Summary
Overview
Work History
Education
Skills
Timeline
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Sheldon L. Powell

Orlando,FL

Summary

Dynamic Clinical Manager with a proven track record at AdventHealth, excelling in leadership and communication. Spearheaded quality improvement initiatives that significantly enhanced patient satisfaction scores. Adept in process redesign and independent decision-making, fostering a collaborative environment that drives performance and job satisfaction among staff.

Overview

13
13
years of professional experience

Work History

Clinical Manager Utilization Review

Advent Health
08.2021 - Current
  • Communicate effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
  • Troubleshoot issues by diagnosing root cause and coming up with effective solutions.
  • Provide strategic direction to the department
  • Contributed to success of the organization by improving performance, motivation, job satisfaction, hiring practices, training programs and management systems.
  • Supervise xxx employees by providing support in all aspects of the utilization review program
  • Implemented quality improvement initiatives that led to measurable improvements in patient satisfaction scores.
  • ·Managed [Number] employees with various personalities wih all aspects of the Utilization Review program.
  • Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
  • Maintained up-to-date knowledge of industry trends and best practices to inform ongoing improvements in utilization management strategies.
  • Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
  • Fostered a positive work culture by recognizing employee achievements and addressing any concerns proactively.
  • Implemented new policies and educated staff on changes.

UTILIZATION REVIEW NURSE |

Advent Health
03.2019 - 08.2021
  • Coordinated recommendations for denials and peer-to-peer reviews with medical director.
  • Applied InterQual criteria to patient placement.
  • Communicated with case managers to assess inpatient status, discharge plans, and unplanned admissions.
  • Utilize XSOLIS to guide utilization management decisions.
  • Evaluate effectiveness, service improvements, and company goals in weekly utilization management meetings.
  • Receive outstanding yearly reviews and recognized by the Director of Utilization Management for productivity and quality of work.
  • Performed prior authorization review of services requiring notification.
  • Submitted cases for criteria failures and helped facilitate resolutions and approvals.

REGISTERED NURSE, CARDIAC INTERVENTION UNIT

Florida Hospital
01.2017 - 09.2017
  • Developed and implemented care plans.
  • Treated critically ill cardiovascular patients under supervision of cardiovascular surgeons.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Educated patients on rehabilitation activities including changes in diet, administration of medications, and postoperative home care
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

REGISTERED NURSE, MEDICAL SURGICAL/ONCOLOGY

CW Bil Young VA Medical Center
06.2013 - 03.2016
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Administered medications such as chemotherapy and biotherapy agents safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.

REGISTERED NURSE, MEDICAL SURGICAL/PSYCHOLOGY

Wekiva Springs Hospital
05.2012 - 05.2013
  • Assessed patients, administered medications as ordered, and documented patient care.
  • Reviewed and implemented physicians’ orders, nursing care plans, lab work and other test results.
  • Conducted patient education.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.

Education

Bachelor of Science - Nursing

WESTERN GOVERNOR’S UNIVERSITY
, SALT LAKE CITY, UT
08-2015

Associate of Science - Nursing

KEISER UNIVERSITYJACKSONVILLE, FL
JACKSONVILLE, FL
12-2010

Skills

  • Excellent leadership/communication skills
  • Process redesign
  • Independent decision-making
  • Business analytics
  • Project Management
  • Communicate effectively with diverse groups of stakeholders

Timeline

Clinical Manager Utilization Review

Advent Health
08.2021 - Current

UTILIZATION REVIEW NURSE |

Advent Health
03.2019 - 08.2021

REGISTERED NURSE, CARDIAC INTERVENTION UNIT

Florida Hospital
01.2017 - 09.2017

REGISTERED NURSE, MEDICAL SURGICAL/ONCOLOGY

CW Bil Young VA Medical Center
06.2013 - 03.2016

REGISTERED NURSE, MEDICAL SURGICAL/PSYCHOLOGY

Wekiva Springs Hospital
05.2012 - 05.2013

Bachelor of Science - Nursing

WESTERN GOVERNOR’S UNIVERSITY

Associate of Science - Nursing

KEISER UNIVERSITYJACKSONVILLE, FL

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Sheldon L. Powell