Director of Network Services Resume Example
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.
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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.
- 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.
- 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.
- 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.
- 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.
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
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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