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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000 abc@xyz.com xxx-xxx-xxxx

 

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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