Summary
Work History
Education
Skills
Certification
Accomplishments
References
Timeline
BusinessAnalyst
Nancy McPeak

Nancy McPeak

Yardley,PA

Summary

With experience in a variety of clinical and leadership positions, I have focused on expanding clinical and managerial knowledge and expertise. I strive to provide the highest quality of care to clients, to actively listen and understand. I work from a caring framework with all customers - including other team members, staff, and leaders. I believe that doing the right thing the first time serves to reduce costs and improve customer satisfaction.

Work History

NURSE CASE MANAGER

Molina Healthcare
06.2021 - Current
  • Recipient of Star award for 3rd quarter 2023 for working diligently with Provider Network, Utilization Management and providers to grant prosthetic eyes for member utilizing CMS medical policies as guidelines for approval.

NURSE CASE MANAGER

Abrazo Arizona Heart Hospital
11.2018 - 05.2021
  • Provide clinical reviews to health plans to establish medical necessity for reimbursement.
  • Utilize Interqual, MIDAS, and AllScripts software.
  • Completed discharge needs assessments and assisted patients and their families as they transitioned to the next level of care.

CLINICAL STEWARD (CLINICAL OPERATIONS MANAGER)

Accolade, Inc
11.2016 - 08.2018
  • Responsible for a team of registered nurses (clinical health assistants) as they provide service and care in a telephonic environment.
  • Responsibilities include interviewing, participation in hiring decisions, coaching and mentoring, leading orientation classes, implementing changes with a focus on productivity and positivity, orientation of new nurses, maintaining and ensuring quality.

Clinical Health Assistant (Nurse Case Manager)

Accolade, Inc
01.2013 - 11.2016
  • Assisted clients to get the right care the first time.
  • Assisted clients to understand their insurance benefits and control costs.
  • Provided service and care focused on the relationship with the client and exceeded expectations utilizing technology, a caring communication model, and creativity in a telephonic environment.
  • Provided patient education on all stages of care and diagnosis with an emphasis on optimal outcomes and reduced readmissions.
  • Contributed to the growth of Accolade by moving to AZ to assist with opening the Scottsdale site.

STAFF NURSE, CARDIAC SURGERY UNIT

Abington Memorial Hospital
03.2004 - 12.2012
  • Responsible for total patient management of critically ill adults, including cardiac surgery patients during recovery and immediate post-operative periods, including patients requiring mechanical ventilation, continuous dialysis, and intra-aortic balloon pump support.
  • Additional responsibilities included Staffing and Bed Coordinator, clinical management system superuser, and assistance with schedule and payroll.

DIRECTOR OF CARDIOLOGY SERVICES

Temple Lower Bucks Hospital
06.2000 - 01.2004
  • Responsible for overall operation and fiscal management of Cardiac Cath Lab, Heart Station, CCU, and 23 bed telemetry unit including staffing, interviewing and hiring, employee evaluation, staff development and education, supervision of nursing care, hospital supervision, development of an inpatient nurse practitioner model, and development and implementation of policies and procedures.

NURSE MANAGER, CCU, Cardiac Catheterization Lab, Telemetry

Temple Lower Bucks Hospital
10.1999 - 06.2000
  • Built additional cardiac Cath lab, selecting new Cath lab equipment working closely with physicians.
  • On arrival to position, built staff from ground up in Cath lab following a complete turnover without any reduction in Cath lab operations.

Manager of Nursing Resources

Our Lady of Lourdes Medical Center
03.1993 - 10.1994
  • Responsible for overall coordination of fiscal and related operations for the Department of Nursing: staffing; patient classification; scheduling automation; contracted services; budget planning; analysis and projections; statistical records; office management; labor and non-labor management reports.
  • Chairperson of Professional Practice Committee, Nursing Compensation Committee; and Per Diem Task Force.

MEDICAL CENTER COORDINATOR (temporary Position)

Our Lady of Lourdes Medical Center
Summer - 09.1999
  • In-house administrator and nursing supervisor for 300+ bed medical center
  • Responsible for supervision of all operations of the medical center during the evening and night shifts.

Staff Nurse, Cardiac Care Unit

Our Lady Of Lourdes Medical Center
03.1990 - 03.1993
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

Staff Nurse, Cardiac Care Unit

Our Lady Of Lourdes Medical Center
10.1994 - 10.1999
  • Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
  • Updated patient charts with data such as medications to keep records current and support accurate treatments.
  • Provided skilled, timely and level-headed emergency response to critically-ill patients.

NURSE MANAGER, Labor and Delivery

Our Lady of Lourdes Medical Center
10.1988 - 03.1990
  • Twenty-four hour accountability and responsibility for complete operation of Level III Perinatal Center, staffing, budgetary management, interviewing and hiring, employee evaluation, staff development, supervision of nursing care, hospital supervision, and development and implementation of policies and procedure.

Education

BSN -

LaSalle University
Philadelphia, Pennsylvania

Diploma in Nursing -

Abington Memorial Hospital School of Nursing
Abington, Pennsylvania

Skills

  • Extensive clinical background
  • Strong computer skills with ability to teach
  • Interdisciplinary Collaboration
  • Advocacy, listening and understanding

Certification

Adult Critical-Care Nursing, AACN, 09/01/07, 09/01/10

Accomplishments

  • Alpha Sigma Lambda
  • Sigma Theta Tau International
  • Kappa Delta Chapter, President, past. Received Chapter Service Award for Distinguished Service

References

available upon request

Timeline

NURSE CASE MANAGER

Molina Healthcare
06.2021 - Current

NURSE CASE MANAGER

Abrazo Arizona Heart Hospital
11.2018 - 05.2021

CLINICAL STEWARD (CLINICAL OPERATIONS MANAGER)

Accolade, Inc
11.2016 - 08.2018

Clinical Health Assistant (Nurse Case Manager)

Accolade, Inc
01.2013 - 11.2016

STAFF NURSE, CARDIAC SURGERY UNIT

Abington Memorial Hospital
03.2004 - 12.2012

DIRECTOR OF CARDIOLOGY SERVICES

Temple Lower Bucks Hospital
06.2000 - 01.2004

NURSE MANAGER, CCU, Cardiac Catheterization Lab, Telemetry

Temple Lower Bucks Hospital
10.1999 - 06.2000

Staff Nurse, Cardiac Care Unit

Our Lady Of Lourdes Medical Center
10.1994 - 10.1999

Manager of Nursing Resources

Our Lady of Lourdes Medical Center
03.1993 - 10.1994

Staff Nurse, Cardiac Care Unit

Our Lady Of Lourdes Medical Center
03.1990 - 03.1993

NURSE MANAGER, Labor and Delivery

Our Lady of Lourdes Medical Center
10.1988 - 03.1990

MEDICAL CENTER COORDINATOR (temporary Position)

Our Lady of Lourdes Medical Center
Summer - 09.1999

BSN -

LaSalle University

Diploma in Nursing -

Abington Memorial Hospital School of Nursing
Nancy McPeak