Delayne Ballard
Registered Nurse
Victoria,MN
Summary
Accomplished and results-driven Registered Nurse and Certified Case Manager with over 13 years of hospital clinical practice and current experience at UMR providing direct member support in Complex Condition CARE. Recognized for building strong relationships, driving innovation, and leading process improvements that enhance patient outcomes and operational efficiency. A strategic thinker and empathetic leader, consistently mentoring peers and leading successful initiatives that align with organizational goals. Self-motivated, organized, and committed to continuous growth.
Overview
16
16
years of professional experience
1
1
Certification
7
7
years of post-secondary education
Work History
Registered Nurse, Certified Case Manager
United HealthGroup, Optum
07.2022 - Current
- Identify gaps or barriers in treatment plans and collaborate with providers to resolve.
- Provide patient education on disease processes, medications, and treatment plans, supporting self-management and adherence.
- Coordinate care by building strong relationships and engaging with providers, account management teams, and community resources to ensure access to support services.
- Make timely referrals to appropriate internal and external resources.
- Consult with Medical Directors on complex or challenging cases.
- Conduct case management screening and triage to identify members appropriate for Complex Condition CARE.
- Participate on the Knowledge Is Power team, creating and presenting targeted education to over 150 case managers.
- Lead and facilitate team huddles to promote communication and collaboration.
- Enhance team performance by mentoring, training, and providing expert guidance to nursing staff.
- Drive innovation by leveraging clinical expertise, CARE management tools, and professional insights to improve processes.
- Evaluate case management services to identify opportunities for improvement and implement necessary changes to enhance quality and efficiency.
Registered Nurse (RN), Birthplace
M Health Fairview Southdale Hospital
04.2012 - 12.2022
- Provided direct patient and family centered care in Labor and Delivery, Level III NICU, Postpartum, Newborn Nursery.
- Administered safe, efficient perioperative care to women and newborns.
- Triage of patients in Maternal Assessment Center.
- Ensured holistic care for pregnant women by supporting Emergency, Surgical, and Medical units.
- Mentored new nurses and nursing students, increasing their clinical competencies.
- Participated in unit projects for program implementation and quality improvement.
Registered Nurse (RN)
Jamestown Reginal Medical Center
05.2009 - 04.2012
- Delivered acute inpatient care across ICU, Medical, Surgical, and six other departments.
- Managed the Hospital Wellness Program.
- Volunteered to serve on various committees for program implementation and quality improvement.
Education
Master's of Science - Nursing, Leadership and Administration
Capella University
Minneapolis, MN 09.2024 - Current
Bachelor of Science - Nursing
University of Jamestown
Jamestown, ND 08.2007 - 05.2009
Bachelor of Science - Exercise Science
North Dakota State University
Fargo, ND 08.1997 - 05.2001
Skills
- Clinical Leadership
- Case Management
- Member Engagement
- Project Coordination
- Innovation Strategy
- Process Improvement
- Relationship Building
- Patient Advocate
- Cross-Functional Teamwork
- Training & Mentoring
- Quality Initiatives
- Data Interpretation
Certification
Certified Case Manager (CCM), 4266901
Licensures
Registered Nurse in the following states:
MINNESOTA 2065755
ALASKA 216270
CALIFORNIA-RN 95338631
CONNECTICUT 230105
DISTRICT OF COLUMBIA RN 500016619
FLORIDA RN 9683368
HAWAII 116689
ILLINOIS 041544535
MASSACHUSETTS RN 10022242
MICHIGAN 4704405494
NEVADA 872155
NEW YORK 894203
OREGON 10035991
TEXAS 1108667
UTAH 13646109-3102
VIRGINIA 0001335037
WEST VIRGINIA RN120322
WISCONSIN 1102636
Additional Information
- Subject Matter Expert for multiple groups including NRECA, ESRD, PEIA, GEHA, MHD Follow up process, Doc 360, Auto Dialer. GEHA CCM Process
- Peds / NICU Cost Projection Project - Extended Stay QRG
- Performance Support Coaching
- Mentoring and Training including supporting new mentors
- Creating content and presenting for Knowledge is Power
- Project work with Optum Trainer to give clinical insight on development of Peds / NICU materials for new hire training
- Triage / Screening for GEHA
- GEHA Member Engagement Presentation and Training
- Initiating GEHA Peds / NICU Huddles, creating content, collaborating and presenting
- Reviewing reports to ensure all appropriate diagnosis for Peds members were triggering for CM
- Aerial - understanding auto triggers and behind the scenes work to problem solve related to engagement of GEHA members
- Team Communication Project (Friday Fliers)
Accomplishments
- Consistently Meets or Exceeds metrics
- SuperHero Nomination
- Completion of Leadership Foundations
- Completion of Manager Development Conference
- SME for multiple groups and projects
- Achieved a 100% retention rate among newly hired employees under my mentorship
- Boosted member engagement rates through the creation and delivery of targeted training content, resulting in measurable improvements following team-wide presentation and implementation.
Timeline
Master's of Science - Nursing, Leadership and Administration
Capella University
09.2024 - Current
Registered Nurse, Certified Case Manager
United HealthGroup, Optum
07.2022 - Current
Registered Nurse (RN), Birthplace
M Health Fairview Southdale Hospital
04.2012 - 12.2022
Registered Nurse (RN)
Jamestown Reginal Medical Center
05.2009 - 04.2012
Bachelor of Science - Nursing
University of Jamestown
08.2007 - 05.2009
Bachelor of Science - Exercise Science
North Dakota State University
08.1997 - 05.2001