Jocelyn Harris
Jocelyn Harris

Jocelyn Harris Healthcare Professional
------------ ------------ • Kailua, Hawaii 96734

Highly accomplished professional with 30 years of experience and comprehensive knowledge of healthcare operations. Outstanding clinical expertise and strong record of accomplishment in case management, administration, risk management, and staff education. Solid strategic planning skills and ability to build high-performing capabilities focused on providing first-class patient care. History of having developed countless programs resulting in improved patient satisfaction and overall patient wellbeing. Qualifications include Master of Science in Nursing (MSN), Master of Business Administration (MBA), Certified Rehabilitation Registered Nurse, Certified Case Manager, and Advanced Practice Registered Nurse. Areas of Expertise include:
• Strategic Planning & Execution • Leadership • Collaborative Care Planning
• Continuous Improvement • Risk Management/Auditing • Continuum Care
• Clinical Expertise
• Healthcare Regulation • Treatment Plan Development
• Cost Reduction & Savings • Customer Relations
• Dispute Resolution
Professional Experience
AKAMAI ADULT RESIDENTIAL CARE HOME Kailua Hawaii 2017 – Present
LEAD RN CARE HOME MANAGER / UTILIZATION REVIEW / DENIALS & APPEALS
• On-boarded new care home employees after interviewed, recruited, and educated.
• Introduced operational best practices based upon evidenced based literature in care management and process improvements to optimize patient care. Inter qual proficient.
• Continually evaluated readmission process and analyzed different impacts (direct admissions, home care services, follow MD appointments and follow up care management phone calls.
• Length of stay activities assessed priorities impacting discharge (education on discharge upon admission screening, ambulation, toileting, patient & family education).
• Collaborated with Insurance regarding levels of care, inter qual evaluations, and outside services (home care, foster homes, care homes, SNF and ICF facilities).
REHABILITATION HOSPITAL OF THE PACIFIC • Honolulu, HI • 1995 - 2017
DIRECTOR OF CASE MANAGEMENT / UTILIZATION REVIEW / RISK MANAGEMENT / DENIALS & APPEALS COORDINATOR
Coordinate optimal flow of administrative operations including admissions, utilization management, and quality improvement. Ensure the provision of cost effective, quality patient care.
Key Accomplishments:
• On-boarded new case management employees after interviewed, recruited, and educated.
• Educated case management for medical-surgical, ICU, ER and Behavioral Health.
• Collaborated with insurers on determining treatment eligibility and obtaining admission preauthorization. Actively resolved disputes and payment denials.
• Decreased Medicare denials from $500,000 to $50,000; appealed denials with Fiscal Intermediary.
• Championed the development of quality improvement programs including:
o Developed late discharge process flow resulting in cost saving of $108,00 per year.
o Reduced patient stay by 14% by improving discharge date process.
o Introduced Diabetic / Amputee Foot Clinic, and Wheelchair Seating Clinic.
o Developed interdisciplinary patient/caregiver education form to streamline information gathering.
o Established an active Stroke Support Group with educational offerings.
o Introduced successful Outpatient Certified Wound Care Nurse Program to enhance service nursing capability and service offering.
o Led the introduction of Outpatient Hip & Knee Programs resulting in enhanced patient care and wellbeing.
• Actively promoted adherence to standards and drove compliance with JCAHO requirements.
• Held accountability for annual audits including prepayment, target, RAC, and ZPIC.
• Collaborated with technical team on developing software to enhance hospital communication.
• Drove implementation of Case Management Program including Telephonic Case Management, Utilization Review, Managed Care Processes and Collaborative Care Maps to optimize program delivery.
• Led JCAHO Task Force in completion of Joint Commission Survey resulting in achievement of REHAB team’s 3-year accreditation certificate.
• Started a Skilled Nursing floor unit and directed utilization management for SNF and Acute Rehabilitation, outpatient therapy and home care services.
CHAMINADE UNIVERSITY NURSING • Honolulu, HI • 2012 - Present
CLINICAL ADJUNCT – COMPLEX DISEASE (COURSE 204)
Applied expertise in supervising nursing students in a clinical environment.
Key Accomplishments:
• Built high-performing nursing capability by coaching students on using theoretical knowledge in a practical setting.
HAWAII PACIFIC UNIVERSITY NURSING • Honolulu, HI • 2010 - 2014
CLINICAL ADJUNCT – ADVANCED MEDICAL-SURGICAL NURSING (COURSE 304)
Shared knowledge and demonstrated technical expertise in coaching and supervising nursing students.
Key Accomplishments:
• Assessed students, identified knowledge gaps and provided training and coaching across all areas.
KAISER PERMENENTE MEDICAL CENTER • Honolulu, HI • 1994 - 1995
INPATIENT UNIT SUPERVISOR, FULL TIME
Coordinated the provision of high-quality healthcare services for Health Maintenance Organization (HMO) with specialization in rehabilitation, orthopedics, and long-term care of geriatric residents on a Skilled Nursing floor.
Key Accomplishments:
• Interviewed, recruited and educated on-boarded new nursing staff.
• Introduced operational best practices in case management and process improvements to optimize patient care; conducted regular quality improvement studies on the Skilled Nursing Unit and step down unit.

Additional Experience
Clinical Nurse Specialist, Full-time, Kuakini Medical Center, Honolulu, HI, 1992 – 1994
Clinical Nurse (RN/LPN), Full-time, Castle Medical Center, Kailua, HI, 1987 - 1992
Clinical Nurse (RN), Part-time, Straub Outpatient Clinic, Kailua, HI, 1988 - 1991
Education & Training
Master of Business Administration, University of Phoenix, Hawaii Campus, Honolulu, HI
Master of Science in Nursing, University of Hawaii at Manoa, Honolulu, HI
Bachelor of Science in Nursing, Hawaii Loa College, Kaneohe, HI
LPN Degree (Certified Medical Assistance), Kapiolani Community College, Honolulu, HI

Licenses & Certifications
Registered Advance Practice Nurse (License #347) Basic Life Support & First Aide
Registered Nurse (License #33413)
Certified Wound Care Nurse (CWCN)
Certified Case Manager (CCM)
Certified Rehabilitation Registered Nurse (CRRN)
Kaset International Certified Instructor in Achieving Extraordinary Customer Relations

Presentations
The Future of Case Management, (QMC), 1997
REHAB Case Management, 1997
Normal Signs of Aging, 1997
Charge Nurse Workshop, 1993
Systemic Lupus Erythematosus, 1993
Healthy Living, 1993

Awards & Distinctions
Case Manager of the Year, 1998
University of Hawaii Stipend, 1992
Wo Scholarship, 1997
Japanese Women’s Society, 1991

Professional Affiliations
Case Management Society of America, 1997
Sigma Theta Tau, 1992
Association of Neuroscience Nurses, 1997
Japanese Women s Society, 1991
Acute Rehabilitation Nurses, 1995
Honolulu Gerontological Association, 1991