Alicia De Ver
Hendersonville,TN
Summary
Highly experienced nursing professional with exceptional leadership skills, clinical knowledge in intensive care, emergent medicine, and sound judgment developed over a 29-year career. Skillfully staff teams, organize charts, and oversee day-to-day care by leveraging strong decision-making and multitasking abilities—a history of building team cohesion and long-term success to maximize quality and cost-effectiveness of care.
Overview
17
17
years of professional experience
Work History
Cardiac Stepdown Registered Nurse
Ascension
Nashville, TN
12.2023 - 04.2024
- Performed nursing care to acutely ill adult patients with cardiac diagnoses such as myocardial infarction, congestive heart failure, cardiomyopathy, and arrhythmias.
- Evaluated effectiveness of interventions by assessing responses to treatment modalities.
- Maintained a safe environment for all patients by implementing infection control measures in accordance with hospital policy guidelines.
- Assisted with insertion and management of central venous catheters, arterial lines, chest tubes, and other invasive devices.
- Promoted continuity of care by accurately communicating pertinent information between shifts or departments.
- Participated in interdisciplinary rounds on assigned unit.
- Managed time efficiently while providing high quality patient care.
- Initiated emergency life-saving measures as needed according to ACLS protocol guidelines.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Psych Registered Nurse
Maxim Helathcare Staffing Services: MTMHI
Nashville, TN
08.2023 - 11.2024
- Record comprehensive patient histories and coordinate treatment plans with multi-disciplinary team members.
- Provide patients with direct nursing care, including all elements of the nursing process, establishing nursing diagnoses plan of care, and administering and evaluating pharmacological and other treatment regimens.
- Collaborate with prescribing professionals to get patients the necessary medications.
- Respond to emergencies with speed, expertise, and level-headed approaches to provide optimal care, support, and life-saving interventions.
- Help patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Maintain strict patient data procedures to comply with HIPAA laws and prevent information breaches.
House Supervisor
Select Medical Hospital
Nashville, TN
12.2022 - 07.2023
- Completing daily rounds of the nursing department to verify nursing service personnel performance alignment with acceptable nursing standards
- Maintain the correct number of staffers to meet budget parameters while promoting high levels of patient care.
- Continuing to initiate and monitor preventive and rehabilitative nursing procedures to deliver exceptional care to every patient
- Investigate and report accidents, leveraging new knowledge to improve protections for patients and staff safety.
- Fostering improved communication with contractors to promote regulatory compliance
- Directing emergency response and crisis interventions
- Ongoing enforcement of disease prevention protocols among staff members, patients, and visitors
- Provide patients with direct nursing care during periods of department short-staffing, including all elements of the nursing process, establishing nursing diagnoses, plan of care, and administering and evaluating pharmacological and other therapeutic treatment regimens.
- Maintaining critical drip management, ventilated patient care, wound care, telemetry interpretation, phlebotomy, and head code team member.
- Documenting patient data to ensure continuity in the provision and coordination of patient care.
Nursing Supervisor
Select Medical Hospital
Nashville, TN
02.2022 - 12.2022
- Advised, coached, and mentored experienced and student nurses on medical issues, crisis management, and appropriate nursing interventions
- Observed nurse administration of oral, intramuscular, and IV medications to patients as prescribed, monitoring responses for adverse reactions.
- Answered questions and addressed employee concerns promptly through email, phone, and in person.
- Completed daily rounds of the nursing department to verify nursing service personnel performance alignment with acceptable nursing standards
- Provided patients with direct nursing care during periods of department short-staffing
- Trained other nurses on patient care and daily tasks, supporting growth and professional development.
RN Staff Nurse
Select Medical Hospital
Nashville, TN
06.2020 - 02.2022
- Administered medications, tracked dosages, and documented patient conditions
- Explained treatment procedures, medication side effects, special diets, and physician instructions to patients
- Performed nursing rounds to complete scheduled tasks and interact with patients
- Collaborated with interdisciplinary healthcare professionals to create, implement, and adapt individualized care plans
- Maintained reports to provide oncoming shifts with full patient status
- Mentored new nurses on practices and procedures to drive patient outcome goals.
- Critical Drip Management
Charge Registered Nurse
Cura Health
Nashville, TN
09.2019 - 06.2020
- Supports professional practice in accordance with the Nurse Practice Act; Joint Commission, state and local laws; and
Patient’s Bill of Rights hospital policies. - Direct and provide planning and delivery of direct or indirect care to medically complex patients.
- In addition to supporting the family dynamics during transitions in care.
- Maintaining critical drip management, medication administration, wound care, telemetry interpretation, phlebotomy, and
head code team member. - Tracheotomy care/suctioning & Ventilator maintenance.
Sr. Director of Government Programs
Blue Cross Blue Shield of Illinois
Chicago, IL
10.2018 - 04.2019
- Formulated and deployed business transformation strategies to increase performance, profitability, and growth
- Facilitated strategic goals to increase satisfaction and improve outcomes through compassionate, precise, and high-quality nursing care,
- Optimized expenditures through company-wide cost-reduction initiatives
- Orchestrated strategic business plans and oversaw execution by streamlining customer support calls and enhancing customer experiences
- Maintained high standards in hiring staff, prioritizing flexibility, resourcefulness, and drive.
Sr. Director Health Services
CIGNA HEALTHSPRING
Chicago, IL
06.2015 - 06.2018
- Cultivate cross-functional solid relationships with internal and external partners to engage stakeholders and improve quality outcomes.
- We have successfully implemented a hospital-care transition coaching team to support customers and families through the healthcare continuum.
- Monitoring and measuring qualitative and quantitative improvements achieved through initiatives and programs
- Lead the day-to-day operations of the UM, CM, and Partnership for Quality departments to support the organization's continued growth and ability to meet regulatory and contractual obligations.
- Regulatory compliance and adherence to CMS and HFS, National Committee for Quality Assurance (NCQA), URAC, and HEDIS
- Review clinical and administrative techniques associated with health plan medical management processes to support the realization of benefits and improve outcome analysis to maximize Star ratings.
- Ensures efficient budget management and provides the best utilization of resources.
Direct Health Services Manager
HealthSpring Cigna
Chicago, IL
08.2013 - 06.2015
- Cultivate strong cross-functional relationships with internal and external partners to engage stakeholders
and manage initiatives. Implemented a hospital-care transition coaching team to support Cigna's
customers enrolled in the Independent Family Plan (IFP) Affordable Care Act. Communicated with staff within shared services, matrix partners, customers, medical providers, vendors, claims payers, and insurance professionals. - Monitor and measure improvements achieved through initiatives and programs. Initiated action regarding new programs, policies, and procedures
- Led the day-to-day operations of the UM, CM, and Partnership for Quality Teams to support the organization's continued growth and ability to meet regulatory and contractual obligations. Collaborate with Senior Management regarding operational issues, staffing, resources, and system requirements.
- Spearhead regulatory compliance and adherence to CMS and HFS, National Committee for Quality
Assurance (NCQA), URAC, and HEDIS. Oversee timely implementation of corrective action plan. Participated on committees as assigned, task forces, and work groups - Review clinical and administrative techniques associated with health plan medical management processes to support the realization of benefits and maximize Star ratings. Maintained awareness of government regulations, health insurance changes, and financing options by uses of Utilization Management and Review, by lnterQual criteria.
Behavioral Health Head Nurse
Delta Medical Center
Memphis, TN
05.2008 - 08.2013
- Performed a full range of professional psychiatric nursing services, including assessing, planning administering and evaluating patient care primarily geared to Dually- Diagnosed patients (mental illness/ substance addiction)
- Administered medical treatment as prescribed by the physician and is responsible for teaching and providing psychosocial support to patients and their families
- Provided day-to-day clinical direction to assigned Mental Health Workers and other paraprofessional staff.
Case Management Team Lead
HeathSpring - Cigna
Memphis, TN
01.2012 - 07.2013
- Led the delivery of Case Manager Services in Chicago, IL., Memphis, TN, and Chattanooga, TN.
- Ensured and improved clinical practices, services, and operations by designing and implementing processes, procedures, and methodologies to evaluate and improve patient health outcome
- Ensured that employees complied with federal, state, and organization guidelines
- Conducted hire, delegated training, evaluated individual employee performance and ensured adherence to all rules and guidelines
- Provided subject-matter-expertise in the RFI/RFP submission process for the State of Illinois Medicare-Medicaid Financial Alignment Initiative in Cigna-Healthspring Health Service SME representative for the Illinois Department of Healthcare and Family Services (HFS) Onsite Desktop Review for Service
Education
Master of Science - Healthcare Administration
Ashford University
San Diego, CA06.2019
Bachelor of Science - Nursing
University of Tennessee Health Science Center
Memphis, TN06.1997
Associate of Applied Science Nursing - Nursing
Shelby State Community College
Memphis, TN06.1993
Skills
- Interdisciplinary Collaboration
- Documentation and Reporting
- Family Education Programs
- Decision Making
- Client Advocacy
- Verbal and Written Communication
- Regulatory Compliance
- Organization and Multitasking
- Physical assessments
- Chronic Disease Management
Timeline
Cardiac Stepdown Registered Nurse
Ascension
12.2023 - 04.2024
Psych Registered Nurse
Maxim Helathcare Staffing Services: MTMHI
08.2023 - 11.2024
House Supervisor
Select Medical Hospital
12.2022 - 07.2023
Nursing Supervisor
Select Medical Hospital
02.2022 - 12.2022
RN Staff Nurse
Select Medical Hospital
06.2020 - 02.2022
Charge Registered Nurse
Cura Health
09.2019 - 06.2020
Sr. Director of Government Programs
Blue Cross Blue Shield of Illinois
10.2018 - 04.2019
Sr. Director Health Services
CIGNA HEALTHSPRING
06.2015 - 06.2018
Direct Health Services Manager
HealthSpring Cigna
08.2013 - 06.2015
Case Management Team Lead
HeathSpring - Cigna
01.2012 - 07.2013
Behavioral Health Head Nurse
Delta Medical Center
05.2008 - 08.2013
Master of Science - Healthcare Administration
Ashford University
Bachelor of Science - Nursing
University of Tennessee Health Science Center
Associate of Applied Science Nursing - Nursing
Shelby State Community College