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

Experienced nurse manager and health care administration expert, with over fifteen years of experience in the health care and insurance industry.


Education and Training
Master of Health Administration: Health Administration, Expected in 2014
Ohio University - Athens, OH
GPA:

Ohio University, Athens, OH Master of Health Administration, completed August, 2014

Bachelor of Science: Nursing, Expected in 2012
Florida Southern College - Lakeland, FL
GPA:

Florida Southern College, Lakeland, FL Bachelor of Science in Nursing, completed August, 2012

Certificate: Medicare Set Aside Training , Expected in 2010
University of Florida - ,
GPA:

Coursework in Medicare Set-Aside. A program provided through the University of Florida.

Associate of Science: Nursing, Expected in 2005
Polk State College - Winter Haven, FL
GPA:

Polk State College, Winter Haven, FL Associate of Science in Nursing, completed December, 2005

A.A.: Liberal Arts, Expected in 2003
Polk State College - Winter Haven, FL
GPA:

Polk State College, Winter Haven, FL A.A., Liberal Arts. Completed August, 2003

Skill Highlights
    Staff training and development
  • Conflict resolution
  • Relationship and team building
  • Sound decision making
  • Staff training and development
  • Critical thinking proficiency


  • Effectively influences others
  • In-depth claims knowledge
  • Cultural awareness and sensitivity
  • Personal and professional integrity
  • Patient-oriented
Professional Experience
Front-Line Manager, Nurse Manager II, 07/2013 to Current
Central Florida Health CenteralizedTallahassee, FL,
  • Carefully selected, developed and retained qualified staff, as well as trained new staff when needed.
  • Participated in the restructuring of the Mentoring program with Liberty Mutual.
  • Implemented standards and methods to measure the effectiveness of employee production.
  • Provided thorough supervision for day-to-day operations of my staff in accordance with set policies and guidelines.
  • Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed.
  • Monitored the nursing and operation of support departments to ensure that client needs were consistently met.
  • Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care.
  • Minimized staff turnover through appropriate selection, orientation, training, staff education and development.
  • Coached and developed a care team that consistently ranked among the top in the nation for key clinical, performance and financial outcomes.
  • Conducted probationary and annual performance evaluations of all nursing staff.
Senior Case Manager RN -Catastrophic Care Unit, 11/2006 to 07/2013
Liberty MutualCity, STATE,
  • Optimized the use of managed care providers to minimize leakage and maximize network utilization.
  • Worked closely with the Heritage Network in the contracting of new vendors into the Heritage Network.
  • Negotiated rates for medical services with non-contracted providers.
  • Utilized extensive nursing experience to properly place patients within a managed care network for Workers Compensation Claims.
  • Assessed client needs and discussed client/caregiver goals to determine strategies and meet objectives.
  • Supervision and placement of field personnel.
  • Provided ongoing education to claims staff.
Registered Nurse - Surgical, 05/2006 to 11/2006
Bartow Regional Medical CenterCity, STATE,
  • Recorded patients' medical history, vital statistics and test results in medical records.
  • Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and orient patients to unit.
  • Sound, ethical and independent decision-making ability consistent with medical protocols.
Registered Nurse and Licensed Practical Nurse, 2000 to 2006
Lakeland Regional Medical CenterCity, STATE,
  • Responsible for primary care, case management and medication management.
  • Assisted patients with multiple chronic diagnoses including COPD and asthma.
  • Provided necessary health education training for patients.
  • Accurately documented all elements of nursing assessment, treatments, medications, discharge instructions and follow-up care.
  • Acted as patient advocate and implemented total patient care through a team nursing process covering 8-10 high acuity patients per shift.
Accomplishments
  • Recipient of the 2007 Star Award- A customer service award I received while at Liberty Mutual. The award recognizes outstanding customer service and this was the first time the award had been presented to a Registered Nurse.
  • Star Award received again in 2008
  • Consistently recognized for taking lead on complex care files
  • Recognized as a "Top Ten performer" in 2007,2008, & 2010.
Certifications

Member of the Certified Case Manager Association (CCM).

Affiliations

Certified Case Manager Association

Skills

Claims, Workers Compensation claims, Managed Care, Registered Nurse, Cost Control, Metrics, Quality Assessment, Recruitment, Utilization Review, Team Building, Customer Service, Problem Solving, Six Sigma, and Lean System.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Disclaimer

Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:

74Average

resume Strength

  • Length
  • Personalization
  • Target Job

Resume Overview

School Attended

  • Ohio University
  • Florida Southern College
  • University of Florida
  • Polk State College
  • Polk State College

Job Titles Held:

  • Front-Line Manager, Nurse Manager II
  • Senior Case Manager RN -Catastrophic Care Unit
  • Registered Nurse - Surgical
  • Registered Nurse and Licensed Practical Nurse

Degrees

  • Master of Health Administration
  • Bachelor of Science
  • Certificate
  • Associate of Science
  • A.A.

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in: