Jessica Cunningham
TX
Summary
Dedicated nurse with over fifteen years of diverse experience in critical care, emergency services, cardiac catheterization, case management, and leadership. Proven skills in care coordination, utilization management, and effective communication ensure high-quality patient outcomes. Passionate about transitioning into a teaching role to mentor aspiring nurses and foster community health initiatives. Committed to leveraging extensive clinical expertise to inspire the next generation of healthcare professionals.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Manager, Clinical Operations
Health Care Service Corporation/Blue Cross Blue Shield
Richardson
01.2023 - 01.2025
- Worked under senior management for the Utilization Management department. Directed a team of 20 nurses, executed audits, and created training programs while collaborating with various departments and leaders.
- Led development and implementation of clinical operation strategies to enhance service delivery across multiple departments.
- Streamlined processes for claims management, improving accuracy and reducing turnaround times significantly.
- Collaborated with cross-functional teams to design and execute quality improvement initiatives, enhancing patient outcomes.
Registered Nurse, Pediatric Emergency Department
Cook Children's Medical Center
Fort Worth
01.2022 - 01.2023
- Conducted triage, care management, assessments, treatments, and delegated care for a diverse patient population, addressing critical, acute, urgent, trauma, and psychiatric needs.
- Administered medications and treatments according to established protocols and patient care plans.
- Collaborated with interdisciplinary teams to develop and implement individualized care strategies.
- Mentored new nursing staff, enhancing their clinical skills and fostering professional growth.
Registered Nurse, Emergency Department
Baylor Scott & White Health
Forney
01.2022 - 01.2022
- Assessed and delegated treatment plans for patients in critical, acute, urgent, trauma, and psychiatric care.
- Delivered critical care to patients in high-pressure emergency situations.
- Collaborated with multidisciplinary teams to ensure optimal patient outcomes.
- Educated patients and families on treatment plans and discharge instructions.
Supervisor, Utilization Management
Molina Healthcare Inc.
Irving
01.2018 - 01.2022
- Other roles: Care Review Clinician, Case Manager, Service Coordinator. Worked under senior management for the Utilization Management and case management departments. Directed a team of 10 nurses to audit, train, and create training programs, write policies and procedures, and perform inpatient utilization reviews for adult and pediatric populations, as well as private duty nursing utilization reviews for Marketplace and STAR/STARPLUS lines of business, addressing sensitive state complaints and appeals and training new hire staff.
- Oversaw daily utilization management operations, ensuring compliance with healthcare regulations and standards.
- Led team in reviewing and approving prior authorization requests to optimize patient care services.
- Implemented process improvements that enhanced efficiency in case reviews and reduced turnaround times.
Registered Nurse, Cardiac Catheterization Laboratory
Medical City Lewisville
Lewisville
01.2016 - 01.2016
- Collaborated with the cardiac cath lab team on STEMI code calls 24/7, prepared cath patients in the Emergency Department, maintained a sterile field, mixed medications, and educated patients before and after procedures.
- Administered medications and treatments according to established protocols, ensuring patient safety and compliance.
- Collaborated with interdisciplinary teams to develop individualized care plans for diverse patient populations.
- Monitored vital signs and assessed patients' conditions, documenting changes in electronic health records accurately.
Registered Nurse, Emergency Department
Per Diem - Advantage Medical Professionals
Irving
01.2015 - 01.2016
- Assess and treat patients across all age groups in critical, acute, urgent, trauma, and psychiatric care at multiple facilities.
- Administered emergency care for diverse patient population, ensuring timely treatment and compliance with protocols.
- Collaborated with multidisciplinary teams to develop comprehensive care plans tailored to individual patient needs.
- Implemented evidence-based practices to enhance patient outcomes and streamline emergency department workflows.
Registered Nurse, Emergency Department
Medical Solutions Inc.
Omaha, NE
01.2014 - 01.2015
- Triage, manage care, assess, treat, and delegate treatment for critical, acute, urgent, trauma, and psychiatric care of patients of all ages at Medical City Arlington, Baylor All Saints, and Lake Region General Hospital.
- Administered emergency care and triaged patients in high-pressure situations.
- Collaborated with multidisciplinary teams to develop patient-centered care plans.
- Monitored vital signs and assessed patient conditions for timely interventions.
Registered Nurse, Emergency Department & Cardiac ICU
Mountain States Health Alliance
Johnson City, TN
01.2013 - 01.2014
- Triage, manage care, assess, treat, and delegate treatment for critical care, acute care, urgent care, trauma, and psychiatric care of patients from infants to geriatrics. Provided patient care for cardiac ICU patients with high acuity, CHF, and post cardiac cath needs.
- Administered patient care in high-pressure situations, ensuring optimal outcomes and adherence to protocols.
- Collaborated with multidisciplinary teams to assess and implement effective treatment plans for diverse patient populations.
- Mentored junior nursing staff, enhancing their clinical skills and promoting best practices in emergency care.
Nurse Extern III, Emergency Department
Laughlin Memorial Hospital
Greeneville, TN
01.2012 - 01.2013
- Delivered safe emergency care, administered medications, and facilitated patient care planning and education under the supervision of a registered nurse.
- Assisted nursing staff in providing patient care and support during daily activities.
- Monitored vital signs and reported changes to registered nurses promptly.
- Collaborated with interdisciplinary teams to ensure comprehensive patient treatment plans.
Admission Secretary, Emergency Department
Laughlin Memorial Hospital
Greeneville, TN
01.2010 - 01.2011
- Processed patient payments while ensuring confidentiality and professionalism.
- Managed scheduling for medical staff, optimizing appointment availability and patient flow.
- Coordinated communication between departments, enhancing information sharing and collaboration.
- Maintained electronic filing systems, ensuring accuracy and accessibility of patient records.
Education
Master of Science - Nursing Administration
University of Texas Arlington
Arlington, Texas07.2026
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT01.2017
Associate of Applied Science - Nursing
Walters State Community College
Morristown01.2013
Skills
- Clinical expertise
- Interprofessional collaboration
- Team leadership
- Decision-making
- Problem-solving
- Time management
- Organizational skills
- Excellent communication
- Customer service
- Teamwork and collaboration
- Mentoring students
- Friendly, positive attitude
Certification
- Basic Life Support
- Advance Cardiac Life Support
- Pediatric Advanced Life Support
Timeline
Manager, Clinical Operations
Health Care Service Corporation/Blue Cross Blue Shield
01.2023 - 01.2025
Registered Nurse, Pediatric Emergency Department
Cook Children's Medical Center
01.2022 - 01.2023
Registered Nurse, Emergency Department
Baylor Scott & White Health
01.2022 - 01.2022
Supervisor, Utilization Management
Molina Healthcare Inc.
01.2018 - 01.2022
Registered Nurse, Cardiac Catheterization Laboratory
Medical City Lewisville
01.2016 - 01.2016
Registered Nurse, Emergency Department
Per Diem - Advantage Medical Professionals
01.2015 - 01.2016
Registered Nurse, Emergency Department
Medical Solutions Inc.
01.2014 - 01.2015
Registered Nurse, Emergency Department & Cardiac ICU
Mountain States Health Alliance
01.2013 - 01.2014
Nurse Extern III, Emergency Department
Laughlin Memorial Hospital
01.2012 - 01.2013
Admission Secretary, Emergency Department
Laughlin Memorial Hospital
01.2010 - 01.2011
Master of Science - Nursing Administration
University of Texas Arlington
Bachelor of Science - Nursing
Western Governors University
Associate of Applied Science - Nursing
Walters State Community College