Accomplished professional with a proven track record at ElevanceHealth, enhancing vendor relations and client satisfaction through effective problem resolution and dispute management. Skilled in Accounts Payable Software and critical thinking, I've significantly improved process efficiency. My expertise in confidentiality handling and organizational skills has driven successful project outcomes and fostered robust vendor partnerships.
Overview
48
48
years of professional experience
Work History
Vendor Ops Management Consultant
ElevanceHealth
12.2011 - Current
Assisted members with programs that are available to them.
Offer excellent service to our members.
Strengthened vendor and Case Managers relationships by maintaining open communication and promptly addressing any concerns or issues.
Implemented feedback Educational Opportunities for vendors, leading to improvements in following Case Management, Behavioral Health and Member Connect Guidelines.
Performed effectively in self-directed work environment, managing day-to-day operations with triaging referrals and refer within required timelines.
Developed and maintained strong working relationships with Vendors, Case Managers. Behavioral Health and Member Connect Social workers.
Select referrals based on guideline specifications.
Fostered lasting relationships with Vendors, Case Managers and Social Workers through effective communication and quick response, resulting in long-term loyalty and respect.
Recorded accurate and efficient records in HIP.
Kept detailed records of referral activities through HIP database.
Enhanced client satisfaction by providing exceptional service and timely referral completion.
Evaluated current processes to develop improvement plans.
Case Manager
Interim Healthcare
Newark, Ohio
09.2010 - 01.2012
Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
Advocated for client rights when interacting with external agencies or institutions, ensuring fair treatment at all times.
Developed and implemented comprehensive case management plans to address client needs and goals.
Improved client satisfaction by efficiently addressing concerns or grievances in a timely manner.
Coordinated essential services for clients, resulting in improved overall well-being and selfsufficiency.
Fostered open lines of communication with clients'' families and support networks, involving them in the case management process as appropriate.
Participated in regular professional development opportunities to stay current on best practices within the field of case management.
Coordinated with healthcare providers to ensure clients had access to necessary medical services, enhancing their overall well-being.
Conducted thorough assessments to identify client needs, laying groundwork for effective case management.
Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.
Established and maintained relationships with clients and families.
Director of Nursing Informatics
Forum at Knightsbridge
09.2009 - 09.2010
Implemented comprehensive data security measures to safeguard sensitive patient information from unauthorized access or breaches.
Director of Nursing
Flint Ridge Nursing and Rehabilitation Center
01.2009 - 09.2009
Participated in management team meetings to discuss resident status, census changes, and resident complaints or concerns.
Oversaw and approved recruitment, hiring and orientation of new nursing staff.
Ensured regulatory compliance by staying current on industry standards and updating policies accordingly.
Monitored and evaluated nursing staff performance, providing feedback and guidance to support standards of care.
Built and maintained positive working relationships with physicians and staff to support seamless healthcare operations.
Performed rounds to observe care and interview staff, residents, and families.
Streamlined nursing operations by optimizing staffing schedules, resource allocation, and workflow processes.
Developed positive employee relations, incentives, and recognition programs to promote teamwork and mutual respect.
Collaborated with interdisciplinary teams to develop comprehensive care plans for patients with complex needs.
Collaborated with staff, management, and external groups to coordinate patient care.
Worked closely administration to develop and implement best practices to improve patient outcomes.
Established and monitored infection control programs to provide safe, sanitary environment to prevent transmission of disease and infection.
Facilitated continuing education and training programs to drive staff competency and professional development.
Enhanced staff performance by conducting regular evaluations, providing constructive feedback, and offering tailored professional development opportunities.
Identified department issues to recommend corrective actions.
Promoted a culture of safety by enforcing compliance with infection control policies and procedures.
Managed budgets effectively, identifying cost-saving measures while maintaining high-quality patient care standards.
Developed strong relationships with community partners to facilitate continuity of care for patients transitioning between healthcare settings.
Established new policies and updated existing policies to improve standard of care for patients.
Mentored new nurses through orientation programs, facilitating their integration into the team and fostering their professional growth.
Prepared and reviewed infection control surveillance reports to identify trends and develop effective actions to control and prevent infections.
Conducted regular risk assessments within the department to identify areas of potential vulnerability and implement corrective actions where necessary.
Evaluated work performance of all nursing personnel to determine wage increases and implement discipline.
Implemented interdisciplinary rounding practices to streamline communication among healthcare providers involved in patient care.
Championed a culture of continuous learning by promoting professional development opportunities for nursing staff, including in-house training programs, conferences, workshops, and online resources.
Engaged with local educational institutions to support the recruitment and retention of highly skilled nurses, contributing to a robust pipeline of qualified professionals entering the workforce.
Championed initiatives focused on improving workplace diversity to foster an inclusive environment that respects the cultural backgrounds of staff members and patients alike.
Contributed to organizational strategic planning efforts by providing insights on nursing best practices, workforce development issues, and healthcare trends affecting service delivery models.
Increased patient satisfaction scores by fostering a compassionate and supportive environment within the nursing department.
Collaborated with interdisciplinary teams to create comprehensive care plans for patients.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
Collaborated with store manager to maintain daily operations.
Staff Development
National Church Residences
09.2007 - 01.2009
Conducted regular performance evaluations to identify areas of improvement and implement targeted interventions for staff development.
Director of Alzheimer’s Memory Unit/ Nurse Manager
Newark Healthcare
09.1988 - 09.2007
Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
Strengthened internal controls by reviewing existing policies and procedures, ensuring compliance with regulatory requirements.
Managed budgets effectively to ensure optimal use of resources while maintaining financial stability.
Facilitated cross-functional collaboration for improved decision-making processes within the organization.
Optimized staff performance by designing comprehensive training programs tailored to individual needs.
Evaluated employee performance objectively using established metrics, leading to fair compensation adjustments based on meritocracy principles.
Fostered culture of innovation, encouraging development of cutting-edge solutions.
Improved team morale and productivity by implementing comprehensive professional development program.
Trained and guided team members to maintain high productivity and performance metrics.
Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
Accounts Payable Clerk
Owens Corning Technical Center
Granville, Ohio
03.1977 - 11.1986
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Worked flexible hours across night, weekend, and holiday shifts.
Organized and detail-oriented with a strong work ethic.
Paid attention to detail while completing assignments.
Strengthened communication skills through regular interactions with others.
Learned and adapted quickly to new technology and software applications.
Developed and maintained courteous and effective working relationships.
Education
Certified In Geriatric Nursing - Nursing
Registered Nurse Certification
Zanesville
Certified To Teach (STNA) State Tested Nurse Aide - Teaching STNA Students.