Rachael Harris

WORK HISTORY

EDUCATION

ABOUT RACHAEL HARRIS

A dedicated nursing professional with commitment to quality outcomes while optimizing patient care delivery, utilization, and revenue retention. Leading successful progress in Nursing & Utilization Management.Motivated in directing excellence across healthcare organizations every day. Over 25 years in Registered Nursing in Acute and LTC settings have provided extensive experience in caring for patients, managing teams in multiple settings, and leading progress to improve quality of care across the continuum.Determined to identify and improve key areas of risk and performance improvement needs to optimize quality outcomes for organizations- Nurse Case Manager, Providence HealthInternal Medicine/Family Medicine, PCP Clinics- Nursing Management - RN Case/Unit Manager PARDirect patient care nursing mgmt, unit & staff oversight, QCI, skills teaching. UM/MDS.Successful case mgmt. with 45% evidenced decrease in hospital readm, care conferences, Survey readiness- CCO Health Plan - Utilization Mgmt- InpatientClinical Approvals, Denials - Admission, Concurrent & Retroactive Reviews. P&P devel.UM MD, UM Director & RN Team collaboration. CMS Guideline implementation & compliance, InterQual & MCG Certif. experience- Utilization Management RN, Inpatient- KPNW, Sunnyside MC, Acute UM Mgmt. Admission & Concurrent Reviews. Care Coordin. & Transitional Care- 15 yrs. RN/Charge RN- Medical/Surgical/Renal/Diabetic, Hemo/Peritoneal Dialysis, Emergency Dept./ICU, Float Pool- 3 yrs. Regional Nurse Manager - Oregon ALF/Alzheimer\'s/Dementia Commun- 10+ yrs. Nursing Management, supervising/leading teams of 5 - 300 employees- 2 Awards- State of Oregon, 100% Deficiency-Free Alzheimer/Dementia State Surveys.*MULTI System EMR proficiency.Certifications: HCPro Medicare Boot Camp Certified - Utilization Review Version, 2016Focus: Quality Improvement, Process Implementation, Utilization Management, Risk. Pursuits: Quality/Risk Management, CPHQ.