Microsoft Office
Krista Atteberry
Fairfield,IL
Summary
Patient-focused Clinical Supervisor with more than 5 years of experience and success in delivering outstanding care to patients. Adept at developing robust programs to educate nurses and improve patient outcomes. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Consistently motivated to pursue ongoing career objectives, continue to learn and grow as a nurse, and make an impact on the caritative practices within the healthcare industry. I have taken advantage of the opportunities presented to develop advanced interpersonal skills and nursing experience. Displayed rapid growth in these areas and have demonstrated a level of compassion and eagerness that is requisite to the nursing profession.
Overview
11
11
years of professional experience
1
1
Certification
Work History
CLINICAL SUPERVISOR UTILIZATION MANAGEMENT MEDICAL
Allegiance Benefit Plan Management
01.2023 - 02.2024
- Lead and directed team of 6 clinical personnel and helped oversee 16 support staff.
- Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
- Spearheaded and implemented new projects to expand scope of engagement.
- I wrote internal medical policies for review criteria as needed, I assisted with and implemented changes to the department for URAC compliance, and I coordinated with other internal departments to help provide quality care to our members.
- Ensured compliance with regulatory standards by conducting regular audits of clinical records and procedures.
- Served as a liaison between clinical staff and administration to address concerns and optimize workflows.
- Developed a comprehensive clinical training program for new hires to ensure consistent quality of care.
- Responsible for meeting with individual groups alongside of CMO to discuss fertility benefits and amend SPDs as needed for a company that serves approximately 350,000+ lives
- Demonstrated strong organizational and time management skills while managing multiple projects.
UTILIZATION MANAGEMENT MEDICAL REVIEW
Allegiance Benefit Plan Management
09.2018 - 01.2023
- Review all medical requests that are submitted as prior and retro authorization. Clinical team consists of 6 RNs and 11 MDs.
- Improved patient care management by efficiently coordinating and monitoring medical services.
- responsible for reviewing all requests in the following areas: Infertility, Obstetrics, Gynecology, Gender Reassignment, Genetic Testing, Autism services, bariatrics, and plastic surgery.
- Clinical Trainer/EHR super user
- Maintained up-to-date knowledge on relevant health policies, regulations, and industry best practices through ongoing professional development opportunities.
- Provided comprehensive support to clinical staff, assisting in the development of guidelines for appropriate service utilization.
SUPERVISOR OF OUTPATIENT CASE MANAGEMENT
UNITEDHEALTH GROUP
05.2017 - 08.2018
- Managed a team of 22 RN case managers and LCSWs handling outpatient case management for complex cases including adult, pediatric, and obstetric patients.
- Developed effective improvement plans in alignment with goals and specifications.
- Maintained compliance with company policies, objectives, and communication goals.
- Streamlined operations for increased efficiency through regular process reviews and implementing necessary changes.
- Conducted routine inspections to check quality and compliance with established specifications.
- Responsible for all NCQA compliance reporting for department
- Started managing whole person care model; a collaborative case management project with behavioral health team to help reduce readmission rates for members
RN CARE COORDINATOR/DEPARTMENT MANAGER
HORIZON HEALTHCARE CLINIC
01.2016 - 05.2017
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Managed complex cases of critically ill patients, ensuring optimal treatment plans were executed effectively.
- Assisted with relocation of outside physician practices that lease space so facility could implement urgent care center.
- Implemented practice wide telehealth appointment service for low acuity patient convenience.
OB RN
Good Samaritan Hospital
09.2012 - 09.2015
- Primary nursing care during labor process, assisting with vaginal deliveries, circulating surgical nurse in gynecological procedures such as hysterectomies, bladder slings, tubal ligation, exploratory laparoscopies, endometrial ablations, and hysteroscopy/dilation & curettage
- Monitoring intrauterine fetal monitoring, obtaining newborn vitals, and neonate medication administration, acting as level 1 neonate nurse during vaginal deliveries, neonate care, and infant care.
- Assisted families by answering questions, supplying general information and providing frequent updates on patient progress.
- Perform duties as circulating nurse during Obstetrics and gynecologic procedures as well as acting as surgical first assist in operating room as needed.
- Demonstrated leadership abilities by mentoring new nurses on best practices for perioperative care and serving as go-to resource for colleagues seeking guidance or input on challenging cases.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Provided comprehensive education as unit prenatal educator to patients and families regarding surgical procedures, recovery expectations, and follow-up care, promoting informed decision making.
Education
Associate of Applied Science - Nursing
ILLINOIS EASTERN COMMUNITY COLLEGE
Fairfield05.2012
Skills
- Reproductive Endocrinology and Infertility Certified (REI) – ASRM
- Internal Policy Writer & Policy Review Committee
- Reporting Requirements
- EPIC EHR Super User
- NCQA and URAC Compliance
- Ethics Committee Member
- ACO Steering Committee Member
- Risk Analysis
- ACO Champion
- Quality Reporting Champion
- Pediatric Disaster Triage Training Certified
- Sexual Assault Nurse Examiner (SANE) Trained
Software
EPIC Super User
CedarGate
Certification
- Certified in Reproductive Endocrinology and Infertility, American Society for Reproductive Medicine
Timeline
CLINICAL SUPERVISOR UTILIZATION MANAGEMENT MEDICAL
Allegiance Benefit Plan Management
01.2023 - 02.2024
UTILIZATION MANAGEMENT MEDICAL REVIEW
Allegiance Benefit Plan Management
09.2018 - 01.2023
SUPERVISOR OF OUTPATIENT CASE MANAGEMENT
UNITEDHEALTH GROUP
05.2017 - 08.2018
RN CARE COORDINATOR/DEPARTMENT MANAGER
HORIZON HEALTHCARE CLINIC
01.2016 - 05.2017
OB RN
Good Samaritan Hospital
09.2012 - 09.2015
Associate of Applied Science - Nursing
ILLINOIS EASTERN COMMUNITY COLLEGE
- Certified in Reproductive Endocrinology and Infertility, American Society for Reproductive Medicine
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