Brandy Martin
Marengo,OH
Summary
Strategic leader with expertise in enhancing operational efficiency through effective project management and employee development. Experienced in streamlining workflows and improving patient outcomes, while ensuring compliance with industry standards. Demonstrates strong negotiation and decision-making skills, driving team performance and engagement. Committed to fostering a collaborative work environment and implementing training techniques to maximize organizational success.
Overview
24
24
years of professional experience
Work History
Director of Clinical Excellence and Case Managemen
Allcare Georgia
06.2025 - Current
- Developed and implemented strategic initiatives to enhance operational efficiency across departments.
- Collaborated with cross-functional teams to align project goals with organizational objectives and enhance overall effectiveness.
- Analyzed performance and risk metrics to identify process improvement opportunities and inform cost reduction strategies.
- Established key performance indicators for measuring success of departmental projects.
- Spearheaded efforts to streamline workflows, resulting in improved service delivery timelines.
- Led training sessions to elevate team skills and ensure adherence to best practices.
- Strengthened internal controls by reviewing policies and procedures to ensure compliance with regulatory requirements and mitigate risks.
Utilization Review Educator
Beacon Health System Memorial Hospital
06.2018 - 06.2025
- Collaborated with leadership to implement teaching strategies that minimized denials from payors.
- Improved patient care quality through implementation of utilization review processes and adherence to standards.
- Mentored staff on effective utilization management strategies, improving team performance and operational efficiency.
- Facilitated orientation activities for new registered nurses, enhancing their understanding of utilization review workflows.
- Led onboarding processes for new registered nurses, enhancing departmental integration.
- Assisted in assessing utilization nurse progress and provided constructive feedback.
- Developed engaging lesson plans and SOPs tailored to diverse learning styles.
- Utilized educational technology, including artificial intelligence, to support interactive learning environments.
Registered Nurse
Indiana University
Laporte, IN
09.2013 - 04.2018
- Provided direct patient care, including assessments, treatments, and education for diverse patients.
- Managed medication administration while ensuring compliance with safety regulations.
- Implemented infection control protocols to ensure a safe healthcare environment.
- Coordinated patient admissions and discharges to streamline workflow and reduce wait times.
- Trained new nurses on operational procedures and best practices for effective performance.
- Supervised nursing staff to ensure adherence to high-quality patient care standards.
- Evaluated nursing performance, providing constructive feedback for professional development.
- Conducted regular staff meetings to address concerns and foster open communication among team members.
Bodily Injury Aduster
Progressive Insurance
Crown Point, Indiana
05.2002 - 07.2009
- Evaluated claims by analyzing police reports and medical records to determine validity and coverage.
- Negotiated settlements with claimants and attorneys, achieving timely resolutions to disputes.
- Coordinated with medical professionals to assess injury-related expenses.
- Documented findings and maintained accurate claims processing records to ensure compliance and facilitate audits.
- Collaborated with legal teams to provide information for litigation cases.
- Assisted in training junior adjusters on processes and best practices.
- Ensured compliance with state laws governing insurance regulations.
- Developed relationships with key stakeholders including attorneys, doctors, employers and claimants during negotiations.
Education
Bachelor of Science - Nursing
Mount Vernon Nazarene University
Mount Vernon, Ohio05-2012
Bachelor of Arts - Marketing
Mount Vernon Nazarene University
Mount Vernon, Ohio04-2002
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Skills
- Client relations
- Strategic planning
- Project management
- Operations management
- Industry expertise
- Decision-making
- Analytical thinking
- Negotiation skills
- Contract management
- Project coordination
- Staff oversight
- Relationship management
- People management
- Team leadership
- Workforce development
- Mentoring and coaching
- Leadership development
- Issue resolution
- Communication skills
- Leadership development
Timeline
Director of Clinical Excellence and Case Managemen
Allcare Georgia
06.2025 - Current
Utilization Review Educator
Beacon Health System Memorial Hospital
06.2018 - 06.2025
Registered Nurse
Indiana University
09.2013 - 04.2018
Bodily Injury Aduster
Progressive Insurance
05.2002 - 07.2009
Bachelor of Science - Nursing
Mount Vernon Nazarene University
Bachelor of Arts - Marketing
Mount Vernon Nazarene University