Compassionate clinical leader known for high productivity and efficiency in task completion. Possess specialized skills in strategic planning, regulatory compliance, clinical efficiancy, and quality improvement initiatives. Excel at communication, leadership, and problem-solving to enhance service delivery and patient care outcomes.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Director of Health Services
Humana
Oklahoma City, OK
04.2021 - Current
Acted as Oklahoma clinical SME for drafting RFP response securing Oklahoma Medicaid Contract, 2023.
Developed and implemented the care management and utilization management care models for the Managed Care Medicaid product.
Launched new Managed Care product achieving record compliance scores in first three months.
Supported contract development by providing clinical expertise during drafting and implementation stages.
Analyzed vendor performance metrics to identify areas for improvement and increase operational efficiency.
Monitored vendor performance against established standards.
Managed relationships with key suppliers by providing feedback on performance issues, developing strategies for improvement, and resolving conflicts when necessary.
Coordinated the implementation of new vendors into existing operations.
Designed systems to track compliance performance metrics.
Analyzed data sources such as utilization reports to identify areas where additional oversight is needed.
Provided support in developing strategies for mitigating risks associated with non-compliance.
Monitored department spending to ensure it was in line with approved budgets.
Built and strengthened relationships with regulatory representatives, vendors and company customers.
Executed successful compliance monitoring and risk assessment programs.
Developed and maintained relationships with subcontractors and vendors to ensure successful completion of projects.
Collaborated with other departmental leaders to establish organizational goals, strategic plans, and objectives.
Determined staffing requirements, interviewing, hiring and training new employees.
Registered Nurse
Acute Care Medicine
, Oklahoma
03.2007 - 02.2025
Oversaw patient admission and discharge processes to coordinate related paperwork.
Provided patient care and education to patients with chronic illnesses.
Observed strict safety measures, including checking medication dosages before administration to patients.
Provided emotional support to patients and their families during difficult times.
Prepared medical equipment and tools to aid physician during examination and treatment of patients.
Coordinated discharge planning to ensure continuity of care post-hospitalization.
Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
Documented patient progress notes accurately and efficiently in the electronic medical record system.
Referred patients to specialized health resources or community agencies to furnish additional assistance.
Maintained thorough, accurate and confidential documentation in electronic medical records.
Educated patients and families on health care needs, conditions, and options.
Utilized critical thinking skills to assess clinical situations quickly and accurately.
Monitored diet, physical activity, behaviors and other patient factors to assess conditions and adjust treatment plans.
Monitored vital signs, administered injections, and provided assistance with medical procedures.
Monitored patients after surgery, answered questions, and provided home care strategies.
Coordinated discharge planning activities including arranging follow up appointments or referrals for additional services.
Provided emotional support and counseling to patients and their families.
Actively participated in quality improvement initiatives within the department.
Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
Conducted specified laboratory tests to help detect conditions and determine diagnosis.
Coordinated with healthcare team to establish, enact and evaluate patient care plans.
Delivered information regarding care and medications to patients and caregivers in comprehendible terminology.
Monitored and managed various treatment and care interventions.
Demonstrated ability to work independently as well as collaboratively within a team environment.
Collected lab specimens, ordering and interpreting diagnostic tests and lab results.
Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Maintained personal and team compliance with medication administration standards and patient care best practices.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Performed triage assessments of walk-in patients in a clinic setting.
Administered medications and treatments, monitoring patients for reactions and side effects.
Counseled patients regarding medication side effects or lifestyle changes necessary for improved health outcomes.
Administered medications, tracked dosages, and documented patient conditions.
Instructed patients on proper self-care techniques at home following discharge from the hospital.
Administered oral, IV and intra-muscular medications and monitored patient reactions.
Maintained a safe environment for all patients by adhering to infection control policies and procedures.
Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards.
Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
Adhered to infection control procedures to facilitate safe, clean patient environment.
Assisted physicians during examinations or surgical procedures.
Conducted intake assessments with patients and relatives to gather case history.
Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Director of Clinical Services
Variety Care
Oklahoma City, OK
12.2018 - 03.2021
Developed medical programs that promoted community health and research.
Interviewed applicants and made recommendations for new hires.
Devised training programs to close gaps in nurse and staffs' competencies.
Introduced new departmental policies and oriented staff to facilitate adoption of changes.
Represented the organization at various professional meetings or conferences related to healthcare industry topics.
Implemented strategies to ensure efficient utilization of available resources while meeting organizational goals.
Actively participated in strategic planning initiatives designed to improve overall operations of the facility.
Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
Collaborated with multi-disciplinary staff to improve overall patient care and response times.
Analyzed data from reports related to clinical services, including patient satisfaction surveys.
Developed and implemented clinical policies and procedures to ensure compliance with regulatory standards.
Crafted and initiated development of strategy-based plans, allowing organization to exceed objectives.
Created training programs to enhance employees' knowledge base in their respective fields.
Maintained awareness of government regulations, and health insurance changes.
Monitored quality assurance initiatives in order to improve patient outcomes.
Improved research-based approaches through participation in research and evidence-based clinical audits.
Utilized active listening and interpersonal communication skills to build professional relationships with patients, clinical staff and other stakeholders.
Managed inventory and supplies to ensure materials were available when needed.
Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
Worked with cross-functional teams to achieve goals.
Worked effectively in team environments to make the workplace more productive.
Prioritized and organized tasks to efficiently accomplish service goals.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Implemented comprehensive vaccine storage and EMR across various clinical sites, enhancing efficiency.
Worked with management team to improve workflows and eliminate unnecessary tasks.
Negotiated and reviewed contracts, rates and terms with current facilities and suppliers.