Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
References
Timeline
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Kenneth Paul Wells, BSN RN

Rio Rancho,NM

Summary

Dynamic healthcare leader with extensive experience, excelling in utilization review and compliance assurance. Proven track record in budget management and staff training, enhancing clinical outcomes through interdisciplinary collaboration. Adept at implementing innovative processes that streamline operations and improve patient care quality. Committed to fostering professional development in nursing teams. Compassionate Director of Nursing dedicated to maintaining highest standards of nursing practices and policies. Excellent leader, mentor and recruiter, supporting staff and local community. Demonstrates strong working knowledge of regulatory compliance along with proven results in managerial role.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Utilization Review Nurse

Presbyterian Hospital
Albuquerque, NM
03.2020 - Current
  • Collaborated with healthcare teams to ensure compliance with treatment guidelines.
  • Reviewed medical records to assess appropriateness of services provided.
  • Conducted comprehensive utilization reviews for patient care plans.

Utilization Review Nurse

Blue Cross Blue Shield of New Mexico
Albuquerque, NM
02.2016 - 03.2020
  • Maintained up-to-date knowledge of health plan benefits, policies, procedures, regulations, coding guidelines.
  • Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
  • Managed budgets to ensure cost-effective resource allocation for projects.
  • Mentored junior staff to foster professional development and skill enhancement.
  • Implemented new processes to streamline workflow and reduce bottlenecks.
  • Monitored staff performance and addressed issues.

Director of Nursing

Correct Care Solutions
Albuquerque, NM
10.2015 - 12.2015

- Initiated budget management strategies to optimize resource allocation.
- Developed and implemented patient care protocols, enhancing service delivery.
- Facilitated interdisciplinary communication, improving treatment effectiveness.
- Directed comprehensive utilization reviews, enhancing patient care plans.
- Led staff mentorship programs, fostering skill growth and professional development.

Director of Nursing

Haven Behavioral Hospital
Albuquerque, NM
04.2013 - 10.2015
  • Managed budgeting and resource allocation for nursing departments effectively.
  • Facilitated communication between administration and nursing staff for seamless operations.
  • Assessed competency of clinical staff to promote quality, continuity, and safety.
  • Oversaw the daily operations of the nursing department including staffing, scheduling, budgeting, and resource allocation.
  • Assisted with recruitment efforts by interviewing potential employees and making hiring decisions when appropriate.
  • Served as a mentor for new nurses providing support during their transition into the organization.

Clinical Director

Lander Regional Medical Center
Lander, WY
04.2012 - 05.2013
  • Oversaw clinical operations to ensure compliance with healthcare regulations.
  • Developed and implemented patient care protocols for improved service delivery.
  • Collaborated with medical staff to enhance interdisciplinary communication.
  • Trained and mentored healthcare professionals on best practices in patient care.
  • Evaluated staff performance to promote professional development initiatives.
  • Improve policies and procedures through development, implementation, revision and evaluation of new protocols.

Clinical Director

Catskill Regional Medical Center / Crmc
Harris, NY
03.2009 - 04.2012
  • Oversaw clinical operations to ensure compliance with healthcare regulations.
  • Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
  • Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
  • Directed, supervised and evaluated medical, clerical or maintenance personnel.
  • Developed medical programs that promoted community health and research.
  • Collaborated with other departments to coordinate health services across multiple facilities.
  • Partnered with nurse manager to raise standards of practice by monitoring, analyzing, and correcting staff performance.

Director of Nursing

West Hills Hospital
Reno, NV
04.2006 - 03.2009
  • Oversaw nursing staff performance and adherence to healthcare standards.
  • Developed and implemented nursing policies for patient care protocols.
  • Coordinated training programs for nursing staff to enhance skills.
  • Monitored compliance with regulations and quality improvement initiatives.
  • Ensured proper staffing levels to meet patient care demands efficiently.
  • Managed budgets and resources for nursing departments effectively.

Education

Bachelor of Science - Nursing

Prairie View A&M University
Prairie View, TX
05-1992

Skills

  • Utilization review
  • Clinical documentation
  • Healthcare regulations
  • Budget management
  • Compliance assurance
  • Staff training
  • Interdisciplinary collaboration
  • Skilled in Patient advocacy, proficient with case management templates, experienced in clinical decision-making, and adept at effective communication and team leadership

Accomplishments

  • Consistently achieved Often Exceeds and Consistently Exceeds Performance Ratings

Certification

  • Served as a Certified CPI (Crisis Prevention Intervention) Instructor for eight years

References

References available upon request.

Timeline

Utilization Review Nurse

Presbyterian Hospital
03.2020 - Current

Utilization Review Nurse

Blue Cross Blue Shield of New Mexico
02.2016 - 03.2020

Director of Nursing

Correct Care Solutions
10.2015 - 12.2015

Director of Nursing

Haven Behavioral Hospital
04.2013 - 10.2015

Clinical Director

Lander Regional Medical Center
04.2012 - 05.2013

Clinical Director

Catskill Regional Medical Center / Crmc
03.2009 - 04.2012

Director of Nursing

West Hills Hospital
04.2006 - 03.2009

Bachelor of Science - Nursing

Prairie View A&M University
Kenneth Paul Wells, BSN RN