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Rick Colfer RN, MSN, CCM

Rick Colfer RN, MSN, CCM

California Regional Director, ACO Clinical Transformation at UnitedHealthcare

Orange County, California

A result oriented Healthcare Quality Professional with diverse experience in many aspects of Patient care.
Experiences include extensive work in Case Management, both in Hospital and Managed Care, Clinical Sales and Support managing cross functional teams, Nursing Informatics and Critical Care Nursing.
Specialties: *
Catastrophic and Trauma Case Management.
Discharge Planning
Utilization Review and Management.
Capitation and Managed Care.
Use of Milliman and Interqual criteria
Ambulatory Case Management with focus on OneCare and SPD Population
Management and Supervision of both Inpatient and SNF Case Managers.
Providing resource information and guidance to on-site Case Managers.
Clinical experience in a variety of acute care areas including Critical Care, Recovery Implementation of Meditech Client Server and EMR Order Operating System.
Project Management coordinating software, medical device implementations and training
Facilitator for a variety of stakeholders including Physicians, Nurses and Ancillary Staff.


Experience:

  • RN Ambulatory Case Manager (Healthsmart MSO)
  • Medical Management Consultant (United Health Care)
  • Manager, inpatient case management services (Monarch HealthCare, an Optum company)
  • California Regional Director, ACO Clinical Transformation (UnitedHealthcare)
  • RN Case Manager (Yoh Healthcare Staffing, Monarch Healthcare)

Skills:

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