Jun 14, 2024

MELISSA WHETZEL

  • Director of Clinical Care (DCC)
  • United States
Full time Advanced Practice

Personal Summary

I am a dedicated and experienced healthcare professional with a strong background in clinical care management. My passion lies in ensuring safe and efficient patient care through effective leadership and collaboration with multidisciplinary teams. With a Doctor of Nursing Practice (DNP), Master of Business Administration (MBA), and Master of Science in Nursing (MSN) with AGNP-BC certification, I bring a wealth of knowledge and skills to drive positive outcomes in healthcare settings.

Skills

  • Multi-disciplinary team leadership
  • Team Building
  • Business Administration
  • InterQual
  • EPIC
  • eCW
  • PowerBI
  • Excel
  • PowerPoint
  • Root Cause Analysis
  • Utilization Review

Licenses and certifications

  • Adult Gerontological Nurse Practitioner - ANCC (May 2024)

Work Experience

Director of Clinical Care (DCC)
Dec 2022 - Present ConcertoCare

- Lead a management team to ensure safe and efficient care in clinical practices - Oversee clinical staff management responsibilities - Assist in hiring, training, and evaluating case managers and nurse practitioners - Collaborate with the management team to address operational issues and implement best practices - Develop and implement clinical policies and procedures to support quality patient care - Monitor staff compliance with regulatory requirements and standards - Evaluate and optimize clinical workflows and staff competencies - Coordinate clinical education programs and quality initiatives - Contribute to the long-range strategic planning of clinical operations

Utilization Manager
Aug 2002 - Mar 2018 Duke Medical Center

- Conducted retrospective medical necessity reviews for short-stay Medicare patients - Educated healthcare providers on utilization review processes and compliance - Participated in hospital-wide utilization management committees - Managed authorizations and patient class assignments for optimal care - Supported denials management and documentation processes

BP operations
Mar 2018 - Dec 2022 Biscoe primary care

Education

DNP
Apr 2020 - Present Robert Morris University
MSN in Adult Gerontological Nurse Practitioner
Dec 2016 - Present South University
MBA in Business Administration
Nov 2018 - Present University of Mount Olive
BSN
Dec 2012 - Present North Carolina Central University
ADN in Nursing
Dec 1998 - Present Alamance Community College