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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Summary

Results-focused Registered Nurse with strength in management, developing excellence and problem-solving. Proactive leader with strengths in communication and collaboration. Proficient in leveraging quality initiatives and policy development knowledge to promote excellence. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes.

Skills
  • Clinical staff management
  • Clinical process expertise
  • Excellent troubleshooting proficiency
  • Analytical thinking
  • Managing data for outcome reporting/trending
  • Conducting audits
  • Case Reviews
  • Effective Communication skills
Experience
Director of Clinical Excellence, 05/2013 to Current
Amedisys Inc.Clermont, FL,
  • Policy Development
  • Oversee Quality Management Program
  • Collaborate with software development team; providing clinical expertise for proprietary software development.
  • Oversee the preparation, application, and successful completion of URAC accreditation.
  • Case reviews
  • Responsible for all auditing and data collection procedures including distribution
  • Responsible for meeting regularly with client to ensure all contract obligations are fulfilled to the highest level of satisfaction by acting as the Account Representative.
  • Software training and support for new clients, staff, etc.
Care Transitions Coordinator, 08/2012 to 05/2013
Gerard AcademyBaltimore, MD,
  • Coordination of highly complex patients being discharged from acute care or skilled nursing settings to prepare for continued care under Home Health.
  • Meeting set quota expectations for brining in new business by calling on physicians and case managers
  • Patient and family education regarding discharge plan, medication management, physician instructions and disease management.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
  • Participated in Case Conference meetings with department heads to discuss census information, admissions and discharges.
  • Communicated with patients with compassion while keeping medical information private.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Case Manager, 07/2006 to 08/2012
Hand & StoneGlen Allen, VA,
  • Collaborated with various healthcare providers to facilitate delivery of services.
  • Determined and coordinated appropriate level of care to meet individual patient needs.
  • Assisted patients in receiving high-quality, appropriate care with best possible results.
  • Reviewed treatment plans against individual goals and healthcare standards.
  • Informed patients and families of treatment options and at-home care strategies to reduce unnecessary burden on hospital resources.
  • Collaborated with different disciplines to provide cohesive care to patients.
  • Provided end of life emotional, psychological, and practical support
  • Facilitated weekly discharge planning case conference
  • Oriented and trained new employees
General Manager, 04/2004 to 03/2009
Corinthian Health Services/Corinthian Care GroupCity, STATE,
  • Strategized new business development initiatives while maintaining current customer relations.
  • Implemented strategies to promote excellent patient outcomes while managing profitability of services provided.
  • Provided presentations to physicians and insurance carriers.
  • Oversee, and implemented the Quality Assurance Program.
  • Responsible for a million dollar plus operating budget.
  • Responsible for all Nursing, Pharmacy, and Reimbursement Department's daily operations.
  • Responsible for payroll and all other Human Resource functions including, hiring, terminating and counseling staff.
  • Created and implemented the Orientation/Training Program
  • Maintained compliance with all Federal, State and regulatory agencies.
  • Increased sales by over 50%.
Education and Training
Associate of Applied Science: Nursing, Expected in 05/1989
San Antonio College School of Nursing - San Antonio, TX,
GPA:
Accomplishments
  • While working as Dept Head for a large hospital system within 9 months of assuming the position was responsible for patient satisfaction improvement from being last- to being number 1 across the system.
  • While working as Dept Head and Nurse Manager for two different hospitals, able to collaborate and implement Carepaths for joint replacement and stroke patients overcoming resistance from physicians and staff.
  • As a Dept Head for a Women's Surgical Unit received accolades after presenting my unit's Quality Program to the JCAHO Nurse Surveyor- representing the entire hospital's nursing QA plan.
  • Co-Chair for the Baptist Hospital System Medical-Surgical Policy and Procedure Committee.
  • Voting member of the Baptist Hospital System's Quality Management Committee- system wide.
Additional Information

Additional positions held:

08/1998-04/2004

Case Manager for ACS (Affiliated Computer Services) State Contractor for TMHP

San Antonio, TX

09/1997-08/1998

Review Coordinator for CAC (Claims Administration Corporation) Administrator for the Mailhandler's Benefit Plan

San Antonio, TX

04/1995-09/1997

Nurse Manager Med/Surgical/Ortho/Oncology for North Central Baptist Hospital

San Antonio, TX

05/1989-04/1995

Staff Nurse for Santa Rosa Hospital downtown. In 1992 promoted to Supervisor and in 1994 promoted to Dept Head.

San Antonio, TX

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Resume Overview

School Attended

  • San Antonio College School of Nursing

Job Titles Held:

  • Director of Clinical Excellence
  • Care Transitions Coordinator
  • Case Manager
  • General Manager

Degrees

  • Associate of Applied Science

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