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.
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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
- Responsible for the oversight of case management services including social services, utilization review, denial management, discharge/transition planning, and coding and documentation improvement
- Manage internal and external physician adviser services
- Manage external crisis services
- Oversight for the palliative care program and obtaining Joint Commission Certification in 2014
Case management consultant to hospitals and facilities to perform onsite medical record reviews and improve case management department efficiencies and workflows through analysis and redesign
Responsible for shift operations for clinic, skilled, custodial, assisted living, and independent living residents
Responsible for shift operations for acute care hospital services
Operational responsibility for Oncology inpatient and outpatient services
Oversight of the design and build of a new inpatient and outpatient center for Oncology Services
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Resume Overview
School Attended
- Purdue-Calumet University
- Lewis University
Job Titles Held:
- Chief Nurse Executive
- Director Case Management
- Consultant
- Nursing Supervisor Long Term Care
- Nursing Supervisor
- Director Oncology Services
Degrees
- MSN : Nursing 2010
BSN : Nursing 1977
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