JEFF BRYAN
Los Angeles,CA
Summary
An experienced, driven, and accomplished Nursing and Healthcare Professional, with a wealth of experience while working for leading, high-profile medical facilities and organizations.
Summary of qualifications: Strong background in many areas including nurse medical management, case management, clinical admissions review, patient post-hospitalization needs assessment, report preparation, and patient relations. Hard-working and driven, while highly-experienced in all aspects of healthcare industry work. Has served in many capacities, including bedside, case management, utilization and transfer center, and is firmly committed to providing the highest levels of patient care, support, and services.
Core competencies: Patient Care, Medical Management, Records Maintenance, Case Management, Care Issue Resolution, Patient Documentation, Provider Relations, Coverage Interpretation, Regulatory Compliance.
Overview
31
31
years of professional experience
Work History
UM RN Medical Management
ANTHEM ELEVANCE INSURANCE
01.2017 - 04.2023
- Directly responsible for ensuring medical necessity of cost-effective care of treatment in a variety of settings for HMO team, reviewing hospital inpatient admissions, worked with Discharge Planners, fellow RN’s, and Medical Directors to gauge medical necessity via clinical submitted for review, and other related assignments
- Gauged medical necessity via clinical submitted for review or via access to over 15 EMR systems. Has met the highest in performance expectations during tenure in position.
Administrative Nurse
UCLA MEDICAL CENTER
01.2016 - 01.2017
- Responsible for administrative nursing, assessing complex patient transfer requests for acceptance and admission to territory care center, and collaborating with Medical Attendings, Residents, and Nursing Leadership to place patients to appropriate healthcare services to ensure continued optimal care
- Served a large and diverse patient population, and met all performance expectations
- Ensured beneficial appropriate continuation of patient medical pathways.
Case Manager
UCLA MEDICAL CENTER
01.2013 - 01.2017
- Responsible for case management, coordinating patient post-hospital needs, preparing and maintaining patient documentation, ensuring conformance with all regulatory parameters, and all aspects of patient relations.
- Ensured that patient post-hospital needs were met, including home health and long-term acute care
- Was named “Healthcare Team Member of the Year” during Nursing Week for the entire hospital.
Registered RN
UCLA MEDICAL CENTER
01.2011 - 01.2013
- Responsible for patient care, treatment plan implementation, medication management, conducting neurological assessments (for patients with strokes and brain inquiries), patient relations, and other nursing-related functions
- Was NIHSS Stroke Certified annually, and served in one of the top 10 neurological programs in the nation.
Wardrobe Supervisor
THE TONIGHT SHOW WITH JAY LENO
01.1992 - 01.2009
- Liaised with hosts, production teams and wardrobe stylists to verify appropriately chosen garments for events, show segments and movies.
- Collaborated with clients to organize and restyle wardrobes, utilizing both pre-existing and new pieces.
Education
Bachelor of Science - Nursing
Master of Science - Management
Bachelor of Arts - Telecommunications
Skills
- Patient Care
- Case Management
- Utilization Review
- MCG AND InterQual trained
- EMR access to over 15 facilities
- Medical Management
- Coverage Interpretation
- Regulatory Compliance
- RN licenses active in CA, CO and NV-all up for renewal 2024
- BLS current thru February, 2025
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
UM RN Medical Management - ANTHEM ELEVANCE INSURANCE
01.2017 - 04.2023
Administrative Nurse - UCLA MEDICAL CENTER
01.2016 - 01.2017
Case Manager - UCLA MEDICAL CENTER
01.2013 - 01.2017
Registered RN - UCLA MEDICAL CENTER
01.2011 - 01.2013
Wardrobe Supervisor - THE TONIGHT SHOW WITH JAY LENO
01.1992 - 01.2009
MOUNT SAINT MARY’S COLLEGE - Bachelor of Science, Nursing
INDIANA UNIVERSITY - Master of Science, Management
INDIANA UNIVERSITY - Bachelor of Arts, Telecommunications
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