Dynamic pediatric physician with extensive experience in the hospital setting as well as in managed care, excelling in utilization management and evidence-based guidelines. Proven track record in enhancing patient outcomes through effective collaboration and critical thinking. Skilled in leading multidisciplinary teams and advocating for families, resulting in improved patient satisfaction and safety standards.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Director
MHS Indiana/Centene
07.2023 - Current
Conduct reviews for medical necessity, ensuring adherence to evidence-based guidelines, InterQual guidelines and best practices.
Conduct peer to peer calls, review appeals, attend state fair hearings as directed by the chief medical officer
Lead multidisciplinary rounds, fostering collaboration between various healthcare professionals for optimal patient care.
Enhanced patient care by conducting thorough utilization reviews and coordinating with healthcare providers.
Pediatric Hospitalist
Parkview Regional Medical Center
11.2022 - Current
Provide comprehensive care for hospitalized children, resulting in reduced length of stay and improved patient satisfaction.
Serve as an advocate for families during critical decision-making processes, ensuring their concerns were addressed and understood.
Collaborate with specialists, case managers, nursing staff and pharmacy to provide appropriate care
Promote preventive healthcare measures, contributing to a reduction in preventable hospital admissions.
Work with medical students, fostering their professional growth and clinical skills development.
Pediatric Hospitalist
Peyton Manning Children's Hospital At St.vincent
07.2008 - Current
Provide comprehensive care for hospitalized children, resulting in reduced length of stay and improved patient satisfaction.
Enhanced interdisciplinary teamwork with effective communication and collaboration among healthcare professionals.
Led quality improvement initiatives that resulted in enhanced patient safety and overall care standards within the pediatric unit.
Manage complex cases involving multiple comorbidities by collaborating closely with multidisciplinary teams.
Maintained thorough documentation of patient encounters, facilitating seamless coordination between healthcare providers involved in each case.
Continuously updated medical knowledge through participation in conferences, workshops, and professional development opportunities, ensuring the provision of cutting-edge pediatric hospitalist care.
Coordinated patients' admissions and discharges, working closely with family members and case managers to line up any additional care needs.
Education
Pediatric Residency - Pediatrics
Nationwide Children's Hospital
Columbus, OH
06-2008
M.D. - Medicine
Indiana University School of Medicine
Indianapolis, IN
05-2005
Bachelor of Science - Biology/chemistry
Valparaiso University
Valparaiso, IN
12-2000
Skills
Healthcare management and delivery
Critical thinking
Utilization management
Knowledge of InterQual and evidence-based guidelines