Danielle Jordan

MSN-prepared Registered Nurse with 13+ years of progressive experience in acute care case management, utilization review, discharge planning, transitional care, and interdisciplinary care coordination. Skilled in managing complex patient cases across diverse healthcare settings while ensuring appropriate level of care, reducing barriers to discharge, and supporting safe, cost-effective care transitions. Extensive experience collaborating with physicians, social workers, payers, and multidisciplinary teams to optimize patient outcomes, improve resource utilization, and maintain regulatory compliance.

Strong background in medical necessity review, patient advocacy, clinical documentation, and care coordination within fast-paced healthcare environments.

RN Case Manager - Atrium Health - Charlotte, NC

(2023-05)

• Manage complex case management and discharge planning activities for patients across acute care settings.
• Perform comprehensive assessments to identify barriers to discharge, psychosocial needs, and post-acute care requirements.
• Collaborate with physicians, social workers, nursing staff, rehabilitation teams, and external agencies to coordinate safe and efficient transitions of care.
• Conduct utilization reviews and medical necessity assessments to support appropriate level of care and payer authorization requirements.
• Coordinate post-discharge services including skilled nursing facilities, rehabilitation, home health, hospice, and community resources.
• Advocate for patients and families while promoting quality outcomes, continuity of care, and reduced readmission risk.
• Maintain accurate and timely clinical documentation in compliance with hospital, payer, and regulatory standards.

Travel RN Case Manager / Discharge Planning Specialist - Supplemental Health Care - Charlotte, NC

(2021-09 - 2023-04)

• Directed discharge planning and care coordination activities for medically complex patient populations.
• Assessed patient needs, support systems, insurance coverage, and post-acute care requirements to facilitate appropriate discharge planning.
• Coordinated transitions to rehabilitation facilities, skilled nursing facilities, home health services, hospice, and outpatient care programs.
• Collaborated closely with interdisciplinary teams to develop individualized plans of care focused on patient safety and continuity of care.
• Conducted clinical documentation reviews to support regulatory compliance, utilization management, and quality standards.
• Educated patients and caregivers on discharge instructions, disease management, medications, and follow-up care recommendations.
• Assisted in reducing discharge delays through proactive coordination with providers, payers, and community resources.

Hospice RN Case Manager - Heartland Hospice - Charleston, SC

(2019-05 - 2021-08)

• Provided direct comprehensive patient care to patients at the end of life
• Maintained accurate documentation while ensuring compliance with healthcare regulations, payer policies, and accreditation standards related to hospice care.
• Coordinated interdisciplinary care plans to support patient comfort, quality of life, and family-centered care.

RN Medical Reviewer II - Blue Cross Blue Shield - Columbia, SC

(2016-09 - 2019-04)

• Performed utilization management and medical necessity reviews for inpatient and outpatient services using evidence-based clinical criteria.
• Evaluated treatment plans, admissions, and continued stay requests to ensure appropriate level of care and payer compliance.
• Collaborated with providers, case managers, and internal departments to resolve authorization, documentation, and care coordination issues.
• Applied clinical judgment and regulatory guidelines to support quality patient outcomes and cost-effective care delivery.
• Assisted in identifying process improvement opportunities to enhance workflow efficiency and utilization management operations.
• Maintained accurate documentation while ensuring compliance with healthcare regulations, payer policies, and accreditation standards.

RN Case Manager - Hospice of Charleston - Charleston, SC

(2017-04 - 2019-04)

• Managed comprehensive care for hospice patients with complex medical and psychosocial needs.
• Coordinated interdisciplinary care plans to support patient comfort, quality of life, and family-centered care.
• Provided patient and caregiver education regarding symptom management, medications, and end-of-life care.
• Maintained compliance with hospice regulations, documentation standards, and quality measures.
• Served as a liaison between patients, families, physicians, and community resources.

Master of Science in Nursing (MSN) - Nurse Administration - South University Online (2018)

Bachelor of Science in Nursing (BSN) - Medical University of South Carolina (2011)

Bachelor of Science - Exercise Science - College of Charleston (2009)