Hardworking Registered Nurse with success providing individualized patient care. Committed to delivering best-in-class patient care through effective education and counseling. Proven leadership focused on increasing and enhancing patient care and satisfaction. Streamline safety protocols for comprehensive patient care.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Clinical Quality RN
Optum, UnitedHealth Group
03.2024 - Current
Ensured HIPAA compliance by maintaining strict confidentiality when discussing sensitive patient/member information over the phone or via electronic correspondence.
Educated patients on disease management and self-care techniques, promoting lifestyle changes for improved health.
Perform inbound and outbound engagement calls to perform telephonic, patient-center clinical consultants focused on annual assessments for pain, functional assessment and other screenings.
Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
Observed and documented patient factors such as diets, physical activity levels, and behaviors to understand conditions and effectively modify treatment plans.
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Provided emotional support to patients during challenging times, fostering a sense of trust and rapport that contributed to better overall wellbeing.
Health Services Manager
Optum Home and Community Division
09.2022 - 02.2024
Collaborated closely with other healthcare managers across the organization to share best practices and implement synergistic strategies for improved service delivery.
Facilitated interdepartmental collaboration to streamline processes and enhance service delivery.
Increased staff retention rates by implementing comprehensive training programs and fostering a positive work environment.
Managed a team of medical professionals, ensuring compliance with industry standards and regulations.
Streamlined communication between departments by establishing regular meetings and reporting structures.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Clinical Operation Specialist
Landmark Healthcare- DELTA Department
01.2021 - 09.2022
Mentored new nursing staff, contributing to a supportive work environment and improve retention rates.
Provided training and mentorship to junior staff members, contributing to overall team success.
Collaborated with various departments to develop integrated solutions addressing organizational challenges.
Improved customer satisfaction by developing and implementing feedback system for service enhancements.
Evaluated staff performance and provided coaching to address inefficiencies.
Telephonic Nurse Case Manager
Landmark Healthcare
06.2016 - 01.2020
Streamlined communication between healthcare providers, ensuring seamless coordination of care for optimal patient outcomes.
Collaborated with interdisciplinary teams to optimize patient-centered interventions and ensure continuity of care.
Reduced hospital readmission rates by closely monitoring patients'' progress and addressing potential complications in a timely manner.
Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management.
Conducted thorough follow-up calls to assess the effectiveness of treatment plans, making adjustments as needed for optimal results.
Provided empathetic emotional support for patients facing challenging health concerns, fostering trust and open communication.
Presented case management findings at interdisciplinary team meetings, contributing valuable insights for improved patient care strategies.
Education
Bachelor of Science - Nursing
Andrews University
Berrien Springs, MI
06-1995
Skills
Discharge planning
Community health
Staff supervision and Team coordination
HIPAA education
EMR systems and Data collections
Complex Case management and Patient care planning
Active Listener and Relationship building
Diabetes and nutrition education
Chronic disease management
Prior authorization with InterQual
Certification
UHC Nursing Leadership Development series, Capella University - 2025