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Director of Network Services Resume Example

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JUDITH BEHANICK

Summary

Driven professional with versatile experience in the medical education industry. Exceptional hands on clinical educator. Successfully serve as a communication channel, and facilitator. Strong ability to establish, and maintain effective collaborative relationships between hospitals, teams, and providers.

Skill Highlights
  • Training and Development
  • Service Quality improvement
  • Certified Asthma Educator
  • Clinical Educator
  • Critical Thinking
  • Leadership
  • Orientation & Onboarding
  • Confident Public Speaker
Core Accomplishments

Training:

  • Increased projected speed by 60% of new program adoption by developing targeted training modules delivered to interdisciplinary and interdepartmental teams.
  • Delivered training programs to meet 100% of aggressive deadlines and stringent budgets.

Process Improvement/Program Management

  • Developed educational program for providers that resulted in reimbursements for chronic disease models.
  • Implemented financial incentives that reward or hold providers accountable for patient outcomes across inpatient and outpatient settings.
  • Credited with reducing readmissions across NY regions by 21% by developing and overseeing case management program.
  • Coordinated with facilities partnerships of sharing health information technology (e.g., electronic health records, patient registries, and risk stratification software) to improve quality and integrate care across settings.
Professional Experience
Director of Network Services06/2015 to CurrentUniversal AmericanSyracuse, NY
  • Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.
  • Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources.
  • Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets.
  • Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning.
  • Identify large and/or critically important medical providers, integrated provider systems, and provider networks with whom to develop mutually beneficial relationships.
Regional Clinical Supervisor03/2014 to 06/2015Universal AmericanSyracuse, NY
  • Provide daily operational oversight to registered nurses and care coordinators in Broome Tioga, Chemung, Chenango, Delaware, and Jefferson counties.
  • Improve team's strategies by engaging, assessing, and managing members.
  • Continuously evaluate, report, and implement improvements to impact staff productivity and quality of performance.
  • Develops strong working relationships with internal and external stakeholders, providers and community organizations.
  • Performs performance management reviews and HR oversight of assigned personnel.
  • Established working relationships in Tioga, Chemung, Chenango, Delaware, Broome, and Jefferson counties.
  • Developed process improvement program with stakeholders,
  • Developed New Hire orientation program for Northeast markets.
RN BSN Asthma Coordinator/ Case Manager01/2010 to 01/2014Monroe Plan for Medical CareBinghamton, NY
  • Provide professional asthma education to 15 provider practices.
  • Communicate with providers to reduce health care disparities and improve healthcare outcomes.
  • Collect and report performance metrics to internal and external entities.
  • Coordinate program activities collaborating with providers and administrators to improve outcomes.
RN Asthma Director/Clinical Educator01/1996 to 01/2010UHS HospitalsBinghamton, NY
  • Educated providers on National Institute of Health guidelines for chronic disease models.
  • Prepared narrative and fiscal reports as required by the N.Y.
  • State Health Department.
  • Served as hospital sponsor for American Lung Association.
  • Served as U.S.
  • government liaison for Asthma Coalition of the Southern Tier.
  • Facilitate ongoing program review and continuous improvement efforts.
  • Served as a liaison and member advocate communicating/educating patient/provider needs.
  • Collaborated with individual teams of multifaceted health care systems to develop individualized care plans.
  • Recognized for creating and implementing Provider Education Platforms.
  • Partnered with health plans establishing community-wide case management standards.
Professional Affiliations

International Honor Society of Nursing Sigma Theta Tau 2014-current


Summa Cum Laude- Chamberlain College of Nursing 2015


Mentor National Asthma Educator 2010-2011


Chair Asthma Coalition of the Southern Tier 2005-2010


Hospital Sponsor– American Lung Association (Led integration of American Lung Association Open Airways into BSN Nursing Curriculum) | 2010


U.S.Government Liaison-Asthma Coalition of the Southern Tier 2005-2009

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Resume Overview

Companies Worked For:

  • Universal American
  • Monroe Plan for Medical Care
  • UHS Hospitals

Job Titles Held:

  • Director of Network Services
  • Regional Clinical Supervisor
  • RN BSN Asthma Coordinator/ Case Manager
  • RN Asthma Director/Clinical Educator

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