Senior Nurse Leader Resume Example BLUE CROSS OF NORTHEASTERN PENNSYLVANIA

SENIOR NURSE LEADER

Professional Summary

Exceptional capacity to multi-task: manage competing priorities with ease while fostering delivery of superior service and care. Highly respected by physicians, colleagues and coworkers for ability to remain focused on key issues, collaborative in team settings and exhibit superior competency in complex medical situations. Demonstrated ability to forge, lead and motivate healthcare team to provide top quality service. Widely recognized as a go-to person for assistance with sensitive, complex or unusual situations. Demonstrates outstanding interpersonal and communication skills, communicates effectively and concisely while recognizing others interests, abilities and needs.

Education and Training

Bachelor of Nursing, BSN : 1 2011Misericordia University － Dallas, Pa

Associate Degree : 1 1998Luzerne County Community College － Nanticoke, ADN Pa

Bachelor Degree : Criminal Justice Biology, 1 1994Kings College － Wilkes-Barre, PaCriminal Justice Biology Masters in Nursing started, but not completed

Misericordia University － Dallas, Pa

1 1998US Army Reserves

Professional Experience

Senior Nurse leader
August 2012 to CurrentBLUE CROSS OF NORTHEASTERN PENNSYLVANIA － Wilkes-Barre, Pa

for a 12 person team, responsible for assisting, training and developing staff to complete timely, cost effective and medically necessary reviews in adherence to all company, state, federal and accreditation requirements.
Scope of reviews include: observation care, admissions to include inpatient, rehab, long term acute care, skilled nursing facilities, and home health services; continued stay, focus durable medical equipment, imaging.
specialized outpatient services such as IMRT, HBO, and pain management, to determine medical necessity and ensure most appropriate treatment and/or level of care for the member within a variety of products such as HMO, CHIP, PPO, FEP and specialized plans.
Skills demonstrated include, but not limited to: Collaboration with team members, colleagues, Case Management, Medical directors, and other resources intra-facility, as well as community, to ensure an appropriate level of care and/or service is provided as determined by evidence based best practices and/or standards of care.
Development of criteria/policy, based on research, best practices and/or standards of care, within all mandates and guidelines to ensure appropriate and cost effective use of resources.
Provision of in-services and trainings for the Medical Management Department, which consists of Medical Directors, Utilization Reviewers, Intake Coordinators and other departments, to educate on new initiatives, ensure mandatory compliancy & competency, and development of business appropriate personal skills.
Troubleshoot and negotiate with appropriate parties which include providers, members, colleagues, team members and other departments as needed, to prevent inappropriate adverse outcomes.

Staff Nurse
June 2011 to December 2012READING HOSPITAL AND MEDICAL CENTER － West Reading, PA

Served as weekend staff nurse caring for patients with life threatening, acute illnesses to include: acute myocardial infarction, stroke, trauma, heart/respiratory failure, drug overdose and code calls.
Provide strong contributions as key member of unit quality assurance program designed to identify and evaluate training issues, manage patient census and allocate staff assignments accordingly.
Exhibit motivation and dedication by providing high quality care to each patient.

Charge Nurse, ICU
January 2009 to June 2011BERWICK HOSPITAL - COMMUNITY HEALTH SYSTEM － Berwick, PA

Management and oversight of staff, patient assignment determination, triage or staffing adjustments as needed, effective and efficient interpersonal skills.
Performance of patient care duties in an ICU environment with an emphasis on patient prioritization.
Liaison between patient/family, staff and physician to ensure effective, timely and cost efficient care.

Staff Nurse
January 2002 to May 2009WILKES-BARRE GENERAL HOSPITAL － Wilkes-Barre, PA

CTICU and IV TherapyIn May 2009 Wilkes-Barre General was acquired by CHS.
Staff nurse for one of the area's largest, most comprehensive health care system in Northeastern Pennsylvania region.
The CTICU serves 350+ patients yearly during the immediate post operative recovery from various cardiac and thoracic procedures.
Performance of care for critically ill, immediate post operative patients requiring complex care.
Assignment and training of staff, serving as a critical care competency educator.

Staff Nurse
May 2003 to August 2008LANKENAU HOSPITAL － Wynnewood, PA

Responsibilities were diverse due to the prestige of this hospital.
Typical patient population included: open heart (CABG), valve replacements, transplants and mechanical implementation of ventricular assist devices (VADs).
They were often complex and critical requiring multiple therapies and devices to maintain hemodynamic stability.
Performed patient prioritization necessary to promote successful patient outcomes.
Repeatedly commended by patients and supervisors for outstanding quality of care.

Certifications

PA Nursing License# RN521821L, 1998-2016 Florida Nursing License RN 9397396 2014-2016 Managed Care Nursing Certification 2014 Case Management Certification December 2014 Intradepartmental McKesson, InterQual Trainer Microsoft Office Products Compliance of all State, Federal and Facility Mandated Protocols

Skills

interpersonal skills, educator, focus, imaging, mechanical, Microsoft Office Products, Nursing, Protocols, quality, quality assurance, research, staffing, Trainer, Troubleshoot

Resume Overview

Companies Worked For:

BLUE CROSS OF NORTHEASTERN PENNSYLVANIA
READING HOSPITAL AND MEDICAL CENTER
BERWICK HOSPITAL - COMMUNITY HEALTH SYSTEM
WILKES-BARRE GENERAL HOSPITAL
LANKENAU HOSPITAL

School Attended

Misericordia University
Luzerne County Community College
Kings College
US Army Reserves

Job Titles Held:

Senior Nurse leader
Staff Nurse
Charge Nurse, ICU

Degrees

Bachelor of Nursing, BSN : 1 2011
Associate Degree : 1 1998
Bachelor Degree : Criminal Justice Biology , 1 1994
1 1998

Senior Nurse leader Resume Example

Resume Score: 90%

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