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Leah Weston
Dixfield,ME
Summary
Driven Registered Nurse with 13 years comprehensive experience providing patient care. Seeking to leverage background and training to secure a leadership role. Skilled in delivering high-quality patient care, education and counseling. Demonstrated leadership skills that advance patient care, patient satisfaction and safety initiatives to drive holistic care approaches.
Overview
15
15
years of professional experience
Work History
Quality Clinical Management Advisor
Cigna
Pittsburgh, PA
09.2022 - 02.2025
- Lead, direct, and oversee the development and implementation of clinical initiatives, special projects, and process improvement initiatives.
- Lead pilot studies and health disparities activities.
- Develop, review, and implement standard operating policies and procedures.
- Manage multiple projects at any given time, with responsibility from conception to implementation, evaluation, and dissemination of findings or outcomes.
- Collaborate with the project management team to oversee and coordinate clinical quality activities aimed at improving HEDIS results and meeting regulatory requirements.
- Participate in strategic planning and budget management.
- Collaborate with matrix partners and individuals on clinical design to develop and implement clinical initiatives.
Quality Clinical Management Lead Analyst
Cigna
Pittsburgh, PA
07.2016 - Current
- Review, investigate and monitor clinical and quality activities such as Quality of Care Complaints and Adverse Events
- Collaboration with internal and external medical market executives and directors
- Collaboration with external health care professionals and facilities
- Presentation of cases to the National Peer Review Committee
- Collaboration with matrix partners
- Collect and analyze data for the Quality of Care and Adverse Event Aggregate Report which is reported to two committees
- Lead contact for strategic alliance partners
- Maintain standard operating procedures in accordance to strategic alliance and quality of care and adverse event aggregate reporting
- Participate in work groups for ongoing training
Inpatient Nurse Case Manager
Cigna
Pittsburgh, PA
11.2013 - 07.2016
- Utilize Milliman Care Guidelines for inpatient reviews
- Participated on the Management Operating Systems Pilot Program
- Maintained Utilization Review metrics
- Developed short term and long term objectives to determine case results
- Collaboration with matrix partners
- Identify potential Quality of Care issues and Adverse Events
- Discharge planning
- Maintaining URAQ and NCQA compliance
- Identify new referrals for complex and specialty case management programs
- Short term case management for customers that qualify
- Collaboration with market medical executives to discuss inpatient reviews
Registered Nurse Emergency Department
Central Maine Medical Center
Lewiston, ME
04.2011 - 06.2016
- Assessed patients' overall health, identified their needs and goals for treatment and connected them with ideal practitioners and treatments.
- Managed and provided leadership to deliver direct and indirect patient care, education and telemetry monitoring and interpretation.
- Administered medications orally, rectally, intramuscularly, subcutaneously and via IV therapy.
- Improved ED administration by compiling and analyzing data and identifying areas of improvement.
- Supported patients with customized patient teaching tools.
- Worked as part of team to ensure proper care of body mechanics and safety of patient.
- Trained and mentored newly hired nursing personnel on policies, protocols and requirements so that they were well-prepared for their job responsibilities and duties.
- Collected and properly handled specimens from patients.
- Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.
- Collaborated with doctors to plan post-treatment home care.
- Trained new RN hires and ancillary staff members to meet patient service goals, champion standards of care and improve patient overall satisfaction.
Registered Nurse Cardiopulmonary Unit
Central Maine Medical Center
Lewiston, ME
11.2009 - 04.2011
- Coordinated and managed care for patients undergoing myocardial infarction screening and anticoagulation therapies.
- Served as a patient advocate by identifying insurance coverage, communicating care preferences to practitioners and ensuring interventions met patients' treatment goals.
- Recorded patients' medical history, vital statistics and test results in medical records.
- Planned and managed patient care in alignment with hospital standards of care.
- Followed all physician orders for treatment and care and managed medication administration.
- Monitored, assessed and recorded patient condition and coordinated patient discharge planning.
- Completed comprehensive patient assessments to determine individual needs, formulating plans of care in collaboration with multidisciplinary healthcare professionals, including physicians, case managers and social workers.
- Assisted patients with healing and recovery after surgery.
- Developed and implemented successful patient care plans.
- Monitored post-op vitals, set up PCA, fluids, reviewed post-op orders and assimilated patients to unit.
- Administered medications orally, rectally, intramuscularly, subcutaneously and via IV therapy.
Education
Master of Science - Nursing Administration and Executive Leadership
Capella University
Minneapolis, MN2019
Bachelor of Science - Nursing
University of Southern Maine
Portland, ME2009
Skills
- Highly motivated, organized and self-directed
- Excellent verbal and written communication skills
- Detail oriented with ability to align activities to the overall strategy/big picture
- Strong work ethic with the ability to work independently
- Ability to work in an interdisciplinary environment
- Innovative with a desire to learn new ideas
- Strong critical thinking skills
- Excellent time management skills
Certification
CPR Certified
Work Preference
Work Type
Full TimePart TimeContract WorkWork Location
RemoteHybridOn-SiteImportant To Me
Work-life balanceFlexible work hoursWork from home optionPaid time offHealthcare benefits401k matchStock Options / Equity / Profit Sharing4-day work weekPersonal development programsCareer advancementCompany CulturePaid sick leaveAccomplishments
- Collaborated with a team in the development of clinical initiatives for medication adherence.
- Supervision - charge nurse responsibilities in the emergency department.
- Implementation - Assisted in implementation of new tracking system that resulted in improved patient care.
- Patient Care - Delivered compassionate care that exceeded hospital requirements. Successfully provided quality care to multiple patients in the emergency department and cardiopulmonary units.
- Documentation - Ensured charting accuracy through precise documentation.
- Training - Trained newly hired staff nurses in the emergency department.
- Patient Advocacy - Explained treatment procedures, medication risks, special diets and physician instructions to patients.
- Clinical Skills - Monitored patients' respiration activity, blood pressure and blood glucose levels in response to medical administration.
Timeline
Quality Clinical Management Advisor
Cigna
09.2022 - 02.2025
Quality Clinical Management Lead Analyst
Cigna
07.2016 - Current
Inpatient Nurse Case Manager
Cigna
11.2013 - 07.2016
Registered Nurse Emergency Department
Central Maine Medical Center
04.2011 - 06.2016
Registered Nurse Cardiopulmonary Unit
Central Maine Medical Center
11.2009 - 04.2011
Master of Science - Nursing Administration and Executive Leadership
Capella University
Bachelor of Science - Nursing
University of Southern Maine
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Languages
English
Native language
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