Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Brent Edwards

San Diego,CA

Summary

Registered Nurse and former Navy Nurse Corps Officer with over 14 years of progressive leadership in clinical and operational roles. Experienced in utilization management, referral coordination, medical readiness, and patient care review in both inpatient and outpatient settings. Skilled in analyzing healthcare resource use, coordinating care across multiple settings, and advising leadership on policy implementation.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Utilization Management Nurse

Naval Medical Center San Diego
San Diego, California
06.2023 - 07.2025
  • Developed and executed utilization management protocols to ensure appropriate use of healthcare resources, improving patient care efficiency and reducing unnecessary admissions by 25%.
  • Conducted in-depth utilization review studies, analyzing patient access, appropriateness of care, discharge planning, staffing, and reimbursement concerns, and presented findings to leadership for policy and process improvements.
  • Coordinated 5,000+ yearly referrals through the Referral Management Center, collaborating with physicians, case managers, and outside facilities to expedite care and reduce delays in treatment.
  • Advised leadership on trends in utilization and recommended corrective actions, aligning department activities with managed care program objectives.

Department Head, Branch Medical Clinics

Naval Hospital Okinawa Japan
Okinawa, JA
09.2021 - 05.2023
  • Directed operations for two Marine Centered Medical Homes, managing staff performance and aligning workflows with readiness goals for 15,000 service members.
  • Led readiness-focused initiatives and discharge planning improvements, achieving 85% medical readiness across 25 operational units.
  • Provided mentorship and training for 30 staff members, reinforcing evidence-based practices and utilization processes to improve efficiency and compliance.
  • Facilitated coordination of care across specialties and external facilities to enhance patient access and resource utilization.

Clinic Manager, Family Medicine Clinic

Naval Health Clinic Patuxent River
Patuxent River, MD
07.2018 - 08.2021
  • Managed a multidisciplinary team of 50+ staff delivering care to over 10,000 beneficiaries, integrating utilization and quality review practices into clinic operations.
  • Oversaw implementation of a Virtual Health Program, improving access to care for 800+ patients annually and reducing demand on in-person visits.
  • Conducted population health tracking, patient access reviews, and safety audits to ensure compliance with readiness and Joint Commission standards.

Clinic Manager Specialty Clinics

Naval Hospital Naples Italy
Naples, IT
07.2016 - 07.2018
  • Oversaw scheduling and staffing for seven specialty clinics, introducing workflow improvements that reduced patient wait times by three days on average.
  • Conducted daily utilization and safety huddles to identify bottlenecks, reinforce compliance, and address patient care needs across multiple specialties.
  • Directed 10 healthcare professionals in coordinating specialty care, improving efficiency and patient outcomes.

Correctional Nurse

Joint Task Force Guantanamo Bay
Guantanamo Bay, Cuba
08.2015 - 06.2016
  • Performed intake screenings, immunizations, and chronic disease management for 116 detainees, ensuring continuity of care and early identification of chronic conditions.
  • Coordinated care for patients with extended treatment needs, working with interdisciplinary teams to develop individualized treatment plans.
  • Mentored and trained 25 new nursing staff in utilization and case management practices specific to correctional healthcare settings.

Staff Nurse / Charge Nurse

Naval Hospital Twentynine Palms
Twentynine Palms, California
05.2014 - 05.2016
  • Coordinated care for patients on a 24-bed multi-service ward, serving as charge nurse for a team of 12 nurses.
  • Assisted in patient discharge planning, reducing 72-hour readmissions by 25% through improved triage and follow-up coordination.
  • Conducted case reviews and updated post-operative protocols, decreasing surgical site infections and enhancing patient safety.

Education

Master of Science - Healthcare Administration

Grand Canyon University
Phoenix, AZ
08-2015

Bachelor of Science - Nursing

Northern Arizona University
Flagstaff, AZ
12-2010

Master of Science - Nursing

Duke University
Durham, NC

Skills

  • Utilization Management & Case Review
  • Referral Management & Care Coordination
  • Medical Readiness & Fitness-for-Duty
  • Ambulatory & Inpatient Nursing Operations
  • Staff Supervision & Training
  • Quality Assurance & Risk Management
  • Health Data Collection & Analysis
  • Joint Commission & NCQA Standards

Certification

  • Registered Nurse – Arizona & California (Active)
  • Basic Life Support (BLS), Health Care Provider
  • Healthcare Management Course – Department of Defense

References

References available upon request.

Timeline

Utilization Management Nurse

Naval Medical Center San Diego
06.2023 - 07.2025

Department Head, Branch Medical Clinics

Naval Hospital Okinawa Japan
09.2021 - 05.2023

Clinic Manager, Family Medicine Clinic

Naval Health Clinic Patuxent River
07.2018 - 08.2021

Clinic Manager Specialty Clinics

Naval Hospital Naples Italy
07.2016 - 07.2018

Correctional Nurse

Joint Task Force Guantanamo Bay
08.2015 - 06.2016

Staff Nurse / Charge Nurse

Naval Hospital Twentynine Palms
05.2014 - 05.2016

Master of Science - Healthcare Administration

Grand Canyon University

Bachelor of Science - Nursing

Northern Arizona University

Master of Science - Nursing

Duke University

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