Angela Clendenin
Fraziers Bottom,WV
Summary
Highly-motivated with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
RN MANAGED CARE CONSULTANT
Cambridge Management group
Brooklyn, NY
10.2022 - Current
- Analyzing insurance quality outcome reviews.
- Educated facilities on utilization review process.
- Liaison between facilities and insurance providers.
- Analyzed cost of care within current contracts.
- Developed and implemented clinical training programs for new staff members.
- Collaborated with healthcare professionals to develop innovative strategies for improving patient outcomes.
- Assisted in the preparation of reports detailing current trends in clinical practice.
- Ensured timely completion of paperwork associated with insurance claims processing activities.
- Monitored clinical performance of staff to ensure compliance with quality standards.
- Coached and mentored clinical personnel on best practices related to patient care.
- Provided Managed Care services for nursing facilities in 5 states
Regional Case Manager
Prestige Health Care Services/Noble Health Care
Louisville, KY
11.2014 - 10.2022
- Implemented strategies to improve patient care outcomes and reduce costs.
- Facilitated interdisciplinary team meetings to discuss patient care and utilization review.
- Mentored new employees in the clinical setting, providing guidance and support as needed.
- Coordinated with other departments within the healthcare organization to ensure efficient workflow processes.
- Analyzed data related to patient care metrics, identifying opportunities for improvement.
- Negotiated single-case agreements with insurances, as well as carve-out consideration.
- Analyzed length of stay reports.
- Analyzed and assisted the facility operators with monthly reports related to reimbursement rates.
- Marketing, Managed care services, and contracts.
- Developed and maintained standard procedural practices.
- provided Case Management services to
Education
Associate of Science - Nursing
University of Rio Grande/Rio Grande Community College
Rio Grande, OH05-2013
Practical Nursing - Nursing
Buckeye Hills Career Center
Rio Grande, OH10-1991
Some College (No Degree) - Health Care Administration
Shawnee State University
Portsmouth, OHSkills
- Care Coordination
- Interdepartmental Collaboration
- Utilization Management
- Documentation Management
- Quality Improvement
- Budget Management
- Quality Management
- Time management abilities
- Strategic Planning
- Written Communication
- Effective customer communication
- Team Collaboration
- Analytical Skills
- Organizational Skills
- Adaptability and Flexibility
- Interpersonal Skills
- Continuous Improvement
Timeline
RN MANAGED CARE CONSULTANT
Cambridge Management group
10.2022 - Current
Regional Case Manager
Prestige Health Care Services/Noble Health Care
11.2014 - 10.2022
Associate of Science - Nursing
University of Rio Grande/Rio Grande Community College
Practical Nursing - Nursing
Buckeye Hills Career Center
Some College (No Degree) - Health Care Administration
Shawnee State University
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