Rebecca J. Hesse
Registered Nurse
Pottsboro,Texas
Summary
Dedicated professional known for building and fostering collaborative relationships across cultural and functional boundaries. Client-focused Medical Professional with background in various areas across the Healthcare Spectrum; i.e., Occupational Health Care, Corporate Wellness Project Manager, Retiree Healthcare, Collegiate Student HealthCare Clinic and Case Management for Short and Long Term Disability and Workers Compensation. Certified Case Manager, Certified Occupational Health Nurse and Certified Project Manager. Dependable employee with ten years of experience leading highly effective and talented teams. Maintains composure, diplomacy, patient privacy and efficiency in all situations.
Overview
17
17
years of professional experience
Work History
Supervisor – Field Case Management
Genex Services
10.2019 - Current
- Responsible for assigning incoming referrals to staff ensuring adherence of multiple criteria in process
- Responsibility for oversight of staff of 10 – 15 nurses, addressing questions/concerns and ongoing coaching regarding Workers Compensation Case Management, Customer requirements, Genex policies
- Address performance issues documenting and obtaining alignment with HR on plan to improve performance
- Responsible for closely monitoring, coaching and assessment of progress toward Improvement Plan every 30 days
- Required to hold assigned nurses to quality and productivity standards, investigate complaints and follow through with Action Plan at completion.
Senior Manager
York Risk Services
11.2018 - 10.2019
- Initially onboarded as Field Case Manager for first 3 months of employment while funding was secured for Strategic Account, Senior Manager
- Develop and provide all training for Account company wide
- Provide ongoing training, assessment, coaching and performance feedback, assign duties of direct reports to ensure productivity efficiency and effectiveness
- Analyze and interpret information to develop and execute continuous quality improvement
- Demonstrates successful ability to build positive relationships and partnerships with Strategic Partner and within company
- Monitor documentation and billing of file activity, along with adjustments made by carrier assuring error rate does not exceed 2%, maintain identified Key Quality Indicators above 90%
- Monitor for trends and implement counter measures as necessary
- Manage all phases of Case Management Activity for Strategic Account, including being Single Point of Contact, full program oversight including financials, quality, training, implementing changes, communication with other Senior Managers, Field and Telephonic Case Managers (both employees and contractors), invoicing, etc.
Field Case Manager/Assistant Branch Manager/Branch Manager
Genex Services LLC
Dallas , Texas
02.2014 - 10.2018
- Promoted to Assistant Branch Manager, then Branch Manager within a few months
- Responsible for oversight of approximately 25 nurses, 2 Supervisors and 1 admin
- Responsible for all aspects of recruiting, hiring, managing, rewarding, administering performance improvement plans and terminating employees when warranted
- (Includes I-9 and verification process, wage adjustments, and secure, confidential personnel recordkeeping, 90 day and annual assessments.)
- Ensures branch complies with state and federal regulations
- Process and monitors financials including payroll, incentive plans, vendor payments, billable and non-billable charges and Profit and Loss Statements
- Prepare annual budget for expenses and planned revenue with Regional Vice President
- Daily management of expenses and monitoring of revenue required.
Health Services Director
Austin College
Sherman, Texas
11.2012 - 02.2014
- Provide onsite medical care to Students at 1200 bed Residential College
- Work with multi-disciplinary team to educate students on specific Health-related topics and to address medical issues with potential to affect academic performance
- Foster relationships with local physicians who volunteer their time to see students at AC Health Clinic
- Responsible for ongoing evaluation and annual negotiation of Student Healthcare Plan, along with administration of plan benefits for students enrolled in said plan
- Oversight of 2 part time nurses and Receptionist/Medical Administrative assistant.
Health Systems Leader
Procter & Gamble
Pineville, LA
01.2011 - 11.2012
- Planning, prioritizing, leading and evaluating Health Service programs and maintaining Medical Confidentiality for more than 460 employees
- Perform surveillance exams, voluntary employee health screens, walk-in illness/injury assessment and treatment according to Nursing Process
- Provide referrals, health education and assistance with navigation of healthcare system
- Employee Assistance Program manager known for fostering creative onsite support programs
- Maintain clinic supplies, accountable for department budget; manage physician calendar; administer medications according to Physician Standing Orders
- Implement and communicate Wellness Programs including Walk/Run Challenges, Know your Numbers, Fresh Fruit Friday’s and Flu Vaccination program along with establishment of “Green Room.”
- Active member of Human Resources and Health Safety & Environmental teams; influencing new policies, the amendment of policies, and the creation programs to close gaps in employee safety.
Project Manager/Health Care Benefit Manager
Procter & Gamble
Cincinnati, OH
08.2005 - 12.2010
- Led start-up implementation and management of first US Employee/Family Wellness Program; Components - Disease Management, Health Risk Appraisal, Online Education Programs and Group Health Challenges
- Delivered benchmark participation results with year over year improvement in health behaviors
- End to end Healthcare Plan Delivery from data passes to eligibility appeals
- Healthcare Plan Vendor Management and Legal compliance activities such as COBRA administration, and maintenance of Summary Plan Descriptions and Annual Enrollment brochures
- Led Retiree Healthcare Improvement Project with a small team of Retirees
- Surveyed retirees in effort of identifying and developing potential solutions
- Improved communication to retirees providing clarity and simplification
- Liaison between Retirees and Vendors for service delivery improvement
- Provided multiple training sessions on Wellness Program and Retiree Healthcare to multiple diverse groups within P&G
- Ten years prior experience with Occupational Health, OSHA surveillance programs, FMLA, short term/long term Disability Plans, EAP program oversight at P&G.
Education
Associate of Applied Science - Nursing
Grayson College
Denison, TX 05.2001 - 06.1993
Certified Case Manager, Certified Occupational Health Nurse, Certified Project Manager - undefined
Skills
Case Management, Short and Long Term Disability and Workers Compensation
Timeline
Supervisor – Field Case Management
Genex Services
10.2019 - Current
Senior Manager
York Risk Services
11.2018 - 10.2019
Field Case Manager/Assistant Branch Manager/Branch Manager
Genex Services LLC
02.2014 - 10.2018
Health Services Director
Austin College
11.2012 - 02.2014
Health Systems Leader
Procter & Gamble
01.2011 - 11.2012
Project Manager/Health Care Benefit Manager
Procter & Gamble
08.2005 - 12.2010
Associate of Applied Science - Nursing
Grayson College
05.2001 - 06.1993
Certified Case Manager, Certified Occupational Health Nurse, Certified Project Manager - undefined
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