Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK
H: (555) 432-1000
C:
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Date of Birth:
India:
:
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Professional Summary
Registered Nurse Clinical Manager with over 20 years of successful experience in clinical care and insurance administration. Recognized consistently for performance excellence and contributions to success in the Health care industry. Strengths in utilization management and case management backed by training in nursing.
Skills
Case management
Regulatory compliance
Risk management
EMR / EHR
Staff supervision
Managerial experience
Compliance oversight
Operations oversight
Team leadership
Clinical Quality Improvement
Team meetings
Policy and procedure improvements
Hiring and training
Internal audits
Analytical thinking
Work History
Registered Nurse Clinical Manager, 07/2012 - Current Lhc Group – Oil City, PA,
Oversaw and managed 22 clinical and support staff in Case Management and Utilization Management activities while maintaining high level of staff morale and professionalism
Evaluated nursing staff's performance and developed education programs and professional development opportunities to improve individual and team competencies, clinical knowledge and delivery of care
Advised division leaders of regulatory risks in business processed and provided recommendations for improvement
Managed full life cycle of assigned audits in alignment with departmental procedures, delivering progress as well as closing reports to senior management and clients
Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations
Developed and delivered training programs to inform new and current employees about compliance issues
Performed detailed assessments of risks to determine constraints and develop mitigation strategies
Developed standard operating procedures and document workflows for current and future process steps
Managed and archived quality documentation and participated in internal and external quality audits
Determined and recommended methods to address improvement opportunities
Adhered to established policies, procedures and compliance for satisfactory audit rating
Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion
Managed care for post-operative patients from initial recovery through discharge
Educated patients about surgeries and provided treatment plan documentation
Observed surgeon's body language, movements and demeanor during operations to efficiently anticipate needs
Prepared OR by ensuring it met asepsis standards, as well as setting out, organizing and counting all tools and equipment necessary for each procedure
Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
Calmed patients before surgery by actively listening and offering reassurance
Advocated for patient during surgeries and managed all necessary care in operating room
Collaborated closely with patient's surgical team such as anesthesiologist and surgeon throughout surgery process
Registered Nurse, Medical, 12/1999 - 09/2011 Stcharles – San Diego, CA,
Oriented and trained new staff on proper procedures and policies
Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
Educated patients on procedure details, provided instructions and answered questions to minimize anxiety and improve cooperation
Performed presentations to OB-GYN nurses on Nursing the Infertile Couple" with treatment strategies
Worked with principal investigator and sponsors to facilitate daily trial activities and ensure compliance with research protocols on 2 medication studies and 1 medical device study
Screened patient records, databases and physician referrals to identify prospective candidates for research studies
Published abstract/oral presentation(Initiation of GnRH agonist down-regulation during the follicular phase produces more ovarian cysts than a luteal-phase start in In Vitro fertilization cycles) ASRM Oct 2004
Provide care for patients with Ovarian Hyperstimulation Syndrome(OHSS)
Scrub/Circulate/Recover patients from In Vitro Fertilization and minor office surgeries that require MAC anesthesia
Collaborate with the development of a policy and procedure manual and nurse training manual
Education
Bachelor of Science: Nursing, Expected in 12/2014 - Northern Illinois University - Dekalb, IL GPA:
Associate of Applied Science: Nursing, Expected in 05/1999 - Elgin Community College - Elgin, IL GPA:
Accomplishments
Published abstract/oral presentation(Initiation of GnRH agonist down-regulation during the follicular phase produces more ovarian cysts than a luteal-phase start in In Vitro fertilization cycles) ASRM Oct 2004.
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