Summary
Overview
Work History
Education
Skills
Timeline
Generic

Diana Boyd

Marana,Arizona

Summary

Reliable an innovative Case Manager with several years of diverse experience. Skilled in enhancing systems and aligning medical needs with personal needs and avaialble medical care. Proven success in managing medical cases from start to finish and contributing to less medical resource waste and less client apathy concerning their care.

Overview

16
16
years of professional experience

Work History

Clinical Documentation Specialist

Ensemble
04.2024 - 09.2024
  • Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
  • Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
  • Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.
  • Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
  • Maintained strong knowledge of medical terminology, diseases and conditions and procedures.

Utilization Review Nurse

Healthcomp
06.2023 - 10.2023
  • Reduced healthcare costs through efficient utilization of resources and identification of unnecessary treatments or procedures.
  • Ensured compliance with regulations and accreditation standards by maintaining accurate documentation of all utilization review activities.
  • Performed prior authorization review of services requiring notification.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.

Registered Nurse Case Manager

Alaska Army National Guard
06.2016 - 06.2023
  • Evaluated patient progress and adjusted care plans accordingly, ensuring continuity of care across all healthcare settings.
  • Collaborated with physicians and other healthcare providers to ensure appropriate resource utilization for complex cases.
  • Provided education and support to patients and families, empowering them to make informed decisions regarding their healthcare needs.
  • Improved patient outcomes by consistently providing comprehensive assessments and developing tailored care plans.
  • Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
  • Streamlined care coordination processes to reduce hospital readmissions and emergency department visits.
  • Enhanced interdisciplinary team communication through regular case conferences, promoting effective collaboration for optimal patient care.
  • Conducted comprehensive assessments of patients'' physical, emotional, and social needs in order to develop individualized care plans that facilitated optimal health outcomes.
  • Responded promptly and professionally to patient questions and concerns.
  • Participated in ongoing professional development opportunities focused on refining case management skills in alignment with industry bestpractices.
  • Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
  • Led process improvement initiatives aimed at enhancing efficiency in case management operations while maintaining excellent clinical outcomes.
  • Used [Software] to maintain database of relevant information for practitioners to access and coordinate patient care.
  • Educated patients and caregivers on healthcare protocols and processes.
  • Educated family members and caregivers on patient care instructions.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.

Registered Nurse Consultant

Government Healthcare Solutions
12.2015 - 05.2016
  • Applied critical thinking skills when faced with complex clinical situations, resulting in improved decision-making processes and ultimately better patient outcomes.
  • Conducted comprehensive health assessments to identify potential issues and develop appropriate interventions.
  • Collaborated with interdisciplinary healthcare teams for optimal patient care and treatment coordination
  • Reviewed and approved Medicare behavioral health claims, ensuring compliance withhealthcare regulations

Compliance Review Registered Nurse

Providence Alaska Medical Center
03.2013 - 05.2015
  • Participated in quality improvement initiatives for better patient care standards.
  • Coordinated with multidisciplinary teams for holistic patient care.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
  • Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Worked with healthcare teams to develop treatment flow sheet and other log forms, improving clinical documentation and accountability.

Registered Nurse, Float Pool

Providence Alaska Medical Center
07.2010 - 03.2013
  • Served as a resource for other nurses on the Float Pool, offering guidance on policies, procedures, and best practices.
  • Mentored new nursing staff, sharing best practices for patient care and fostering a supportive team atmosphere.
  • Strengthened relationships between nursing teams across various units through regular collaboration on shared float pool initiatives and projects.
  • Facilitated smooth transitions between shifts by providing thorough handoff reports to incoming nurses, ensuring continuity of care.
  • Promoted patient advocacy by actively participating in interdisciplinary meetings and voicing concerns on behalf of patients.
  • Ensured patient safety by strictly adhering to infection control protocols and maintaining a clean work environment.
  • Enhanced teamwork among nursing staff through clear communication, active listening, and constructive feedback.
  • Improved patient satisfaction by providing high-quality nursing care and addressing individual needs.
  • Championed a culture of patient-centered care, consistently demonstrating empathy, respect, and professionalism in all interactions with patients and their families.
  • Expanded professional knowledge and maintained licensure by participating in ongoing educational opportunities and conferences related to nursing practice.
  • Optimized patient outcomes through proactive identification of potential complications or changes in condition requiring intervention.
  • Collaborated with interdisciplinary healthcare teams to develop comprehensive care plans, ensuring personalized patient support.
  • Coordinated with pharmacy staff to ensure timely medication administration, avoiding delays in patient treatment plans.
  • Managed patients recovering from medical or surgical procedures.

Registered Nurse, Intensive Care Unit

Cheshire Medical Center
06.2008 - 06.2010
  • Handled ventilator support, feeding tubes and central lines.
  • Assisted physicians with bedside procedures, ensuring accurate treatment administration and timely patient recovery.
  • Demonstrated advanced critical thinking skills while managing complex clinical situations involving multiple organ systems failures in critically ill patients.
  • Administered medications and treatments as prescribed by physicians.
  • Improved patient outcomes by developing and implementing individualized care plans for critically ill patients.
  • Reduced patient complications by promptly identifying changes in condition and initiating appropriate interventions.
  • Increased family involvement in patient care by providing timely updates on their loved one''s progress and addressing any concerns or questions they may have had.
  • Identified patients' current needs through careful observation, vitals monitoring and discussions with loved ones or patients.
  • Administered medications accurately and effectively, preventing adverse reactions through careful monitoring of drug interactions.
  • Worked with physicians and nursing staff to develop treatment protocols addressing patients' current symptom presentation as well as underlying conditions.
  • Effectively managed stressors associated with working in an intensive care setting while maintaining composure under pressure.
  • Cared for wounds such as surgical sites and pressure sores to prevent infection and promote healing.
  • Delivered age-appropriate medical care for adult, adolescent, and geriatric ICU patients.

Education

Associate of Science - Registered Nurse

New Hampshire Community Technical College
Keene

Bachelor of Science - Education

Unity College
Unity, ME

Skills

  • Goal setting
  • Care coordination
  • Emotional intelligence
  • Case evaluation
  • Mental health support
  • Healthcare program planning
  • Diet and nutrition
  • Preventive health
  • Strong clinical judgment
  • Clear patient communication
  • Utilization review
  • Chronic disease management
  • Care management

Timeline

Clinical Documentation Specialist

Ensemble
04.2024 - 09.2024

Utilization Review Nurse

Healthcomp
06.2023 - 10.2023

Registered Nurse Case Manager

Alaska Army National Guard
06.2016 - 06.2023

Registered Nurse Consultant

Government Healthcare Solutions
12.2015 - 05.2016

Compliance Review Registered Nurse

Providence Alaska Medical Center
03.2013 - 05.2015

Registered Nurse, Float Pool

Providence Alaska Medical Center
07.2010 - 03.2013

Registered Nurse, Intensive Care Unit

Cheshire Medical Center
06.2008 - 06.2010

Associate of Science - Registered Nurse

New Hampshire Community Technical College

Bachelor of Science - Education

Unity College

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Diana Boyd