Susan Phelps

Work experience

Work experience
Dec 2005 - Present

Manager of Clinical Operations

Vestica Healthcare

Responsible for the oversight of the Case Management Program under contract with the WI Department of Corrections. This includes utilization management; re-entry case management; provision of educational and community resources to WDOC staff; development and analysis of reports related to disease management, resource utilization, etc.; community resource identification and development, etc. Developed the Vestica Case Management Program.

2003 - 2005

Quality Management Nurse

Community Services Network of West TN

Responsible for identifying, tracking, and reporting quality issues. Developed utilization reports related to medication utilization with data from the PBM and reported these to the quarterly Board Meetings.

2000 - 2003

Case Manager

Baptist Rehabilitation Hospital

Inpatient case manager for 25-35 patients on an inpatient rehab unit. Patients were primarily CVA’s or other medical neurological conditions. When Medicare implemented the Prospective Payment System for inpatient rehab, implemented the process for collecting initial therapy assessments, ongoing FIM scores, etc., and entering them into a web-based application for submission to CMS.

1997 - 1999

System Analyst

Aurora Healthcare

Testing and building with the Cerner electronic medical record project. Participated in the roll-out at Hartford Clinic, Hartford, WI.

1995 - 1997

Utilization Management Manager

Genesis Healthcare

Responsible for utilization management for Medicaid HMO product, including prior authorizations, daily inpatient hospital updates, etc. Supervised a staff including one (1) LPN and one (1) clerical support person.

1994 - 1995

RN Medicare Specialist

Horizon Home Care & Hospice

Responsible for reviewing Medicare documentation of field professional staff for appropriateness, timeliness, etc. Reviewed Medicare cases to determine appropriateness of visit frequencies, length of service, services provided, etc.

1985 - 1993

Manager - UCDS


Managed department of 12 nurse reviewers in computerized quality and utilization review for CMS.

1983 - 1985

Patient Care Coordinator

Alexian Village

Responsible for management of 60-bed skilled nursing unit in a retirement community. Supervised a staff of registered and licensed practical nurses and nursing assistants.

1982 - 1983

Inservice Director

Glenfield Healthcare Center

Responsible for the orientation of all professional and paraprofessional nursing staff and the development of clinical and staff development inservice programs.

1981 - 1982

Staff Nurse

St. Mary's Hospital

Responsible for primary care on oncology unit.




University of Wisconsin
Mar 2009 - Feb 2012


Western Governors University


1981 - 2012

RN License

State of WI Board of Nursing