Chief Nurse Executive Resume Example

Nurse Executive committed to the relationship based care model to provide for an exceptional patient experience and dedicated to nursing innovation, accountability, professional development, and the achievement of top box clinical, financial, and quality outcomes.

Project Management: 

• Initiated and led a Preventing Avoidable Readmissions project which resulted in a 14% decrease in 30 day readmission rate
• Internal lead for the redesign of patient access and the development of the orders management unit resulting in 20% decrease in denials for outpatient services
• Process owner for the DMAIC to increase community referrals to NLFH home health care by 4%.
• Responsible for the creation and oversight of lever groups to improve psychiatric services
• Responsible for reducing supply costs by 15% through the use of supply cabinets and contracting with a durable medical supply vendor
• Initiated and led a $500,000 project to improve through-put utilizing a enterprise visibility system
• Initiated coding and documentation improvement program which resulted in increasing the case mix index by 22% from 2007-2011

Case Management: 

• Developed an integrated, closed loop, case management model accountable in responding to the challenges of third party payers, assuring regulatory compliance, and optimizing organizational revenues in the inpatient, outpatient, and long term care settings
• Responsible for a 2 million dollar departmental budget with a yearly <2%>
• Managed RAC (Recovery Audit Contractors) denial processes which resulted in a 67% appeal success rate for Medicare overpayment findings

Operations Management: 

• Oversight and restructuring the department of nursing operations leaders
• Adviser for exemplary practice nursing clinical operations council and outpatient nurses operation council

Organizations and Presentations: 

• MCHC (Metropolitan Chicago Health Care Council) Case Management Task Force-2010-Current
• Illinois Chapter ACMA-Education Committee- 2010-2012
• Poster presentation -ACMA National Conference 2007-Improving Organizational Through-put
• Speaker presentation-ACMA National Conference 2012-The Business Model for Case Management Services