Administrative Support Services

Holly E. Caughey, R.N.

7957 Shady Woods Drive

Indianapolis, IN 46259

Home 317-966-2367

Work 812-375-3829

hcaughey@comcast.net

EDUCATION & HONORS

University of Indianapolis ~ Indianapolis, IN Vincennes University ~ Vincennes, IN

ASN Degree1994 General Education 1984

Parish Nurse Certification 2001

IUPUC ~ Columbus, IN

RN to BSN Program, Current Student with graduation date of August 2012

LICENSURE & CERTIFICATION

Indiana Professional Licensing Agency, Expiration 10/31/2013

American Heart Association, BLS for Healthcare Providers (CPR & AED) Program

American Heart Association, Advanced Cardiovascular Life Support (ACLS) Program

American Heart Association, Pediatric Advanced Life Support (PALS) Program

Emergency Nurses Association (ENA) Trauma Nursing Core Course (TNCC)

Center of Medicare and Medicaid Services (CMS), Public Health Nurse Surveyor Certification

PROFESSIONAL ORGANIZATIONS

Indiana Nurses Association Indiana Health Care Association

Emergency Nurses Association Case Management Society of America

ORGANIZATIONAL PARTICIPATION

Transitions of Care ~ Patient Education Team ~ Pain Team ~ Nurse Practice Counsel ~ Med
Reconciliation Team ~ Lean/Six Sigma ~ Forms Committee ~ World Cass ED ~ Department Pillar
Teams ~ Utilization Management & Quality Improvement ~ HCAHPS Project Improvement ~
Service of Excellence ~ Employee Idea/Cost Savings Winner

CLINICAL EXPERIENCE

Columbus Regional Hospital ~ Columbus, Indiana (11 years)

.
ER Unit Based Case Manager and Staff Nurse

This position is responsible for ensuring that an "Interdisciplinary Clinical Case
Management" program is utilized in the emergency department; for collaborating with the
ER Physician, Primary Care Nurse and Clinical Nurse Specialist to facilitate the
achievement of patient satisfaction, quality, clinical and cost outcomes; negotiating,
procuring, and coordinating services and resources needed by the patient and family.
Focus placed on "Medicaid Recidivism" through the development and implementation of
a program designed in assisting patient access to community resources outside of the
ER setting. Working knowledge of the "Balanced Scorecard" and it's linkages to quality
studies and measurement. Active participant in multiple "Lean/Six Sigma" projects.

Kindred Hospital ~ Greenwood, Indiana (2 years service)

.
Director of Utilization Review

This position is responsible for developing and implementing the organization's utilization
management plan in accordance with the mission and strategic goals of the organization,
federal and state law and regulations, and accreditation standards. Develops and
implements systems, policies, and procedures for prospective, concurrent and
retrospective case management review, clinical practice guidelines, care maps, clinical
protocols, and reporting quality of care issues identified during the utilization review
process. Obtains pre-approval or pre-certification from third-party payers for procedures
and continued stay. Educates and trains the leadership, staff, and business associates
as to the utilization management plan and their respective responsibilities relative to the
plan. Collects, analyzes, and maintains data on the utilization of medical services and
resources. Prepares and presents quarterly utilization management summaries to the
hospital's Board of Directors, identifying potential areas for improvement. Actively
participates or facilitates selected committees such as "Utilization Management" and
"Performance Improvement".

American Senior Communities ~ Central Indiana (2 years service)

.
Director of Nursing Services

Responsible for all duties associated with Clinical Staff Performance; responsible and
accountable for the day-to-day operations associated with resident care; for effectively
and efficiently managing the assigned staff and resources; for ensuring the facility
maintains compliance with state and federal regulations; for coaching "Continuous
Quality Improvement" team activities; develops and maintains a working relationship with
the Senior Leaders of the community; participates in Senior Health Fairs and LTC
Conventions; develops and maintains relationships with facility management, state/local
agencies and vendors; monitors medical supply cost and operational expenses; track
Medicare Part B revenue and reimbursement through a working relationship with
medical supply company.

Corporate Quality Control Nurse (1 year service)

This position is responsible for facilitating, coordinating and directing systematic
organization-wide Performance Improvement, and Quality Control functions for facilities
served while ensuring compliance with state and federal regulations; for facilitating,
coaching and directing activities related to the development of "Clinical Practice
Guidelines"; for fostering the design, assessment, and measurement of important
processes and outcomes that may affect the delivery of quality patient care, operational
processes and strategic initiatives; for understanding financials and is able to prepare
fiscal reports for designated areas; introduces product sampling to facility management.

Indiana State Board of Health ~ Central/Southern Indiana (2 years service)

.
Center of Medicare & Medicaid Services (CMS) Public Health Nurse Surveyor

Under limited supervision, performs advanced level professional work conducting
complex regulatory compliance determinations for Medicare/Medicaid certification and
State Licensure during inspections and complaint investigations of health care facilities.
Often functions as team leader. Other responsibilities include the provision of technical
assistance to health care providers, planning and presenting provider training, regulatory
development, and participation in various state committees, and acts as a resource to
other health facility surveyors and non-nurse program managers regarding nursing and
other health related issues.

Johnson Memorial Hospital ~ Franklin Indiana (6 years service)

Direct Care Med/Surg and Ortho/Neuro

Dr. Steven A. Weber, MD ~ Family Practice Office (2 years service)
Office RN

  • ID#: 71787
  • Location: Indianapolis, IN , 46259

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