Summary
Overview
Work History
Education
Skills
Certification
Trainings
Awards and Honors
Timeline
Generic

Melissa Denniston

East Orange

Summary

Experienced and compassionate nurse with over 20 years in nursing, case management, and detox care. Skilled in patient care coordination, treatment planning, and interdisciplinary teamwork. Strong in managing complex cases, improving outcomes, and using evidence-based practices. Committed to patient-centered care and involving families in treatment. Advocates for the social and economic well-being of diverse populations and seeks to apply leadership skills in advancing effective, high-quality healthcare solutions.

Overview

28
28
years of professional experience
1
1
Certification

Work History

Nurse Practitioner-Detox

Carewell Health Medical Center
10.2024 - Current
  • Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
  • Ordered and interpreted diagnostic tests to develop and implement treatment plans.
  • Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
  • Provided medical services and care to patients on detox
  • Initiated and managed medication-assisted treatment for patients undergoing detox, including the use of suboxone, methadone, and naltrexone, alongside short-term benzodiazepine support for withdrawal management.

Case Manager, Substance Abuse Detox Unit

Carewell Health Hospital
06.2022 - 09.2024
  • Develop comprehensive discharge plans for patients in the detox unit, coordinating with community resources and support services to ensure a smooth transition from inpatient care to home or outpatient settings.
  • Assess patient needs and progress, collaborating with a multidisciplinary team to deliver patient-centered care.
  • Provide counseling and education to patients and families on substance abuse treatment options and recovery strategies.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Work closely with insurance companies to ensure patients meet criteria for inpatient stay
  • Assisted patients with denials and appeals review when they did not meet the clinical guidelines for admission

Case Manager (Per Diem)

Overlook Hospital
08.2012 - 02.2025
  • Conducted thorough assessments of clients situations, identifying issues, goals, and necessary interventions.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Assisted patients with denials and appeals review when they did not meet the clinical guidelines for admission

R.N. Case Manager, Medical Unit

Carewell Health Hospital
12.2020 - 06.2022
  • Coordinated patient care and discharge planning, ensuring efficient utilization of hospital resources and timely discharge of patients.
  • Collaborated with healthcare teams to develop individualized care plans and facilitate communication between patients, families, and healthcare providers.
  • Conducted patient assessments, monitored progress, and provided education to patients and families about treatment plans and post-discharge care.
  • Mentored new nursing staff, contributing to a supportive work environment and improved retention rates.
  • Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.

Employee Health Nurse

Carewell Health Hospital
11.2017 - 12.2020
  • Conducted physical exams for onboarding new employees, including MMR, PPD placement, drug screening, and flu vaccine outreach initiatives.
  • Initiated the "Go Red for Women" program in February 2018 in conjunction with the American Heart Association. Planned and implemented a hospital-wide event with guest speakers and honored survivors of heart disease. This program continues as an annual event at Carewell Health.
  • Implemented the "Wear Blue" initiative in June 2018 to raise awareness of men's health issues such as BPH and prostate cancer. Celebrated yearly in June.
  • Managed workers compensation claims efficiently, facilitating timely return-to-work plans for affected employees.
  • Enhanced employee well-being through the development of stress management workshops and mental health resources.
  • Assist patients for appeals review when they do not meet the clinical guidelines for admission
  • Conducted ergonomic evaluations to identify areas for improvement in workstation design, helping reduce strain-related injuries among staff members.

Utilization Manager/Discharge Planning Coordinator

Palisades Medical Center
08.2015 - 11.2017
  • Collaborated with interdisciplinary teams to develop effective care plans tailored to individual patients'' needs.
  • Analyzed data from utilization reports, identifying patterns and opportunities for cost savings without compromising patient care quality.
  • Improved patient discharge process by coordinating with medical teams and ensuring timely communication between departments.

Utilization Manager/Discharge Planning Coordinator

Somerset Medical Center
12.2009 - 08.2015
  • Collaborated with interdisciplinary teams to develop effective care plans tailored to individual patients needs.
  • Analyzed data from utilization reports, identifying patterns and opportunities for cost savings without compromising patient care quality.
  • Improved patient discharge process by coordinating with medical teams and ensuring timely communication between departments.

Utilization Manager/Discharge Planning Coordinator

Saint Michael's Medical Center
06.2012 - 07.2015
  • Collaborated with interdisciplinary teams to develop effective care plans tailored to individual patients needs.
  • Analyzed data from utilization reports, identifying patterns and opportunities for cost savings without compromising patient care quality.
  • Improved patient discharge process by coordinating with medical teams and ensuring timely communication between departments.

Unit Secretary

Overlook Hospital
06.1997 - 02.2004
  • Maintained current and accurate medical records for patients.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Maintained rapport with physicians, nurses and other healthcare personnel.
  • Organized paperwork such as charts and reports for office and patient needs.

Education

Master of Science - Business Administration in Healthcare Management

Capella University
06.2024

Master of Science - Family Nurse Practitioner

South College
11.2023

Bachelor of Science - Nursing

Capella University
05.2022

Master of Science - Psychiatric Mental Health Nurse Practitioner

South College
Knoxville, TN
06-2025

Associate of Applied Science - Nursing

Muhlenberg College
08.2004

Skills

  • Proficient in Microsoft Excel
  • Experienced with electronic health record systems such as Cerner, Epic, and Allscripts
  • Utilizes Milliman and InterQual criteria for care management
  • Psychiatric evaluation
  • Inpatient psychiatric care
  • Addiction recovery support
  • Patient Education
  • Care Plan Development
  • Direct Patient Care
  • Treatment Plan Development

Certification

  • American Nurses Credentialing Center (ANCC) Certification

  • Advanced Cardiovascular Life Support (ACLS), American Heart Association

  • Basic Life Support (BLS) for Healthcare Providers, American Heart Association

Trainings

Trained in utilizing InterQual and Milliman Care Guidelines

Awards and Honors

  • Magna Cum Laude, South College, 2023
  • National Society of Leadership and Success Nominee, Capella University, 2021

Timeline

Nurse Practitioner-Detox

Carewell Health Medical Center
10.2024 - Current

Case Manager, Substance Abuse Detox Unit

Carewell Health Hospital
06.2022 - 09.2024

R.N. Case Manager, Medical Unit

Carewell Health Hospital
12.2020 - 06.2022

Employee Health Nurse

Carewell Health Hospital
11.2017 - 12.2020

Utilization Manager/Discharge Planning Coordinator

Palisades Medical Center
08.2015 - 11.2017

Case Manager (Per Diem)

Overlook Hospital
08.2012 - 02.2025

Utilization Manager/Discharge Planning Coordinator

Saint Michael's Medical Center
06.2012 - 07.2015

Utilization Manager/Discharge Planning Coordinator

Somerset Medical Center
12.2009 - 08.2015

Unit Secretary

Overlook Hospital
06.1997 - 02.2004

Master of Science - Business Administration in Healthcare Management

Capella University

Master of Science - Family Nurse Practitioner

South College

Bachelor of Science - Nursing

Capella University

Associate of Applied Science - Nursing

Muhlenberg College

Master of Science - Psychiatric Mental Health Nurse Practitioner

South College
Melissa Denniston