Summary
Overview
Work History
Education
Skills
Languages
Timeline
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David Shamalov

Queens,NY

Summary

To obtain a position as a Case Manager where my nursing skills can be used to enhance the quality of patient care.

Overview

13
13
years of professional experience

Work History

Quality Management Specialist

Centerlight Healthcare
Flushing, NY
04.2023 - Current
  • Conducted root cause analyses to identify deficiencies and implement evidence-based interventions with the care management team.
  • Participated and led interdisciplinary team meetings to discuss critical incident events.
  • Collaborated with clinical sites on implementing strategies designed to improve overall organizational efficiency.
  • Served as a liaison between clinical sites, department leaders, medical directors, and the Quality Management team.

Care Manager Supervisor

AgeWell NewYork / Molina Healthcare
, NY
07.2017 - 03.2023
  • Responsible for providing support and direct supervision to Care Managers.
  • Review clinical service requests from members and providers based on Medicaid/Medicare guidelines
  • Make appropriate referrals to other eligible programs (i.e NHTD)
  • Represented plan in Fair Hearings with Administrative Law Judges and Representatives

Care Manager

AgeWell NewYork
, NY
04.2014 - 06.2017
  • Provide members’ with appropriate services based on their needs
  • Conducted weekly/monthly telephonic assessments
  • Coordinated services with health care providers and vendors
  • Educated members’ on plan benefits

Clinical Nurse (CCU Step Down)

Mount Sinai Medical Center of Manhattan
, NY
07.2011 - 03.2014
  • Implemented nursing care to acutely ill patients with cardiovascular ailments
  • Provided pre and post-procedural care to patients undergoing cardiac catheterization
  • Provided pre and post-surgical care to patients undergoing acute cardiac procedures
  • Educated patients and families on life-style modifications, medications, and procedures relative to their health status.

Education

Bachelor of Science - Nursing

Molloy College
Rockville Centre, NY
12.2010

Licensure: NY State Registered Professional Nurse

License Number: 643012-01

Skills

  • Microsoft Word, Excel, Power Point, Outlook, EPIC, Care Compass, Clinical Care Advance

Languages

English/Russian

Timeline

Quality Management Specialist

Centerlight Healthcare
04.2023 - Current

Care Manager Supervisor

AgeWell NewYork / Molina Healthcare
07.2017 - 03.2023

Care Manager

AgeWell NewYork
04.2014 - 06.2017

Clinical Nurse (CCU Step Down)

Mount Sinai Medical Center of Manhattan
07.2011 - 03.2014

Bachelor of Science - Nursing

Molloy College

Licensure: NY State Registered Professional Nurse

License Number: 643012-01

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David Shamalov