a time, by improving health, alleviating suffering, and delivering acts of kindness-Our Values ensure Integrity, Compassion, Respect, Teamwork, Excellence and Discovery in the work we do daily.

Education

• Bethel College-North Newton

  BSN, Nursing, History

  1990 — 1994

Skills

• Nursing
• Utilization Management
• Hospitals
• Inpatient
• Palliative Care
• Medicare
• Managed Care
• Patient Safety
• Bls
• Discharge Planning
• Utilization Review
• Patient Advocacy
• Patient Education
• Case Managment
• Acute Care
• Icu
• Telemetry
• Healthcare
• Orthopedic
• Case Management
• Orthopedics
• Intensive Care
• Inpatient Care