Rebecca Jackson
Chamois,MO
Summary
Compliance and healthcare operations leader with expertise in regulatory processes, workflow management, provider relations, and policy development. Leads cross-functional teams to increase efficiency and support patient care delivery. Nursing case management and operational experience inform data-driven decisions.
Overview
14
14
years of professional experience
Work History
Clinic Manager
Hospital Sisters Health System
Litchfield, IL
01.2022 - Current
- Manage daily clinic operations to support patient flow and staffing efficiency.
- Develop and implement policies to strengthen operational compliance and effectiveness.
- Hold regular staff meetings to improve interdepartmental communication.
- Mentor newly hired nursing staff.
- Identify process improvement opportunities to elevate clinical practices.
- Assist with budget development and continuously monitor financial performance against goals.
- Met departmental objectives by introducing new patient care standards.
- Maintained compliance with regulatory requirements, including HIPAA and health insurance regulations.
Practice Manager of Clinical/Admin Operations
OneHealth Primary Care
Clearwater, Florida
03.2017 - 10.2021
- Supported practice staff across five locations, improving efficiency and process flow.
- Developed and implemented medical management policies and procedures for operations.
- Cultivated relationships with physicians, APRNs, nurses, and vendors to enhance collaboration.
- Led and motivated 40 employees through effective supervision, training, and coaching.
- Resolved conflicts among healthcare staff to ensure workflow continuity.
- Managed operational activities while adhering to budgetary constraints.
- Initiated training programs to elevate skills of healthcare support personnel.
- Participated in strategic planning sessions with executives to outline growth plans.
Manager of Case Management
Access Health Care
Spring Hill, FL
04.2015 - 03.2017
- Recruited skilled individuals to strengthen team expertise.
- Supervised and trained 16 Case Managers, including 4 field and 12 in-house personnel.
- Implemented professional development workshops to ensure continuous staff training.
- Advocated for patient placements within community-based treatment settings.
- Analyzed survey and referral data to improve financial, legal, and outreach services.
- Collaborated with partner organizations to enhance resource utilization and minimize duplication.
- Coordinated referrals to community services, addressing individual needs and challenges.
- Achieved NCQA delegation for Complex Case Management and Disease Management.
Admissions Nurse
Rehab Care
Festus, MO
02.2013 - 11.2014
- Collaborated with other healthcare professionals to ensure optimal patient care throughout the admission process.
- Facilitated communication between patients, families, physicians and other healthcare providers regarding admissions status and expectations during hospital stays.
- Facilitated discussions regarding discharge planning and post-operative requirements.
- Advocated for patient needs within interdisciplinary teams and implemented treatment plans.
- Acquired insurance authorizations and collaborated with health plan nurses for continued stays, and successful discharge planning.
Nurse Field Case Manager
Humana
Tampa, FL
09.2012 - 09.2013
- Collaborated with healthcare team to provide ongoing case management for 35-40 patients.
- Facilitated patient comfort during challenging situations, promoting recovery and enhancing compliance.
- Advocated for patient needs with interdisciplinary team and implemented treatment plans.
- Developed progressive care plans to support medical recovery and facilitate safe home transitions.
- Assisted hospital Case Managers in discharge planning to ensure appropriate post-care resources.
- Delivered information on health plan contracted providers to enhance patient choices.
- Achieved success in managing admission control and reducing readmissions.
- Initiated community program with home care agency to address barriers to successful discharge.
Education
Certified Case Manager - Case Management
CCMC
2019
Bachelor of Science - Health Care Administration
Rasmussen University
New Port Richey, FL06.2014
Certificate - Practical Nursing
Mineral Area College
Park Hills, MOSkills
- Managed care expertise
- Workflow management
- Regulatory compliance
- Policy development
- Insurance coordination
- Performance analysis
- Medical staff recruitment
- Healthcare oversight
- Administrative management
- Grievance resolution
- Process improvement
- Interdepartmental collaboration
- Staff optimization
- Decision making
Timeline
Clinic Manager
Hospital Sisters Health System
01.2022 - Current
Practice Manager of Clinical/Admin Operations
OneHealth Primary Care
03.2017 - 10.2021
Manager of Case Management
Access Health Care
04.2015 - 03.2017
Admissions Nurse
Rehab Care
02.2013 - 11.2014
Nurse Field Case Manager
Humana
09.2012 - 09.2013
Certificate - Practical Nursing
Mineral Area College
Bachelor of Science - Health Care Administration
Rasmussen University
Certified Case Manager - Case Management
CCMC