Tracy Woll

BSN-prepared Registered Nurse and Accredited Case Manager with 35+ years of nursing experience and more than two decades of hospital-based case management. Extensive expertise in inpatient acute care case management, daily care coordination, utilization review, payer and regulatory requirements, discharge and transition planning, and skilled post-acute care coordination. Collaborates effectively with physicians, nursing, ancillary disciplines, patients, families, payers, community resources, and post-acute providers to develop and implement safe, timely, patient-centered transition plans across the continuum of care.

Case Manager II at TRI-CITY MEDICAL CENTER (2010-12 – Present)

• Provide daily inpatient acute care case management and coordination for hospitalized patients with complex medical, psychosocial, discharge, and immediate post-acute care needs.
• Assess clinical, functional, psychosocial, and discharge needs; develop and implement safe, appropriate, timely, and cost-effective transition plans from inpatient care to post-acute settings.
• Collaborate with physicians, nursing, ancillary disciplines, patients, families, payers, community resources, and post-acute providers to coordinate care across the system and continuum.
• Perform utilization review, including evaluation of medical necessity and appropriate level of care throughout hospitalization, and address payer requirements that may affect care or discharge.
• Identify and address barriers or delays affecting treatment, discharge, and transitions of care; reassess and revise plans as patient needs evolve.
• Coordinate skilled nursing, rehabilitation, home health, durable medical equipment, and other post-acute services to support safe discharge and continuity of care.
• Apply Medicare, Medi-Cal, health plan, regulatory, and payer requirements to utilization-management, resource-utilization, and discharge-planning activities.
• Engage patients and families in transition planning, provide education regarding post-acute options and needs, and support agreement with and implementation of the discharge plan.
• Precept nurses entering hospital case management and utilization review and participate in interviewing RN Case Manager candidates.

Case Manager at TRI-CITY MEDICAL CENTER (2002-08 – 2010-12)

• Managed hospitalized acute care patients requiring case management, utilization review, discharge planning, payer coordination, and post-acute service arrangements.
• Collaborated with interdisciplinary teams, patients, families, and community providers to identify needs and barriers to discharge and facilitate safe, timely transitions of care.

Admission/Discharge Unit Registered Nurse at TRI-CITY MEDICAL CENTER (2002-03 – 2002-08)

• Provided nursing assessment, patient education, care coordination, and discharge support in a hospital admission/discharge setting.

Medical & Psychiatric Case Manager at SUNPLUS HOME HEALTH (1999-06 – 2002-03)

• Managed medical and psychiatric home-health patients through assessment, care coordination, education, and interdisciplinary communication.
• Coordinated with physicians, patients, families, caregivers, and community resources; supervised Certified Home Health Aides and precepted nurses new to home health.

Case Manager at ASSIST — ASSISTING SENIORS IN A STATE OF TRANSITION (2000-02 – 2002-03)

• Provided private case management for older adults, including regular client visits, care planning, caregiver oversight, safety assessment, and transition support.

Psychiatric Case Manager at TRI-CITY HOME CARE (1997-10 – 1999-06)

• Provided psychiatric home-health case management, assessment, patient education, care coordination, and collaboration with physicians, families, caregivers, and community resources.

Registered Nurse — Psychiatry & Emergency Department at VA MEDICAL CENTER — SAN DIEGO (1992-09 – 1998-05)

• Provided RN care in psychiatric and emergency settings, including clinical assessment, crisis intervention, patient education, care coordination, and interdisciplinary collaboration.

Additional Clinical Experience

Earlier nursing experience includes medical-surgical nursing, oncology, psychiatry, and chemical-dependency treatment, providing a broad clinical foundation for complex acute-care case management.

Bachelor of Science in Nursing (BSN) in Nursing – University of Southern California (1987)