nursing profile

dynamic healthcare industry professional eager to contribute broad clinical, case management and administrative background toward supporting objectives of a progressive organization. ensure patients receive the appropriate treatment at the appropriate time. effectively advise patients on health maintenance and disease management strategies and provide quality case management. expert presenter, mentor, and leader. vast knowledge of emerging technologies in healthcare. skillfully assess patient healthcare needs to develop and implement nursing care plans, and maintain medical records. solidify strategic alliances and build consensus across multiple healthcare organization levels.

 

problem identification & resolution / quality care delivery / counseling / negotiations

risk management / program development / administration / patient care / conflict resolution

education

master of science in health care administration ~ central michigan university, mt. pleasant, mi

bachelor of science in health care administration ~ mercy college, detroit, mi

associate of science in nursing ~ macomb community college, mt. clemens, mi

career history

nursing functions

• complete physical examinations, make tentative diagnoses, and treat patients with quality care of acute, critical, and non-acute patients.
• maintain accurate, detailed reports and records; modify patient treatment plans as indicated by patients' responses and conditions.
• interpret and evaluate diagnostic tests to identify and assess patients condition.
• prescribe or recommend pharmaceuticals, medical devices or other forms of treatment.
• accurately record and report symptoms and changes in patients' conditions.

program design & management

• provide direct nursing insight and advisory management of various nursing and community treatment units and service to commercial, medicare, and medicaid populations.
• rendered effective patient care plans and focused understanding of the health care system as case manager, disease management specialist, nurse manager, and director of nursing.
• define the success for multiple programs including cvd, chf, migraine, low back pain, and depression programs through effective marketing, drafting articles geared toward patients and physicians.
• strategically drove program awareness and public/community relations through innovative marketing initiatives and effective member call management.
• stand as a subject matter expert on auditing medical records, ev8, hedid, and urac surveys, and interqual guidelines.
• develop effective programs such as juvenile treatment and intensive outpatient programs.
• ensure that each program met appropriate state licensing and insurance requirements.

operations

• institute business acumen while suggesting innovative methods to maintain and enhance corporate cost and revenue objectives.
• focus on internal operational efficiency and implemented new ideas for improvement.
• incorporate subject matter expertise in utilization review, program development, and risk management insight.

case manager, 9/2008 c present, 1/2000 c 10/2001 ~ cigna insurance company, southfield, mi

case manager/disease management specialist, 7/2004 c 9/2008 ~ blue cross/blue shield bcn, southfield, mi

case manager, 10/2002 c 07/2004 ~ mt. clemens general hospital, mt. clemens, mi       

case manager, 10/2001 c 10/2002 ~ select specialty hospital, mt. clemens, mi

nurse manager psychiatric department, 1998 c 10/1999 ~ crittenton hospital, rochester, mi

director of nursing, 1994 c 1998 ~ harbor oaks hospital, new baltimore, mi

 

***additional experience in carlyle center as director of nursing***

additional experience

adjunct instructor, 10/2002 ~ baker college, clinton twp, mi

professional development

• risk management training
• infection control training
• case management certification