Yyyyyy x. yyyyyy

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

Staff Supervision Quality Management Training & Team Leadership

Utilization Management Regulatory Compliance Project Management

         Possess more than 12 years of nursing experience and six years management experience.

         Proven abilities in assessing, guiding, monitoring, and ensuring timely clinical transition of patients through medically appropriate levels of care.

         Draw upon sound clinical judgment to make decisions which promote patient health while ensuring resources are available to those most in need.

         Adept at navigating complete patient care process from assessment and treatment through to educating patients and family members in self-care and health promotion.

         Proficiency in developing thorough plans of care, evaluating treatment outcomes, maintaining accurate and up-to-date medical charts, and ensuring confidentiality.

         Talent for identifying operational inefficiencies and advising management on optimal solutions.

         Strong expertise in project management, cost containment, process improvements, and team-building.

         Advanced technical expertise includes skills in programming, system analysis and design, computer networking, and information systems audit management.

         Reliably ensure constant alignment with legal, contractual, accreditation, and corporate standards.

Qualis Health, 2015 to Present

Utilization Review RN

         Conduct utilization reviews for pre-admission, prior authorization, retro and emergency admissions, and systematically examine outpatient cases for durable medical equipment and outpatient procedures.

         Partner with physicians in reviewing cases and provide crucial support regarding problematic cases.

         Continually explored opportunities to implement measurable process improvements and system enhancements with a goal of maximizing cost savings and patient satisfaction.

         Diligently adhere to internal policies and procedures as well as rigorous quality management criteria.

Cascade Home Healthcare, 2014 to 2015

Registered Nurse Supervisor

         Conducted initial and ongoing patient assessments to ensure optimal and appropriate patient care.

         Provided certification training, mentoring, coaching and instruction to Home Health Aides, and seamlessly delegated tasks to LPNs and Home Health Aides to coordinate nursing care across assigned caseload.

NRI / Flu Clinic, 2014 to Present

Registered Nurse

• Safely and methodically administered flu shots to patients across the age spectrum and completed associated documentation for clinics.

NRI / Delmarva Foundation, 2013 to 2014

Contract Home Health Assessment Nurse

         Interviewed Medicaid patients to assess need for home health services and efficiently completed required reports for DCHF and Delmarva management.

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Carilion Clinic, 2012 to 2013

Registered Nurse

         Supported clinic in delivering high levels of nursing quality care by proficiently caring for patients in medical, telemetry, step-down, intensive care, and mental health units.

         Served as preceptor and supervisor for new nursing team members, consistently emphasizing regulatory compliance, patient safety, documentation accuracy, and quality assurance.

Inova Fairfax Hospital, Level 1 Regional Trauma Center, 2008 to 2011

Registered Nurse & Charge Nurse

         Directed, coordinated, documented, and supervised all facets of patient care on assigned unit.

         Demonstrated outstanding leadership and mentoring skills as preceptor to new nurses.

         Leveraged sharp clinical acumen to provide exceptional patient care on medical/surgical, telemetry, and step-down units.

Sentara Virginia Beach Hospital, 2007

Registered Nurse

         Delivered top-quality nursing care to patients across the age population on 28-bed med/surgical telemetry unit and fostered highly cooperative working relationships with interdisciplinary healthcare team members.

Chesapeake General Hospital, 2006

Registered Nurse

         Cared for patients having broad scope of illnesses and injuries on 30-bed med/surgical telemetry unit.

Prior Background:

Sr. Information Systems Auditor, Amtrak, 2002 to 2005

Project Manager, Ocwen Financial, 2000 to 2001

Information Systems Audit Manager / Project Manager, Key Bank, 1997 to 2000

Information Systems Audit Manager, Boatman s Bancshares, 1993 to 1996

Master of Science in Nursing (in progress), Western Governor s University, Salt Lake City, Utah

Bachelor of Science in Nursing, NSU, Norfolk, VA

RN Licensure, Washington, DC

Compact Nursing License, Virginia

Bachelor of Science in Business Administration, University of Nebraska-Lincoln, Lincoln, NE

Associate of Science, General Studies, Northern Virginia Community College, Alexandria, VA

Jiva, Interqual, Microsoft Office (Word, Excel, Outlook)