Amy Dunn

06/06/2016- RN Case Manager for Roosevelt Warm Springs (Now Wellstar Roosevelt Rehabilitation Care at Warm Springs) primarily covering utilization review and discharge planning for our rehabilitation hospital. Provided cross coverage for LTAC Care Coordination.

07/01/2017- promoted to Director of Case Management and PPS Coordinator (Note: title changed to Manager of Case Management in 2025 to align with WellStar Post Acute Titles)

Responsibilities:

- Utilization Review

-Transition Planning

-Direct oversight of our case managers on our rehabilitation and LTAC hospitals.

- Supported case managers in documenting and tracking patient progress using electronic health records.

-Length of stay management

-Lead Interdisciplinary Team Meetings

-Member of our hospital leadership team.

-Manage insurance denials/appeals.

-Leader of our Utilization Management Committee

-Oversight of CMS audits (ZPIC, RAC, TPE, etc.)

-PPS Coordinator: Over sight of our IRF-PAI and LTAC Care Data Sets (data entry, validation of data, timely transmission of data)

- Patient Advocacy for escalated complaints and grievances

- Manage Community Outreach for Social Determinants of Health Community Partnerships

- Community Health Needs Assessment (Managed in-house until Wellstar transition, I now serve on this committee)

Serve on various teams/committees:

- Clinical Practice Team for IRF and LTAC

- Stroke Team

- Wound Team

- Respiratory Failure Team

- Morning Safety Huddles

- IRF and LTAC Strategic Planning Committee

- Joint Commission Readiness Team

- CARF Planning Committee

- Care Coordination Leadership Team (Wellstar System Wide)

- Professional Development Council for Care Coordination (Wellstar System Wide)

- Trust Collaborative Committee (Wellstar System Wide)

2012-2014 Utilization Review and Transition Planning for neurology and neuro ICU

2014-2016 Developed and implemented the role of Trauma Nurse Navigator to follow trauma patients with complex injuries from their arrival in the trauma bay throughout their discharge. I coordinated all discharge needs and continuation of care for these complex patients.

• Evaluated patient needs and developed tailored interventions to enhance health outcomes.
• Collaborated with community resources to facilitate access to necessary services for patients.
• Conducted regular assessments of patient progress, adjusting care plans as needed for optimal results.
• Collaborated closely with physicians to develop individualized treatment plans, supporting optimal patient outcomes.
• Educated patients and families on available community resources, facilitating access to necessary support services.
• Served as a key liaison between patients, families, and healthcare providers, fostering open communication and trust among all parties involved in the care process.

• Administered medications and treatments in accordance with established protocols.
• Collaborated with interdisciplinary teams to develop individualized patient care plans.
• Educated patients and families on health management, medication adherence, and discharge instructions.
• Monitored vital signs and reported changes in patient conditions to healthcare providers.
• Mentored junior nurses in clinical procedures and best practices for patient care delivery.
• Conducted training sessions on new technologies and systems to ensure staff competency and compliance.