Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:
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.

  • 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
Registered Nurse, Surgery, 09/2011 - 07/2012
Beaumont Hospitals Dearborn, MI,
  • 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
Bachelor of Science: Nursing, Expected in 12/2014
Northern Illinois University - Dekalb, IL
Associate of Applied Science: Nursing, Expected in 05/1999
Elgin Community College - Elgin, IL
  • 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.
  • Certified in Case Management

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School Attended

  • Northern Illinois University
  • Elgin Community College

Job Titles Held:

  • Registered Nurse Clinical Manager
  • Registered Nurse, Surgery
  • Registered Nurse, Medical


  • Bachelor of Science
  • Associate of Applied Science

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