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Yyyyyy x. yyyyyy
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Experienced nursing professional with several years of experience in medical and administrative roles along with a stellar educational background which includes a Bachelor s Degree in Healthcare Administration (Expected 2016). Experienced in designing and implementing unique medical programs, supervising cross-functional teams, improving operational efficiency/reducing cost, and educating patients/families. Highly adept in managing large-scale projects in addition to maintaining positive communication with co-workers, vendors, patients and members of management.
Proficient in: Microsoft Office Suite, McKesson, InterQual, and Allscripts Care Management
Key Competencies
Healthcare Administration Patient/Family Education Oral/Written Communication Medication Administration |
Internal Auditing Medical Billing/Coding Program Management HIPAA Regulations |
Coaching/Training Attention to Detail Staff Management Operations Management
|
Education/ Certifications
Bachelor of Science, Health Care Administration
University of West Florida, Pensacola, FL (2016)
National Society for Leadership & Success (Honor Society)
Associates of Science, Nursing
Gannon University, Erie, PA
Current BLS, CCM, and FAACM Certifications
Select Career Highlights
Played a lead role in the development of a ESRD Management Program which resulted in an increase in cost-savings in addition to a decrease in dialysis on discharge days, length of stay, and patient readmission rates
Successfully captured over 98% billed charges through the implementation of streamlined billing practices in addition to generating over $500,000 in annual revenue for a start-up Physician s office
Career Experience
Med-Cert, Inc. November 2015-Present
Case Manager
Directly manage a variety of administrative and operational functions within a high-stress environment with a focus on managing catastrophic illness cases on behalf of insurance companies
Utilize strong communication and interpersonal abilities in order to provide guidance to patients, act as an Patient Advocate when needed, and document all case related items
Yyyyyy x. yyyyyy
0000 xxxxxx xxxx , xxxx , xxxxx 00000 abc@xyz.com xxx-xxx-xxxx
Career Experience Continued:
Fresenius Medical Care November 2013-September 2015
Acute Coordinator
Coordinated several administrative functions which designing and implementing medical programs such as a ESRD case management program which decreased overhead, readmission rates, and patient length of stay
Acted as the Acute Dialysis Unit Manager which required supervising staff members, providing feedback and individualized coaching, managing inventory, and creating schedules
Educated both family members and patients on dialysis related topics, worked closely with the hospital s outpatient clinic, and arranged services for new dialysis patients
Select Specialist Hospital Pensacola September 2008-April 2014
ICU Nurse/Renal Case Manager
Facilitated various nursing and administrative operations within the organization with a focus on providing compassionate care to patients
Acted as interdisciplinary team leader and discharge leader for an 18 patient case load, educating family members on discharge related competencies, and played a lead role in several weekly meetings such as the IPPS meeting
Worked with insurance companies in order to obtain pre-authorizations, initiated medical appeals, and documented/coded audits as needed
Southern Family Care January 2005-July 2007
Manager
Managed the day-to-day operations of a fast-paced family care clinic which included overseeing medical billing/coding in addition to monitoring inventory levels
Oversee all staff management operations which include interviewing prospective candidates, training new employees, and conducting performance evaluations
Consistently fostered positive relationships with vendors, negotiated contracts, and created comprehensive standard operating procedures
Additional Professional Experience Includes: Registered Nurse, Hamot Medical Center and House Supervisor, HealthSouth LEIR
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