Anthony Huarachi
Wayne,New Jersey
Summary
Detail-oriented Clinical Manager with exemplary professional skills in task delegation, issue resolution, and leadership. Resourceful, proactive planner with organizational talent for making appropriate decisions on high-quality and cost-effective care. Hardworking, driven, and dedicated to top outcomes. Versatile time manager, communicator, and problem solver searching for new opportunity to apply exceptional nursing and management skills.
Overview
2026
2026
years of professional experience
Work History
Clinical Manager II
WellPoint
2022 - Current
- Oversaw clinical operations to ensure compliance with regulatory standards and organizational policies.
- Led multidisciplinary teams in developing and implementing patient care protocols and quality improvement initiatives.
- Analyzed performance metrics to identify areas for process enhancement and optimize resource allocation.
- Managed staff recruitment, training, and performance evaluations to foster a skilled clinical workforce.
- Developed strategic plans to improve patient outcomes while maintaining budgetary constraints.
- Facilitated communication between clinical staff and administrative departments to enhance operational efficiency.
- Monitored patient satisfaction scores, implementing corrective actions when necessary to drive improvements.
- Established relationships with external stakeholders to promote collaboration and enhance service delivery.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Regularly evaluated employee performance and provided feedback.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment.
- Ensured compliance with regulatory guidelines and accreditation standards through consistent monitoring and implementation of corrective actions when needed.
- Promoted a culture of safety within the clinic by enforcing policies related to infection control, medication administration, and incident reporting procedures.
- Enhanced staff performance through regular training, mentoring, and professional development opportunities.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Successfully managed clinic operations during periods of change or growth by adapting processes as needed.
- Oversaw overall operation of nursing services and patient care.
- Delivered effective onboarding and training to new and existing employees and cross-trained staff members in other job roles to maximize coverage.
- Contributed to successful accreditation reviews with thorough preparation efforts focused on documentation completeness.
- Worked with nurse manager to develop nursing staff through education, evaluation, performance management, and competency improvement.
- Communicated with patients, asked appropriate questions, and employed active listening to determine best care.
- Managed budgets and allocated resources effectively to ensure sufficient staffing levels and the availability of necessary equipment and supplies.
- Collaborated with other departments to coordinate seamless patient care across various medical specialties.
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Facilitate hiring of qualified Department Name personnel by interview applicants and making recommendations for employment.
- Managed Number employees with various personalities and from different cultures for large Number-physician practice.
- Handled job duties for staff members which were unavailable or out of office.
- Developed interdisciplinary care plans with input from physicians, nurses, therapists, and other healthcare providers for optimal patient results.
- Managed daily operations of Number-person clinic supporting approximately Number patients per week.
- Oversaw hiring, onboarding, and evaluation of nursing staff, contributing to a high-performing team environment.
- Created work schedules for Number employees and oversaw functioning of billing department.
- Implemented quality improvement initiatives that led to measurable improvements in patient satisfaction scores.
- Streamlined clinic operations for increased efficiency by optimizing patient flow and appointment scheduling processes.
- Selected, promoted and terminated staff members.
- Maintained up-to-date knowledge of industry trends and best practices to inform ongoing improvements in clinical management strategies.
- Streamlined patient admission and discharge processes, enhancing patient satisfaction and operational efficiency.
- Conducted comprehensive audits of clinical practices, identifying areas for quality improvement.
- Organized professional training workshops on latest healthcare technologies and practices.
- Fostered culture of continuous improvement, leading to more effective patient care strategies.
- Improved staff morale and retention by initiating recognition programs and professional development opportunities.
- Enhanced patient care standards by developing and implementing comprehensive training for nursing staff.
- Oversaw compliance with healthcare regulations and standards, maintaining full accreditation status.
- Coordinated multidisciplinary team meetings to streamline patient care plans, improving overall treatment outcomes.
- Maintained compliance with protocols covering patient care and clinical trial operations.
- Monitored unit budget to meet financial objectives for spend rate and funding.
- Screened patient records, databases, and physician referrals to identify prospective candidates for research studies.
- Collected, evaluated, and modeled collected data.
Clinical Manager
Anthem
09.2019 - Current
- Manage daily operations of 24-person case management team overseeing care for approximately 1,400 patients with various needs: geriatric, pediatric, ventilator dependent, tracheostomy, gastronomy feedings, neurologically impaired and TBI throughout NJ.
- Review financial cost and prepare reports showing resource allocations for review and approval by NJ State DMAHS.
- Review operational policies, recommending solutions and changes to medical director.
- Deliver effective onboarding and training to new and existing employees while cross-training staff members in other job roles to maximize coverage.
- Delegate tasks to staff members, monitor completion of all duties, and provide support to enhance performance.
- Oversee overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety protocols and risk management, quality index scores, and facility maintenance.
- Implement ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and best care practices.
- Maintain compliance with state criteria in all areas of operations.
- Collaborate with physicians and interdisciplinary teams to devise and manage individualized plans of care.
- Evaluate nursing staff's performance to develop education programs and professional development opportunities for improving individual and team competencies, clinical knowledge, and delivery of care.
- Advocate for patients' physical, psychosocial, developmental, spiritual and emotional needs during planning.
Case Manager
Anthem
05.2017 - 09.2019
- Worked with different disciplines, providing cohesive care to patients: Ventilator, Pediatrics, Medically Fragile, Neurologically Impaired and AIDS/HIV.
- Managed support services and fostered communication for 70-plus members, along with providers, physicians, therapists, and hospitals/NF/SAR staff.
- Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration, including State Cost Effective Interdisciplinary Team meeting and fair hearing trials.
- Addressed disruptions in patient care, including discharge delays, services, and equipment availability.
- Educated patients and answered questions about health condition, prognosis, and treatment.
- Educated patients and caregivers about different treatment and service options to assist in reducing caregiver strain.
- Communicated with healthcare team members to plan, implement, and enhance treatment strategies.
- Conducted ongoing evaluations and monitoring of behaviors and conditions, while updating clinical supervisors with current information.
- Accurately documented all elements of nursing assessment, including treatment, medications, discharge instructions, and follow-up care.
- Facilitated therapeutic communication, conflict resolution, and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities to prevent further disability.
- Promoted patient and family comfort to enhance healing and eliminate non-compliance.
Staff RN
2nd Home AMDC - Elizabeth
01.2017 - 04.2017
- Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.
- Provided high quality care to approximately 200 patients per day each during morning and afternoon shifts.
Case Manager
Priority Nursing Services
12.2016 - 04.2017
- Identified care needs of individual patients, and coordinated responses based on physician advice, insurance limitations, and procedural costs.
- Managed support services and fostered communication among social workers, PT, OT, ST therapists, hospital staff, and patients.
Education
Bachelor of Science - Nursing
Ramapo College
Mahwah, NJ12.2025
Associate of Science - Nursing
Bergen Community College
Paramus, NJ01.2014
Skills
- Team Leadership
- Nurse Education Program Development
- Training Program Implementation
- Clinical Safety
- Patient relations
- Multidisciplinary Team Collaboration
- Patient Health Education
- Patient Management
Timeline
Clinical Manager
Anthem
09.2019 - Current
Case Manager
Anthem
05.2017 - 09.2019
Staff RN
2nd Home AMDC - Elizabeth
01.2017 - 04.2017
Case Manager
Priority Nursing Services
12.2016 - 04.2017
Associate of Science - Nursing
Bergen Community College
Clinical Manager II
WellPoint
2022 - Current
Bachelor of Science - Nursing
Ramapo College
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