DIANA CREMEANS, MSN, RN
dlcremeans@roadrunner.com
8016 Oak Tree Drive North
Lorain, Ohio Cell (614) 593-2188
SUMMARY OF QUALIFICATIONS
 Nursing Clinical Educator
 Clinical Case Management
 Nursing Leadership
 Clinical and Case Management Education
 Expertise in JACHO, CARF, and CMS accreditation
 Demonstrated success maintaining ODH and Federal Compliance
 Insurance Preauthorization and INTERQUAL standards
 Knowledge and Experience Implementing TQI and HOC principles
PROFESSIONAL EXPERIENCE
Select Medical/Cleveland Clinic Acute Inpatient Rehabilitation Hospital 2015- Present
Lead Case Manager- oversee Social workers and case management with active caseload.
Coordinate all rehab admissions for discharge needs, DME needs, community resource referrals, lead all family
meetings separate from POC meetings to address concerns/issues or questions and develop improvement plan if
applicable. Assistin developing and maintain case management budget, attend all UR meetings, monthly management
meetings, assistin developing policies/procedures and implementation of said processes/policies/procedures. Participate
actively in quality improvement measures, record keeping and reporting as indicated. Staff meetings with case
management as well as provide educational classes for all therapists, nurses and resident assistants in rehab processes.
Assist in monitoring for compliance with ODH/JACHO rules and regulations. In addition to many other duties.
Kepro 2014-2015
Delivery of Medicare appeals for beneficiaries an providers for Center of Medicare Services
Appeals Nurse Manager: Oversee nursing staff assigned to performing appeals, charge nurse management, team
leadership and coordination. Oversee HWDRG coding and nurse review department to oversee recoupment of
Medicare funds and appropriateness of Medicare funds. Provide direct education for nursing clinical competencies for
development of clinical summaries.
LORAIN COUNTY COMMUNITY COLLEGE 2012 – Present
Delivery of clinical learning in RN and LPN educational programs.
Adjunct Instructor: Delivery of learning to RN and LPN students in acute, clinical care settings PRN as needed.
 Delivery of clinical care courses in the areas of nursing fundamentals, charge nurse management, team leadership and
coordination, OB and maternal health, pediatrics, and cardiac care to 70 students
o Clinical Specialties: Concepts of Professional Practice Comprehensive Adult Nursing Obstetrics
Basic Nursing Concepts Practical Nursing
Clinical Locations: Fairview University Elyria Medical Center Mercy Regional Medical Center
MERCY MEDICAL REGIONAL MEDICAL CENTER 1999 – 2012
338-bed, non-profit, full-service hospital providing inpatient, outpatient and ancillary services in Lorain, Ohio.
Rehab Acute Clinical Nurse Manager: Management of 75 nursing staff in the delivery of acute rehab, in-patient care.
Oversee the compliance of the department with OSHA, JACHO, CARF, CMS, and other regulatory standards. Managed the
hiring, orientation, educations, and termination of unionized nursing staff.
 Managed $500,000 department budget for the delivery of hands-on care to patients in the acute rehab unit.
DIANA CREMEANS
Page Two
 Coordinated the successfulcompletion of 2 JACHO, 2 CARF, and 1 ODH surveys/audits for the acute rehab unit, with
no violations identified
 Led the 6-month implementation of a electronic documentation system, certifying each clinical team member on the
proper use of the system
 Coordinated the implementation of total quality improvement (TQI) principals to prioritize patient care issues and
concerns at both the nursing and hospital levels
 Implementation Hand-Off of Care (HOC) based on JACHO recommendations to improve communication between the
nursing staff, as well as to incorporate patient and family feedback in plans of care for patients
 Utilizing TQI and HOC, increased patient satisfaction from 75% to 98% in the acute rehab unit; maintained a 98% patient
satisfaction score for the duration of the position
 Achieved maximum three-year CARF accreditation for therapeutic facilities
Case Manager: Managed in-patient care for surgical, critically ill, pediatric, OB, and otherpatients. Met with patients and/or
family to evaluate appropriateness of hospitalization, to determine diagnoses,and to set the appropriate level of care based on
diagnoses and patient condition. Developed discharge plans, identifying whether patients will return home or require transfer
to another hospital unit (psychiatric, hospice, etc.) Completed prior authorizations for all services and ordered
equipment/supplies for patients to support their continuing care as needed. Performed utilization reviews of current cases to
ensure patients receive appropriate level of care based on hospital policy and that services comply with INTERQUAL and
other insurance standards. Completed claim appeals for denied services, auditing medical records, collecting supporting data,
and submitting appeals to insurers.
 Consistently met 98% length-of-stay target set by hospital policy
 Maintained a 100% success rate of appealing denied claims for planned services
 Per a hospital administration request, taught other case managers proper case management principals over a 90-day
period, resulting in a 23% decrease in denials by all case managers
 Developed orientation curriculum for case management/UR for new case managers; responsible for educating and
training all new case managers hospital-wide
 Recommended adding case managers to ER and taught INTERQUAL admittance criteria to ER physicians and staff
to better evaluate whether patients should be hospitalized; decreased the number of patients admitted for observation
from 48% to 20% of all admitted patients
Cardiac Procedure Nurse: Completed prep and recovery for cardiac invasive procedures, including pacemaker insertions,
cardiac or peripheral angioplasties, cardiac catheterizations, TEE’s and cardioversions.
Float Staff Nurse: Delivery of hands-on nursing care to patients, primarily in the critical care units.
THE INN AT CHAPPEL CREEK 2008 – 2009
Retirement and assisted-living care facility for 52 residents in Vermilion, Ohio.
Director of Nursing: Supervised and coordinated care for a group of acute and chronically ill patients . Managed the planning,
recruitment, hiring, onboarding, orientation, education, and termination of nursing staff. Developed and implemented quality
assurance, infection control, and other clinical care policies. Completed case management activities for incoming patients,
completing insurance pre-authorizations and developing overall plans of care. Managed care costs within set budgetary
constraints. Oversaw facility operations to ensure compliance with all state, federal, and other applicable regulations.
 Successfully completed 2 ODH surveys with no violations identified
 Zero insurance denials for admitted patients
PARKVIEW HEALTHCARE CENTER 1996 – 1999
148 bed skilled long-term care center with assisting living apartments for 50 residents in Sandusky, Ohio.
DIANA CREMEANS
Page Two
Director of Nursing
 Recommended the expansion of the skilled bed unit from 22 to 44 beds based on the number of waitlisted patients;
coordinate ODH approval for the expansion
 Successfully completed 3 ODH surveys with no violations identified
 Led the development and implementation of clinical care standards to achieve JACHO accreditation
LAKEPOINTE CARE CENTER 1994 – 1995
212 bed skilled long-term care center in Lorain, Ohio.
Director of Nursing
 Improved ODH survey results from 78% to 98% over a 6-month period
 Eliminated agency nursing by implementing a nurse recruitment and retention program, improving employee benefits,
and establishing a disciplinary process for excessive call offs
ALLEN MEMORIAL SUB-ACUTE UNIT 1993 – 1995
Unit of Allen Memorial Hospital in Oberlin, Ohio.
Director of Nursing
 Coordinated expansion of unit from 4 to 20 beds with 100% ODH compliance
 Successfully completed 3 annual ODH surveys with no violations
PEARLVIEW AND CORINTHIAN NURSING CENTERS 1992 – 1993
212 bed skilled nursing and rehabilitation facilities in Westlake and Brunswick, Ohio.
Director of Nursing
 Addressed severe survey crisis involving Wage and Hour, Federal and State Surveyors; resulted in a 100% correction
of all deficient areas
ESI CAREER CENTER 1990 – 1992
Vocational education center in Lorain, Ohio (no longer in business).
Medical Assistant Instructor: Taught 5 separate sessions of 30 students in all areas of medical assistant level care in an
academic setting.
EDUCATION
Western Governor’s University Master’s Degree Nursing/Education 2015
Chamberlain Online College of Nursing Bachelors of Science 2009
Lorain County Community College Associates in General Studies 1987
Lorain County Community College Associates in Applied Science 1988
BLS Certifications Current

Diana's updated resume

  • 1.
    DIANA CREMEANS, MSN,RN dlcremeans@roadrunner.com 8016 Oak Tree Drive North Lorain, Ohio Cell (614) 593-2188 SUMMARY OF QUALIFICATIONS  Nursing Clinical Educator  Clinical Case Management  Nursing Leadership  Clinical and Case Management Education  Expertise in JACHO, CARF, and CMS accreditation  Demonstrated success maintaining ODH and Federal Compliance  Insurance Preauthorization and INTERQUAL standards  Knowledge and Experience Implementing TQI and HOC principles PROFESSIONAL EXPERIENCE Select Medical/Cleveland Clinic Acute Inpatient Rehabilitation Hospital 2015- Present Lead Case Manager- oversee Social workers and case management with active caseload. Coordinate all rehab admissions for discharge needs, DME needs, community resource referrals, lead all family meetings separate from POC meetings to address concerns/issues or questions and develop improvement plan if applicable. Assistin developing and maintain case management budget, attend all UR meetings, monthly management meetings, assistin developing policies/procedures and implementation of said processes/policies/procedures. Participate actively in quality improvement measures, record keeping and reporting as indicated. Staff meetings with case management as well as provide educational classes for all therapists, nurses and resident assistants in rehab processes. Assist in monitoring for compliance with ODH/JACHO rules and regulations. In addition to many other duties. Kepro 2014-2015 Delivery of Medicare appeals for beneficiaries an providers for Center of Medicare Services Appeals Nurse Manager: Oversee nursing staff assigned to performing appeals, charge nurse management, team leadership and coordination. Oversee HWDRG coding and nurse review department to oversee recoupment of Medicare funds and appropriateness of Medicare funds. Provide direct education for nursing clinical competencies for development of clinical summaries. LORAIN COUNTY COMMUNITY COLLEGE 2012 – Present Delivery of clinical learning in RN and LPN educational programs. Adjunct Instructor: Delivery of learning to RN and LPN students in acute, clinical care settings PRN as needed.  Delivery of clinical care courses in the areas of nursing fundamentals, charge nurse management, team leadership and coordination, OB and maternal health, pediatrics, and cardiac care to 70 students o Clinical Specialties: Concepts of Professional Practice Comprehensive Adult Nursing Obstetrics Basic Nursing Concepts Practical Nursing Clinical Locations: Fairview University Elyria Medical Center Mercy Regional Medical Center MERCY MEDICAL REGIONAL MEDICAL CENTER 1999 – 2012 338-bed, non-profit, full-service hospital providing inpatient, outpatient and ancillary services in Lorain, Ohio. Rehab Acute Clinical Nurse Manager: Management of 75 nursing staff in the delivery of acute rehab, in-patient care. Oversee the compliance of the department with OSHA, JACHO, CARF, CMS, and other regulatory standards. Managed the hiring, orientation, educations, and termination of unionized nursing staff.  Managed $500,000 department budget for the delivery of hands-on care to patients in the acute rehab unit.
  • 2.
    DIANA CREMEANS Page Two Coordinated the successfulcompletion of 2 JACHO, 2 CARF, and 1 ODH surveys/audits for the acute rehab unit, with no violations identified  Led the 6-month implementation of a electronic documentation system, certifying each clinical team member on the proper use of the system  Coordinated the implementation of total quality improvement (TQI) principals to prioritize patient care issues and concerns at both the nursing and hospital levels  Implementation Hand-Off of Care (HOC) based on JACHO recommendations to improve communication between the nursing staff, as well as to incorporate patient and family feedback in plans of care for patients  Utilizing TQI and HOC, increased patient satisfaction from 75% to 98% in the acute rehab unit; maintained a 98% patient satisfaction score for the duration of the position  Achieved maximum three-year CARF accreditation for therapeutic facilities Case Manager: Managed in-patient care for surgical, critically ill, pediatric, OB, and otherpatients. Met with patients and/or family to evaluate appropriateness of hospitalization, to determine diagnoses,and to set the appropriate level of care based on diagnoses and patient condition. Developed discharge plans, identifying whether patients will return home or require transfer to another hospital unit (psychiatric, hospice, etc.) Completed prior authorizations for all services and ordered equipment/supplies for patients to support their continuing care as needed. Performed utilization reviews of current cases to ensure patients receive appropriate level of care based on hospital policy and that services comply with INTERQUAL and other insurance standards. Completed claim appeals for denied services, auditing medical records, collecting supporting data, and submitting appeals to insurers.  Consistently met 98% length-of-stay target set by hospital policy  Maintained a 100% success rate of appealing denied claims for planned services  Per a hospital administration request, taught other case managers proper case management principals over a 90-day period, resulting in a 23% decrease in denials by all case managers  Developed orientation curriculum for case management/UR for new case managers; responsible for educating and training all new case managers hospital-wide  Recommended adding case managers to ER and taught INTERQUAL admittance criteria to ER physicians and staff to better evaluate whether patients should be hospitalized; decreased the number of patients admitted for observation from 48% to 20% of all admitted patients Cardiac Procedure Nurse: Completed prep and recovery for cardiac invasive procedures, including pacemaker insertions, cardiac or peripheral angioplasties, cardiac catheterizations, TEE’s and cardioversions. Float Staff Nurse: Delivery of hands-on nursing care to patients, primarily in the critical care units. THE INN AT CHAPPEL CREEK 2008 – 2009 Retirement and assisted-living care facility for 52 residents in Vermilion, Ohio. Director of Nursing: Supervised and coordinated care for a group of acute and chronically ill patients . Managed the planning, recruitment, hiring, onboarding, orientation, education, and termination of nursing staff. Developed and implemented quality assurance, infection control, and other clinical care policies. Completed case management activities for incoming patients, completing insurance pre-authorizations and developing overall plans of care. Managed care costs within set budgetary constraints. Oversaw facility operations to ensure compliance with all state, federal, and other applicable regulations.  Successfully completed 2 ODH surveys with no violations identified  Zero insurance denials for admitted patients PARKVIEW HEALTHCARE CENTER 1996 – 1999 148 bed skilled long-term care center with assisting living apartments for 50 residents in Sandusky, Ohio.
  • 3.
    DIANA CREMEANS Page Two Directorof Nursing  Recommended the expansion of the skilled bed unit from 22 to 44 beds based on the number of waitlisted patients; coordinate ODH approval for the expansion  Successfully completed 3 ODH surveys with no violations identified  Led the development and implementation of clinical care standards to achieve JACHO accreditation LAKEPOINTE CARE CENTER 1994 – 1995 212 bed skilled long-term care center in Lorain, Ohio. Director of Nursing  Improved ODH survey results from 78% to 98% over a 6-month period  Eliminated agency nursing by implementing a nurse recruitment and retention program, improving employee benefits, and establishing a disciplinary process for excessive call offs ALLEN MEMORIAL SUB-ACUTE UNIT 1993 – 1995 Unit of Allen Memorial Hospital in Oberlin, Ohio. Director of Nursing  Coordinated expansion of unit from 4 to 20 beds with 100% ODH compliance  Successfully completed 3 annual ODH surveys with no violations PEARLVIEW AND CORINTHIAN NURSING CENTERS 1992 – 1993 212 bed skilled nursing and rehabilitation facilities in Westlake and Brunswick, Ohio. Director of Nursing  Addressed severe survey crisis involving Wage and Hour, Federal and State Surveyors; resulted in a 100% correction of all deficient areas ESI CAREER CENTER 1990 – 1992 Vocational education center in Lorain, Ohio (no longer in business). Medical Assistant Instructor: Taught 5 separate sessions of 30 students in all areas of medical assistant level care in an academic setting. EDUCATION Western Governor’s University Master’s Degree Nursing/Education 2015 Chamberlain Online College of Nursing Bachelors of Science 2009 Lorain County Community College Associates in General Studies 1987 Lorain County Community College Associates in Applied Science 1988 BLS Certifications Current