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Front-Line Manager, Nurse Manager II Resume Example

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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 Administration 2014 Ohio University Athens, OH, US

Ohio University, Athens, OH Master of Health Administration, completed August, 2014
Bachelor of Science: Nursing 2012 Florida Southern College Lakeland, FL, US

Florida Southern College, Lakeland, FL Bachelor of Science in Nursing, completed August, 2012
Certificate: Medicare Set Aside Training 2010 University of Florida

Coursework in Medicare Set-Aside. A program provided through the University of Florida.
Associate of Science: Nursing 2005 Polk State College Winter Haven, FL, US

Polk State College, Winter Haven, FL Associate of Science in Nursing, completed December, 2005
A.A.: Liberal Arts 2003 Polk State College Winter Haven, FL, 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 II 08/2013 to Current Liberty Mutual Tampa, 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 12/2006 to 08/2013 Liberty Mutual Lakeland, FL
  • 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 06/2006 to 12/2006 Bartow Regional Medical Center Bartow, FL
  • 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 01/2000 to 01/2006 Lakeland Regional Medical Center Lakeland, FL
  • 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.

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Resume Overview

Companies Worked For:

  • Liberty Mutual
  • Bartow Regional Medical Center
  • Lakeland Regional Medical Center

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

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