Front Line Manager, Nurse Manager II Resume Example Company Name

FRONT-LINE MANAGER, NURSE MANAGER II

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 Administration2014Ohio UniversityCity, State, US

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

Bachelor of Science: Nursing2012Florida Southern CollegeCity, State, US

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

Certificate: Medicare Set Aside Training 2010University of Florida

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

Associate of Science: Nursing2005Polk State CollegeCity, State, US

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

A.A.: Liberal Arts2003Polk State CollegeCity, State, US

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 II08/2013 to CurrentCompany NameCity, State

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 Unit12/2006 to 08/2013Company NameCity, 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 - Surgical06/2006 to 12/2006Company NameCity, 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 Nurse01/2000 to 01/2006Company NameCity, 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.

Resume Overview

School Attended

Ohio University
Florida Southern College
University of Florida
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 : Health Administration 2014
Bachelor of Science : Nursing 2012
Certificate : Medicare Set Aside Training 2010
Associate of Science : Nursing 2005
A.A. : Liberal Arts 2003

Front-Line Manager, Nurse Manager II Resume Example

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