Beatrice K Dube RN BS MSN NP

• Executive leadership and program management for the ISUDT program at 32 Adult Institutions within CDCR, serving 92,000 patients at 32 state prisons in California.
• Sustained the Nursing services within the ISUDT program focus areas; Identification, screening and assessment of program participants, placement into appropriate Cognitive Behavioral Interventions (CBI), creating supportive housing spaces for recovery focused living, Providing transition planning for people preparing to leave prison, forming community partnerships to assist participants post incarceration and monitoring and supporting participants through their release
• Maintained proper staff levels within budget parameters to deliver high levels of care to every patient.
• Implement and monitor harm reduction strategies e.g naloxone distribution, patient education and mitigation of overdose cases.
• Utilize established population management tools, registries and dashboards to monitor statewide program performance metrics, mitigate identified gaps
• Participate in Substance Use Disorder Steering committees, Quality Management and Population Management forums to improve patient care outcomes
• Develop implement, integrate CalAIM initiative into CDCR’s Pre and Post release processes
• Communicate regularly with Managed Care Plans, Enhanced Care Managers and County health departments
• Executive leadership and program management for the ISUDT program at 32 Adult Institutions within CDCR, serving 92,000 patients at 32 state prisons in California
• ISUDT public facing dashboard: https://cchcs.ca.gov/isudt/dashboard/

• Provided executive leadership, direction and monitoring of EHP and related clinical operations statewide
• Oversight of EHP clinical teams at 33 Prisons. 24 Direct reports.
• Responsibility for all clinical functions pertaining to Employee Health Program
• Supervised EHP clinical staff and leads initiatives pertaining to the health and safety of CDCR/CCHCS employees
• Provided subject matter expertise to interdisciplinary leadership teams regarding public health, infection Control and emerging infectious diseases related to employee exposures. Followed all regulatory requirements e.g OSHA in the reporting and mitigation of identified staff illnesses and injuries.
• Interviewed, selected and hired of employees for the EHP Program
• Statewide planning, organizing, Implementing and evaluation of nursing care response for communicable diseases and Aerosol transmissible diseases. Provided guidance and consultation to institutional leadership and staff to identify, monitor and mitigate communicable disease outbreaks at all CDCR institutions
• Maintained proper staff levels within budget parameters to deliver high levels of care to every patient.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
• Monitored and inspected staff processes to eliminate hazards posed for both patients and staff while ensuring continuous compliance with regulations.

• Select, hire, and supervise EHP field staff
• Provide performance evaluations
• Evaluate and implement EHP processes at 8 institutions,
• Mentor and coach institution staff and new Nurse consultants.
• COVID Outbreak identification and management
• Lead outbreak management meetings with stakeholders, institutional, regional and Headquarters leadership
• Develop protocols for implementation within EHP
• EHP processes designed Outbreak management checklist Outbreak management toolkit (in progress)

Led implementation of the Substance Use Disorder program utilizing complete care model.

• Nursing Subject Matter expert in release planning and reentry processes at CCHCS institutions. Designed, implemented and maintained prerelease and reentry processes statewide.
• , Facilitated continuity of care for incarcerated persons by communicating and establishing relationships with internal and external stakeholders in the reentry space including probation and parole departments, county directors, Health Plans, legislators and community health providers
• Trained Mentored and coached field and headquarters staff in ISUDT processes
• Assessed field staff performance in the provision of substance use screening, assessment and treatment.

• Oversaw the public health nursing program and infection control programs
• Managed a mumps outbreak at central region institutions
• Collaborated with nursing leaders, providers and subject matter experts on mumps and influenza outbreak management
• Disseminated guidance on findings and mitigation for management of public health outbreak
• Represented nursing services in meetings and discussions
• Provided direction to regional Nurse Consultants and field nurses

Directed statewide UM Nursing Program activities at CCHCS in 33 prisons

• Selection and hiring of UM staff statewide
• Prepared probationary reports and performance appraisals
• Represented the UM program at network meetings with external stakeholders including hospital administrators, Governor's office, legal departments, Whole person care programs, Probation and parole departments, community based organizations
• Transitioned complex care inmate patients into the community SNFs and hospital upon release- including HCV, HIV
• Reviewed statewide health care incidents and guided institutions through the Root Cause Analysis process
• Identified Potential Quality issues and followed through with the network providers (Health Net) and Community hospital partners to resolve
• Implemented statewide UM initiatives: InterQual rolloout. Maintained relationships with specialty providers, communicated potential quality incidents and maintained open communication with contracted providers and the health net provider network.
• Reviewed provider claims for appropriateness and provided appropriate feedback regarding submitted claims based on medical necessity and services rendered.

• Interviewed and hired and on boarded field UM nurses in region 1
• Ensured appropriate staffing at all UM offices in the region
• Trained newly hired UM nurses and back-ups
• Scheduled UM staff and back up nurses
• Manage the implementation of UM program policies and procedures at the assigned institutions in the region
• Transitioning patients across care settings within CDCR and in the community
• Liaison with community partners, network providers in the provision of care for complex inmate patients within CCHCS
• Collaboration with various departments to facilitate patient care within CCHCS, including; Contracts, Network providers, Custody/HCPOP, CDCR legal, CCHCS Legal, Executive management

Supervision of Utilization Management Nurses.

• Managed 11 + nurses and nursing activities in 11 prisons by providing comprehensive nursing guidance and maintaining outstanding patient satisfaction and care standards within the UM department.
• Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
• Coordinated and implemented in-service educational programs focusing on safety and adherence to protocols.
• Interviewed, Hired and trained UM Nurses.
• Collaborated with institutional and regional executive staff in patient care matters and UM RN duties and staffing issues
• Care coordination and transition support for CCHCS patients across care continuum at different levels of care.
• Collaborated with stakeholders at institution, regional and statewide levels, as well as commuty primary care providers, specialists.
• Maintained professional relationships with contracted providers in primary care, specialty and hospitals, including tertiary care hospitals.
• Conducted site visits to evaluate and discharge plan for patients admitted to acute care hospitals.
• Submitted cases for criteria failures and helped facilitate resolutions and approvals.
• Supervised and maintained all utilization review documentation through Interqual Criteria.

• Prospective, concurrent and retrospective review of requests for services at CCWF
• Care coordination of hospitalized complex patients
• Discharge planning and transition planning of patients from hospital to institution
• Implementation of UM policies and procedures at the institution
• Conducted cost analysis of patients utilization of resources
• Communicated with institutional and headquarters leadership about UM processes, barriers and findings
• Utilized criteria to determine medical necessity. Reviewed claims for appropriateness. Adjudicated claims for services provided.

• Conducted Physical examination of female inmates at CCWF who had newly arrived. Managed a case load of approximately 25 patients a day. Performed comprehensive physical examinations and documented patient histories to gather information and identify health issues.
• Assessed, diagnosed and treated common illnesses and reproductive health concerns including Sexually transmitted diseases
• Conducted pelvic exams, pap smears and cultures on new arrivals and treated as appropriate
• Educated patients about reproductive health issues and dispensed contraceptives. Educated and recommended birth control options to patients and educated on associated health risks.
  Counseled women and gave referrals to specialists for women diagnosed or at risk for breast cancer.
• Ordered and interpreted diagnostic tests to develop and implement treatment plans.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Coordinated with physicians, specialists, and other medical staff to develop treatment plans for chronic conditions.
• Participated in multidisciplinary team meetings to discuss patient cases and treatment plans.
• Recorded patient medical history, applicable test results, and vitals into medical records.
• Facilitated patient referrals to specialists and other healthcare providers.
• Treated and prescribed medication to women dealing with yeast infections and urinary tract infections.
• Identified female-specific cancers such as ovarian or cervical cancer using thorough testing procedures.

• Administered prenatal and postnatal care for mothers to include vitamin regimens, postnatal pain management, breastfeeding coaching and hormone imbalances.
• Educated and recommended birth control options to patients and educated on associated health risks.
• Educated teenage women on puberty and body changes related to hormones and growth.
• Counseled women and gave referrals to specialists for women diagnosed or at risk for breast cancer.
• Performed annual exams examining patients for medical conditions involving age, menstruation, pregnancy, and sexual health.
• Treated and prescribed medication to women dealing with yeast infections and urinary tract infections.
• Educated patients on treatment options, medical needs, and non-medical options for treatments and therapy.
• Prescribed and managed pharmacological and non-pharmacological treatments to treat underlying causes and relieve symptoms.
• Clinical management of reproductive health patients. Screening, assessment, diagnosis and treatment of reproductive health conditions including STD testing and treatment. Prescription of contraceptives and management of prenatal and postpartum patients.
• Clinically managed pregnant patients, postpartum patients and provided contraceptive care
• Diagnosed and treated sexually transmitted illnesses
• Supervised clinical staff and nursing/ medical students at the women’s clinic

• Company Overview: Supervising Registered Nurse for a large CBO under San Bernardino County Public Health
• Supervised and directed staff and provided back up for three other supervising RNs
• Selected and hired new employees
• Counselled employees on attendance, work problems
• Disciplined employees responded and resolved grievances
• Prepared probationary reports and performance appraisals
• Approved time off, schedule deviations, shift changes
• Assessed population identified as high risk for infant mortality
• Created policies and procedures and implemented program goals to achieve statewide goals
• Conducted home visits to client homes, assessed newborns, provided resources to at risk families
• Coordinate care for at risk families
• Ensured patient received adequate prenatal and post-partum care
• Implemented statewide initiatives: Teen Pregnancy and Parenting program, Black Infant Health Program, Healthy Start I and II
• Supervising Registered Nurse for a large CBO under San Bernardino County Public Health