Summary
Overview
Work History
Education
Skills
Accomplishments
Achievementsandhonors
Timeline
Amy Wood

Amy Wood

Mesa,AZ

Summary

Results-focused professional nurse offering over 25 years experience as a practicing clinician and manager in corporate and hospital settings. Combine business acumen with medical / clinical expertise. Excel at aligning medical goals with business objectives. Communicative, energetic style coupled with strategic vision has transformed losses to strong profit performances. Expert in devising programs and managing sensitive cultural change integrations that challenge the status quo yet win the unqualified support of key stakeholders and staff.

Overview

39
39
years of professional experience

Work History

RN Care Manager

Independent Care Manager Services
04.2021 - Current
  • Utilized catastrophic case management and geriatric care management skills to coordinate care and assist in transitional living across the aging spectrum
  • Developed professional relationships with multidisciplinary healthcare providers to coordinate treatment plans for patients and their impacted family members
  • Maintained continuing education activities and nursing related seminars during this period.

A1A Clinical Care Manager, RN

Aetna/CVS Health
09.2020 - 03.2021
  • Telephonically assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member’s overall wellness
  • This is achieved through direct member contact that drives a partnership in developing holistic plans of care and leads to influencing a member’s effective use of programs, tools and resources
  • This role encompasses use of Motivational Interview techniques to assist member in facilitating change in lifestyle.

Clinical Supervisor RN

Tri City Cardiology
12.2011 - 09.2019
  • Manage the day-to-day operations of the organization’s ancillary clinical services including the Anticoagulation, Pharmacy, Triage, Device, Research and Heart Failure departments
  • Responsible for the planning, administration, direction, coordination and supervision of the ancillary services functions
  • Work collaboratively to ensure smooth functioning of the departments by effectively managing all staff, processes, and systems
  • Oversee clinical and non-clinical services in multiple locations
  • Responsible for the oversight of RN clinicians and other disciplines to ensure quality process management and quality patient care in multiple departments and locations
  • Oversee and respond to urgent and emergent patient medical needs
  • Assist with the development and implementation of clinical guidelines for multiple departments in the organization
  • Collaborate directly with providers for the management of complex clinical issues for multiple departments
  • Interact with patients, physicians, management, and employees in both written and verbal form
  • Respond to patient inquiries and complaints in a courteous manner, provide information, and resolve complaints in an efficient manner
  • Provide education to patient and family members in the clinics, as well as representing the organization at community outreach events and seminars
  • Contributing author to the company patient newsletter, providing heart healthy living education to readers of the publication
  • Research, coordinate, and directly train staff in clinical advancements
  • Directly supervise telephonic health care call centers in the Anticoagulation, Triage, Pharmacy and Heart Failure Teams
  • Have full supervisory accountability for development, performance management and evaluation of staff.

Chief Executive Officer

MedPlans, LLC
01.2002 - 01.2011
  • Setting strategy and direction for an independent consulting firm specializing in Catastrophic Case Management, Life Care Planning, Legal Nurse Consulting and Geriatric Care Management
  • Required strong “people skills”, outstanding follow-though, time management, and providing clear and concise reports to other members of the health care and legal teams.

Director of Quality Improvement/ Clinical Nurse Expert

American Heart Association
12.2007 - 03.2009
  • Covered a nine-state region for the “Get With The Guidelines” national registry and performance improvement program
  • Primary goal to improve the quality of care and outcomes for Acute Myocardial Infarction, Heart Failure, and Stroke by promoting consistent adherence to the latest scientific treatment guidelines
  • Encouraged key stake holders at hospitals to participate in the registry which collects patient level date on characteristics, diagnostic testing, treatments, and adherence to quality measures, and in-hospital outcomes for patients hospitalized with AMI, HF, and Stroke
  • Hospitals reported 30-day post hospitalization to track key measures such as re-hospitalization, follow-up visits, medication adherence, patient education, and mortality
  • This role included serving as a scientific resource for new information to physicians and hospitals
  • Responsible to provide continuing education to all levels of interested parties – customers, patients, community groups, and AHA staff
  • Service as liaison between state level entities, providers and hospitals
  • Facilitate consortiums to provide telemedicine consultation to rural hospitals
  • Assisted with development of treatment guidelines and transfer agreements between rural and larger medical centers.

Invasive and Non-invasive Cardiology Nurse

St. Mary’s Medical Center
01.2003 - 12.2007
  • Charge Nurse of Cardiac Cath Lab, Non-invasive stress testing, and Cardiovascular Observation Unit
  • Worked hand-in-hand with Chief Medical Officer of Cardiology services to expand product line from non-invasive cardiac angiography to full-service interventional cardiac cath lab
  • Played critical role in policy and procedure development, monitoring of clinical outcomes data, and educating staff.

Manager of Medical Investigations/Medical Review Unit

Corvel Corporation
01.2001 - 12.2002
  • Responsible for oversight and day-to-day operations of a team of RN- Attorney professionals
  • Worked with worker’s compensation, auto, health and disability industry customers to assist with risk management decisions to effectively balance risk and reward
  • Provided education to customers, helping insurance carriers understand the medical needs and charges associated with claims.

Catastrophic Nurse Specialist and Certified Life Care Planner

Intracorp/ a Cigna division
01.1999 - 01.2001
  • Served as a telephonic and field case manager for worker’s compensation and disability claims
  • Evaluated patient disability claims and provided early intervention in the medical and return-to-work management processes for injured employees
  • Spearheaded the National Catastrophic Case Management Team – a new division which placed highly specialized nurse case managers on call rotation 24/7 covering the US and all US territories
  • This program offered immediate intervention in critical injury claims, leading to timely medical decision making, positive patient outcomes, and ultimate health care cost containment.

Director of Managed Care and Subacute Rehabilitation Services

Foster Health Care Group
09.1993 - 10.1998
  • Worked directly with the Chief Operating Officer to develop case management and subacute rehab services for nine Skilled Nursing Facilities, five Alzheimer and Dementia units, four Assisted Living Communities, and two Independent Living Communities – totaling 1,481 licensed beds
  • Also included in role was oversite of a Home Health and Hospice agency serving 18 counties in Missouri and two institutional pharmacies
  • Negotiated contracts with preferred provider networks for an array of rehab and long-term care services
  • Lead the team to develop and sign the first preferred provider benefit agreement between a national long-term care insurance carrier and a senior health care organization
  • Provided monthly educational seminars to key leadership at each facility regarding managed care and to clinical staff regarding the level of care required to meet contractual agreements with third party payers.

Shift Coordinator PTCA Unit/Cardiac Cath Lab/Electrophysiology Lab

St. John’s Medical Regional Health Care Center
08.1988 - 09.1993
  • Managed staffing and training for RN and Cardiovascular Techs in the cardiac intensive care unit, cardiac cath lab, and electrophysiology lab.

Staff Nurse/Charge Nurse CCU and Cardiac Telemetry step-down unit

Lester E. Cox Medical Centers
05.1985 - 08.1988

Education

Life care Planning and Catastrophic Case Management. 120 hours of post graduate level study -

University of Florida / Department of Rehab, Intellicus
11.1997

RN -

Burge School of Nursing/Cox College
05.1985

Skills

  • Knowledge and experience working in hospital settings, free-standing physician practices, and corporate medical organizations
  • Skilled practitioner of Motivational Interview techniques
  • Extensive background providing education to health care team members, allied health care professionals, patients and their families Have the ability to take complex information and present it in a manner that is easy for all to understand
  • Hands-on management of all aspects of health care including development of departmental guidelines, assessment of productivity and workflows, in addition to auditing employee performance
  • Incredibly outgoing personality with strong “people skills”
  • Excellent at multi-tasking
  • Outstanding follow-through and time management skills
  • Provides accurate, clear, and concise reports to other members of the health care team
  • Works independently, with minimal supervision
  • Acute attention to detail / work product
  • Collaboration and teamwork focused
  • Reputation for decisiveness, flexibility, honesty, and the ability to stay calm and focused in stressful and/or life-and-death situations
  • Recognized by physicians and C-suite level management for outstanding ability to manage complaints and find equitable solutions in a timely manner

Accomplishments

• Active RN license in AZ (primary) and compact states.

• Anticoagulation Practitioner, Certificate – AZ Pharmacy Alliance.

• Extensive experience with providing education regarding disease state management to patients, patient families, and health care professionals.

• Developed charting standards for healthcare professionals. This included implementation of documentation auditing tools.

• Created standardized treatment guidelines to meet national standards of care and regulatory requirements.

• Developed system for equitable distribution of case reviews.

• Provided oversight of internal audit tools and processes for voluntary reporting of Quality Measures to the American Heart Association.

• Assisted hospitals in seven state region achieve measurable improvements in care relating to AMI, HF and Stroke which resulted in increased quality of care as well as increased reimbursement.

• Spearheaded national initiative to promote telemedicine and other technology tools to assist rural access hospitals in timely diagnosis and initiation of treatment protocols followed by transfer to receiving hospitals for definitive care.

• Negotiated first national contract between a long term care insurance provider and a chain of skilled nursing/assisted living/ independent living campuses.

• Facilitated organizational culture change by utilizing interpersonal skills, conflict

resolution, mediation and negotiation.

• Established national catastrophic case management emergency response team.

• Utilized being open to new ideas to increase productivity.

• Effective decisions based on overall picture for positive outcomes.

Achievementsandhonors

  • Anticoagulation Practitioner, Certificate – AZ Pharmacy Alliance
  • Pillar Award Recipient for Outstanding Commitment to Quality, Tri City Cardiology
  • Pillar Award Recipient for Outstanding Commitment to Service, Tri City Cardiology
  • New Employee of the Year, American Heart Association
  • Randy Hutton Service from the Heart Award, American Heart Association
  • Named “Young Up and Comer”, Springfield Business Journal
  • Employee of the Year, St. John’s Regional Health Center
  • Previous Certified Life Care Planner, Commission of Health Care Certification
  • Founder, National Catastrophic Case Management Team – Intracorp/Cigna
  • Former Geriatric Care Manager
  • Past President, Community Advisory Board, Lenox Health Care
  • Former Chair, Membership Committee, Ozark’s Society of Case Managers
  • Former Co-chair, Cardiology Clinical Excellence Program, St. Mary’s Medical Center
  • Former member, Ethics Committee for Carondelet Health Network
  • Past Advisory Member, Kansas State Board of Worker’s Compensation
  • Published author, Physician Magazine

Timeline

RN Care Manager - Independent Care Manager Services
04.2021 - Current
A1A Clinical Care Manager, RN - Aetna/CVS Health
09.2020 - 03.2021
Clinical Supervisor RN - Tri City Cardiology
12.2011 - 09.2019
Director of Quality Improvement/ Clinical Nurse Expert - American Heart Association
12.2007 - 03.2009
Invasive and Non-invasive Cardiology Nurse - St. Mary’s Medical Center
01.2003 - 12.2007
Chief Executive Officer - MedPlans, LLC
01.2002 - 01.2011
Manager of Medical Investigations/Medical Review Unit - Corvel Corporation
01.2001 - 12.2002
Catastrophic Nurse Specialist and Certified Life Care Planner - Intracorp/ a Cigna division
01.1999 - 01.2001
Director of Managed Care and Subacute Rehabilitation Services - Foster Health Care Group
09.1993 - 10.1998
Shift Coordinator PTCA Unit/Cardiac Cath Lab/Electrophysiology Lab - St. John’s Medical Regional Health Care Center
08.1988 - 09.1993
Staff Nurse/Charge Nurse CCU and Cardiac Telemetry step-down unit - Lester E. Cox Medical Centers
05.1985 - 08.1988
University of Florida / Department of Rehab, Intellicus - Life care Planning and Catastrophic Case Management. 120 hours of post graduate level study,
Burge School of Nursing/Cox College - RN,

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