Denise G Fessler

Philadelphia, PA

Hospital & Health Care

Geneia, Clinical Solutions - Harrisburg, Pennsylvania since Jun 2012
Vice President Clinical Care Solutions
The Center for Case Management 2006 - 2013
CMAC board
Capital Blue Cross - Harrisburg, PA Nov 2009 - Jun 2012
Vice President Clinical Services
Capital BlueCross Mar 2007 - Nov 2009
Senior Director Clinical Management
Capital BlueCross Aug 1999 - Mar 2007
Director Medical Management, Manager Care Management, Managed Care Consultant

Villanova University 1995 - 1997
Master of Science, Nursing, Concentration: Case Management Millersville University 1985 - 1989
Bachelor of Science, Nursing Reading Hospital School of Nursing 1977 - 1980
Univeristy of Pennsylvania, The Wharton School 2010

Managed Care
Healthcare Management
Disease Management
Healthcare
Utilization Management
Hospitals
Health Insurance
Nursing
Healthcare Information Technology
Case Management
Clinical Research
Health Policy
Utilization Review
Quality Improvement
Healthcare Consulting
Medicare
Strategic Planning
Leadership
Home Care
Business Strategy
Physicians
Healthcare Industry
Case Managment
Ncqa
Acute Care
Population Management
Post Acute Care

ALPHA NU Villanova University Chapter
Villanova University Chapter
1997 - present
SIGMA THETA TAU
International Nursing Honor Society
1997 - present
PHI KAPPA PHI, National Honor Society
Villanova University Chapter
1998 - present
Charter Member, XI CHI
Millersville University Chapter
Joan Large Award for Scholarship in Graduate Studies
Alpha Nu Chapter of Sigma Theta Tau, Villanova University
Graduate Program Recognition for Academic Excellence and Distinguished Service
Villanova University
HealthCentral Employee Recognition Award for Outstanding Achievement
HealthCentral
 Case Management Administrator Certification (CMAC) Credentialing Advisory Board
The Center for Case Management
2009-present and November 2000 - 2006
 Pennsylvania Action Coalition with The Future of Nursing Campaign for Action
 Pennsylvania Action Coalition with The Future of Nursing: Campaign for Action on behalf of the Robert Wood Johnson Foundation and the AARP, spearheaded by PA State Nurses Association (PSNA) and Pennsylvania Center for Careers. Inaugural steering committee member (current).
 Council for Case Management Accountability Expert Panel Member
Case Management Society of America
2003-2005
 State wide Nursing Recruitment and Retention of Nursing Committee
Hospital Association of Pennsylvania

Case Management Administrator Certified (Cmac)
Case Management Adherence Guideline I (Cmag-I) Provider
Certified Professional In Utilization Review (Cpur)
Certified Critical Care Nurse (Ccrn)
Certified Cardiographic Technician (Cct)
The Center of Case Management, Inc.
Case Management Society of America
Interqual, Inc.
American Association of Critical Care Nurses
Cardiovascular Technology Association