Experienced Adult Nurse Practitioner skilled in diagnosing diseases and conducting comprehensive patient exams. Proficient in wellness programs and disease prevention strategies. Committed to promoting health equity and enhancing healthcare.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Healthcare Consultant
VFC Healthcare Solutions
Stoughton, MA
04.2022 - Current
Assisted the agency in designing policies and procedures to help with the implementation of new programs.
Provided strategic advice and guidance to the agency on operational and health performance improvement initiatives.
Developed educational materials for nurses regarding changes in clinical practice guidelines or policies.
Provided recommendations to improve overall quality of patient care through efficient use of resources
Explained policies, procedures and services to patients.
Vice President of Healthcare Services
Brockton Area Multi-Services Inc
Brockton , MA
03.2011 - Current
Developed a strategic plan to transition 100 adults with developmental and chronic medical problems from long-term care facilities into community living
Worked collaboratively with the chief medical director to provide treatment and management of adults in the community using evidence-based approaches.
Developed treatment protocols to ensure safe management of high-risk individuals in the community.
Ensured compliance with federal, state, and local laws related to the Massachusetts medication administration program.
Collaborated with executive team members on major decisions regarding company-wide initiatives.
Maintained relationships with key stakeholders by attending meetings and responding promptly to inquiries or requests for information.
Hired, trained, and mentored staff members to maximize productivity.
Utilization Review Nurse
Blue Cross Blue Shield of Massachusetts
Quincy , MA
05.2005 - 07.2010
Assessed patient medical records to determine the appropriateness of requested services and procedures.
Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
Provided education to providers regarding utilization management processes and protocols.
Participated in provider meetings to discuss cases involving complex medical conditions or difficult authorization decisions.
Determined medical necessity and cost-effectiveness of services through utilization review processes.
Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.
Registered Nurse
Northeast Specialty Hospital
Needham, MA
05.2000 - 12.2005
Provided patient care and education to patients with chronic illnesses.
Assessed, planned, implemented and evaluated nursing care for assigned patients.
Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Administered medications and treatments according to physician orders.
Participated in multidisciplinary team meetings to discuss patient care plans.
Utilized critical thinking skills to assess clinical situations quickly and accurately.