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yyyyyy x. yyyyyy
(xxx-xxx-xxxx • abc@xyz.com
solutions-focused leader eager to offer cross-functional healthcare administration, auditing, utilization review, quality assurance, and case management experience, as well as strong team building, regulatory compliance, policy development, and patient relations talents, toward supporting an ethical employer in delivering quality care.
profile of qualifications
top performer who offers a diverse background in healthcare administration, utilization review, case management, and auditing.
integral leader who supports the delivery of responsible patient care for all ages based on industry and / or healthcare facility standards of practices, and demonstrates solid nursing abilities, needs analysis / assessment, and multifaceted treatment skills.
out-of-the-box thinker who accurately determines key resources, services, and treatment plans per individual patients needs.
ambitious self-starter who initiates quality staff recruitment that encourages low turnover rates and high levels of organizational loyalty, along with planning and prioritizing core team tasks to maximize use of resources and meet various healthcare goals.
excellent communicator who seamlessly interfaces between healthcare providers, patients, and families, including establishing nurturing and confidential professional relationships with individuals of varying cultural and economic backgrounds.
areas of expertise
utilization review auditing processes budget / cost control team building
hedis / pia contracts regulatory compliance state / medicare reviews healthcare administration
quality assurance / control nursing care plan reviews patient / physician relations psychiatric case management
professional synopsis
nurse field reviewer
outcomes, inc., fort collins, co 2008 c present
utilize broad scope of industry knowledge and dynamic healthcare support acumen to handle medical data retrieval, audits, utilization review, and analysis within colorado physician offices, hospitals, and long-term care facilities for hedis and pia contract projects to improve health-related outcomes, including traveling extensively throughout colorado to achieve key goals.
registered nurse ii / case management (2001 c 2002) • registered nurse ii (2000)
mountain crest hospital a division of poudre valley hospital, fort collins, co 2000 / 2001 c 2002
built and sustained productive psychiatric medical care for inpatient adult / adolescent and adolescent residential units, including providing comprehensive assessment and case management encompassing treatment plans, resource referral, and education, as well as handling utilization review, disposition planning, admissions / discharges, and transfers to ensure seamless processes.
served as an er response team member and initiated 27-10 holds, performed phone triaging, and supported intake coordination.
applied strong leadership talents toward supervising rns, psychiatric technicians, and certified nursing assistants (cna).
nurse recruiter
ready link health care, fort collins, co 2000 c 2001
drove healthcare operations success by recruiting top-performing rns for travel positions throughout the united states, including developing, implementing, and managing marketing and advertising endeavors and web design initiatives to boost results.
director of nursing
fort collins health care, fort collins, co 2000
led targeted management of an 85-bed, long-term facility with psychiatric and assisted living, including conducting in-services, state, and medicare reviews; handling utilization / quality assurance reviews; facilitating accurate chart audits; coordinating nursing care plan reviews; promptly resolving employment and staffing issues; and managing varied medical monthly budgets.
nurse manager / assistant administrator
harbor place adult partial hospitalization program, pensacola, fl 1992 c 1993
strategically steered solutions-driven individual counseling and group therapy, including overseeing all medication management, treatment plans, intakes, admissions / discharges, policy / procedure development, and quality assurance / utilization review.
interfaced among physicians, therapists, client families, and other residential facilities to provide high-quality services.
resume • page two
(xxx-xxx-xxxx • abc@xyz.com
professional synopsis (continued)
director of nursing
mary marshall manor, marysville, ks 1989 c 1990
directed a 95-bed facility, including supervising teams; handling in-services efforts; managing budgets and inventories; facilitating state, medicare, and pharmacy reviews; overseeing quality assurance and utilization reviews, and coordinating nursing care plans.
registered nurse
baptist hospital behavioral medicine, pensacola, fl 1986 c 1988
contributed wide-ranging nursing abilities toward supporting healthcare efforts in substance abuse, eating disorders, and adult / adolescent psychiatric units, including admitting / discharging patients, auditing charts, and providing individual and group therapy.
roles between 2002 c 2008 and 1993 c 2000 encompassed real estate, counseling, office management, and administrative support.
education & professional development
master of science in education (counseling & school psychology emphasis) butler university
bachelor of science in psychology & sociology state university of new york at albany
associate of science in nursing pensacola junior college
registered nurse state of colorado / state of florida
licensed professional counselor state of colorado
certified professional coder american academy of professional coders
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