Julie Berry
Maumelle,US
Summary
Accomplished health industry professional with over 30 years of expertise in complex case management, utilization management, training, and staff development, quality improvement, compliance, transition of care, and leadership. Committed to revolutionizing healthcare through elevating patient care standards, enhancing quality outcomes and implementation, ensuring adherence to regulatory bodies and government agencies, reducing healthcare costs, and empowering multi-disciplined healthcare teams to achieve patient outcome goals.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Clinical Admin Nurse Consult RN
WellMed Medical Management, Inc.
04.2019 - Current
- Delivered online educational programs to adult learners in clinical and non-clinical fields.
- Conducted sessions to enhance trainers' skills.
- Delivered feedback to ensure compliance with training standards.
- Cultivate effective collaboration across diverse teams.
- Contributed to development and revision of training materials.
- Ensured compliance with CMS and NCQA standards through meticulous documentation in TruCare.
- Achieved high learner satisfaction with evaluation scores of 4.5 and above.
- Analyze patient data to ensure business goals are met with high compliance.
- Conducted material training to ensure compliance with policies and procedures.
- Achieved certification as MCG Master Trainer.
- Conducted virtual training sessions for staff using evidence-based MCG criteria.
- Demonstrated expertise through ATD and Master Trainer certifications.
- Telecommuted from locations in Texas and Florida.
Case Management / Utilization Nurse
Christus Spohn Health
03.2018 - 04.2019
- Facilitated effective communication among healthcare professionals for seamless care transitions.
- Analyzed patient needs to determine necessary home health and DME services.
- Enhanced resource allocation for affordable healthcare solutions.
- Ensured precise care placement through effective management of patient assessments.
- Increased transition efficiency through streamlined care protocols.
Inpatient Program Manager
Fresenius Medical Care N.A
08.2005 - 03.2018
- Directed renal unit activities within hospital, guaranteeing alignment with Fresenius and hospital standards.
- Managed execution of patient treatment protocols for hemodialysis and peritoneal.
- Kept accurate quality logs.
- Facilitated monthly review meetings with hospital staff to ensure adherence to CMS and Joint Commission guidelines.
- Performed comprehensive audits to enhance team effectiveness.
- Streamlined patient care methods to elevate operational performance adhering to hospital regulations.
- Conducted monthly quality reviews to uphold high standards in patient care and facility management.
- Led a team in outpatient settings, fostering a collaborative environment to boost treatment quality.
- Conducted yearly evaluations to maintain compliance for a team of 30+ nurses and staff.
Education
Associate Degree - Nursing
Riverside City College
RiversideSkills
- Coaching and mentor
- Problem Solving
- Critical thinking
- Communication
- Collaboration
- Integrity and Compassion
- Strategic Planning
- Attention to details
- Adaptability
- Ethics and professionalism
Certification
- Association for Talent Development (ATD) Certified and Master Trainer
- RN License
- RN Arkansas 221273 expires 04/30/2027
Timeline
Clinical Admin Nurse Consult RN
WellMed Medical Management, Inc.
04.2019 - Current
Case Management / Utilization Nurse
Christus Spohn Health
03.2018 - 04.2019
Inpatient Program Manager
Fresenius Medical Care N.A
08.2005 - 03.2018
Associate Degree - Nursing
Riverside City College
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