Guinevere DeBerry
Lambertville,MI
Summary
Versatile Executive Leader focused on promoting mission and increasing effectiveness of key programs. Passionate about managing and overseeing implementation of company's daily operations. Quick and firm decision-maker possessing first-rate communication and organizational skills. Recognized for successfully collaborating with management to develop work plans, financials and strategies.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Utilization Review
Integra Partners
Remote
12.2023 - Current
- Attended various meetings related to utilization review activities including but not limited to Utilization Review Committee meetings and Medical Directors' meetings.
- Ensured compliance with regulatory requirements related to utilization review.
- Trained new employees on utilization review processes and regulations.
- Conducted utilization review activities including concurrent reviews, retrospective reviews, and discharge planning.
- Supervised and maintained all utilization review documentation through InterQual and Essette.
- Maintained confidentiality of sensitive patient information while adhering to HIPPA regulations during the utilization review process.
Utilization Review
Icare Health Solutions
Remote
04.2023 - 12.2023
- Maintained detailed documentation of all utilization review activities according to applicable standards.
- Developed and maintained detailed procedures to ensure compliance with regulatory requirements.
- Analyzed existing processes and identified areas of improvement for efficiency gains.
- Created training materials for staff to ensure understanding of policies and procedures.
- Assisted in the development of a comprehensive procedure manual outlining all standard operating guidelines.
- Facilitated meetings between cross-functional teams to review procedural changes or updates.
- Managed project deadlines and provided team leadership.
Executive Director
Gaslight Village
Adrian, MI
07.2020 - 04.2023
- Collaborated with sales teams to analyze market trends and develop targeted strategies for driving revenue growth in key segments or regions.
- Optimized community layouts for maximum efficiency, improving workflow and decreasing overhead expenses related to wasted space or resources.
- Improved operational efficiency by streamlining processes and implementing innovative strategies.
- Worked closely with organizational leadership and board of directors to guide operational strategy.
- Oversaw financial management, ensuring fiscal responsibility and long-term sustainability for the organization.
Wellness Director
Brookdale
Monroe, MI
02.2019 - 06.2020
- Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
- Oversaw and approved recruitment, hiring and orientation of new care staff.
- Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
- Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
- Build and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
- Collaborated with staff, management, and external groups to coordinate patient care.
Utilization Review, Staff Development Coordinator
Huron Woods
Ypsilanti, MI
04.2015 - 02.2019
- Facilitated open communication channels among employees, fostering a collaborative work environment conducive to growth and learning.
- Worked with managers to identify internal talent and plan development pathways.
- Performed reviews of employee work performance to check for areas in need of additional training.
- Collaborated with department supervisors to identify talented employees and plan out paths for development and promotion.
- Developed and delivered new hire training programs and continuous professional development.
- Created and managed continuous improvement classes and training programs targeted to new employees.
Education
LPN -
Athena Career Academy
Associates Degree -
Jackson College
Skills
- Community Engagement
- Project Management
- Team Building and Talent Development
- Financial Management and Budgeting
- Strategic Planning
- Leadership Development
- Compliance and Regulations
- Marketing
- Operations Management
- Data-driven decision-making
- Organizational Development
Certification
Licensed Practical Nurse (LPN), Michigan State Board of Nursing
Timeline
Utilization Review
Integra Partners
12.2023 - Current
Utilization Review
Icare Health Solutions
04.2023 - 12.2023
Executive Director
Gaslight Village
07.2020 - 04.2023
Wellness Director
Brookdale
02.2019 - 06.2020
Utilization Review, Staff Development Coordinator
Huron Woods
04.2015 - 02.2019
LPN -
Athena Career Academy
Associates Degree -
Jackson College
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