Teresa Rednour
Lady Lake,FL
Summary
Experienced clinical supervisor proficient in clinical standards, compliance, and operational practices. Possesses top-notch leadership, communication, and problem-solving abilities developed over several years in the field. Prepared to bring extensive experience to a challenging new position. Looking to expand knowledge in a remote position of Prior Authorization and Care coordination assisting patients with best outcomes.
Overview
33
33
years of professional experience
1
1
Certification
Work History
Clinical Supervisor,Multispecialty/Family Practice
The Villages Health
The Villages, FL
12.2012 - 03.2024
- Developed policies and procedures related to clinical operations for the facility.
- Provided direct supervision of clinical staff, including orientation, training and development of employees.
- Facilitated interdisciplinary communication among members of the healthcare team regarding patient care issues.
- Assessed and evaluated clinical staff performance, providing feedback to ensure quality standards were met.
- Maintained accurate documentation of client progress within the Electronic Health Record system.
- Participated in team meetings to discuss best practices for client care.
- Investigated complaints from clients or families concerning their care or treatment.
- Actively sought out continuing education opportunities related to clinical practice areas.
- Reviewed case notes and other documentation to ensure compliance with regulations and standards of care.
- Reviewed and approved clinical documentation for accuracy and compliance with regulatory requirements.
- Participated in quality improvement initiatives aimed at enhancing outcomes for clients served by the facility.
- Provided routine management and emergency response.
- Participated in professional development opportunities to stay current with clinical practices and leadership strategies.
- Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
- Implemented technology solutions to streamline clinical operations and improve patient care delivery.
- Coordinated with nurse manager to develop programs targeting nurse education, overall departmental competencies, individual performance, patient safety, and service-related issues.
- Ensured the maintenance of patient confidentiality and adherence to HIPAA regulations.
- Developed and implemented clinical protocols and policies to enhance treatment quality and efficiency.
- Coordinated weekly work schedules for department employees.
- Coordinated with external stakeholders, including insurance providers and referral sources, to optimize patient services.
- Provided clinical supervision and mentorship to less experienced clinicians, fostering a culture of learning and growth.
- Analyzed clinical data to identify trends, improve outcomes, and inform strategic planning.
- Oversaw clinical operations to ensure adherence to healthcare regulations and standards.
- Established a supportive and collaborative work environment, promoting team cohesion and high morale.
- Interviewed applicants and made recommendations for new hires.
- Introduced new departmental policies and oriented staff to facilitate adoption of changes.
- Supervised a team of clinical staff, providing regular performance feedback and career development guidance.
- Addressed and resolved any issues related to clinical staff performance or patient care.
- Created and implemented improvement plans to resolve issues and drive improvements to deficient areas.
- Oversaw the recruitment, hiring, and onboarding of clinical staff, ensuring a high level of competence and professionalism.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Communicated with patients with compassion while keeping medical information private.
- Managed changes in integrated health care delivery systems and technological innovations while keeping focus on quality of care.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
- Updated procedures necessary for compounding, mixing, packaging, and labeling medications.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Developed strategies aimed at improving efficiency within the prior authorization process while maintaining high standards of accuracy and compliance.
- Adhered strictly to HIPAA regulations pertaining to protected health information when handling confidential documents related to patient care.
- Evaluated referrals from primary care physicians against the criteria outlined by payers or other regulatory bodies to determine eligibility for services.
- Assessed the appropriateness of requesting provider's treatment plans based on clinical review criteria set forth by the payer or regulatory bodies.
- Interviewed physicians, pharmacists, and other healthcare providers regarding prior authorization requests for medications or services.
- Maintained accurate documentation of all prior authorization activities in accordance with established policies and procedures.
- Provided guidance and support to staff members on prior authorization processes.
LPN, Medical Assistant, Basic X-ray
The Family Doctors of Belleview
Belleview, FL
09.1991 - 12.2012
- Established the x-ray department for The Family Doctors of Belleview including bone density testing.
Established a functional Lab testing blood chemistry on ATAC6000, CBC unit, Electrolytes
Physical Plant Curator for the organization. - Interviewed patients to obtain medical information, weight and height measurements and vital signs.
Assisted/covered clinical supervisor with staff while on vacation.
Administered medications and assisted in diagnostic testing for patients.
Evaluated patient care needs, prioritized treatment, and maintained patient flow.
Trained new staff on organizational policies and procedures.
Assisted doctors with surgeries and non-invasive procedures. - Authorized drug refills and provided detailed prescription information to pharmacies.
Collected blood, tissue and other laboratory specimens and prepared them for lab testing, glucose testing and
assisted in administering injections and urinalysis.
Skillfully performed suture removals for patients of all ages.
Provided patient education.
Followed infection control procedures.
Performed NCS's, PVD's, EKG's, Spirometry, holter monitoring, Cardio dynamics testing, oximetry. andadminister Oxygen, PT/INR adjustments.
Education
LPN Nursing Diploma - Nursing
Lake Technical Institute
Eustis, FL06-2012
Associate of Arts - Allied Health
Central Florida Community College
Ocala, FL06-1997
Medical Assistant Diploma - Medical Assisting
Webster College
Ocala, FL06-1991
Skills
- Multidisciplinary team collaboration
- Process Improvements
- Patient Education
- Patient Assessments
- Quality controls
- Compliance with regulatory guidelines
- Staff Scheduling
- Organizing staff schedules
- Clinical skills
- Behavioral Health Knowledge
- Staff Development
- Multidisciplinary Collaboration
- Patient records administration
- Reporting Requirements
- Clinical Quality Improvement
- Quality Assurance
- Patient Management
- Chronic Disease Management
- Quality Assurance Controls
- Team Supervision
- Clinical Instruction
- Clinical education
- HIPAA
- Improving clinical quality outcomes
- Patient Care
- Managing patient cases
- Staff Management
- Patient Relations
- Direct Patient Care
- Developing training programs
- Documentation requirements
- Critical Thinking
- Information Systems Development
- Operating Plans Development
- Employee Training Program
- Process Implementation
- Employee Recruitment and Hiring
- Employee Performance Evaluations
- Decision-Making
- Time Management
- Team building
- Multitasking
- Prior authorization/referrals/P2P
Accomplishments
· Valedictorian of the leadership Employee Development Program for The Villages Health clerical and clinical supervisors.
· Employee of the Month-Specialty Care
· Ten year- The Villages Health
Certification
- Florida Board Certified LPN (multistate)-7/2023-7/2025
- Florida Basic Machine Operator-1991-2019-expired/Certified Noland Dexa Operator
- Taylor College: IV certification-2012
- BLS/ACLS 12/2022-12/2024
References
References available upon request.
Timeline
Clinical Supervisor,Multispecialty/Family Practice
The Villages Health
12.2012 - 03.2024
LPN, Medical Assistant, Basic X-ray
The Family Doctors of Belleview
09.1991 - 12.2012
LPN Nursing Diploma - Nursing
Lake Technical Institute
Associate of Arts - Allied Health
Central Florida Community College
Medical Assistant Diploma - Medical Assisting
Webster College
- Florida Board Certified LPN (multistate)-7/2023-7/2025
- Florida Basic Machine Operator-1991-2019-expired/Certified Noland Dexa Operator
- Taylor College: IV certification-2012
- BLS/ACLS 12/2022-12/2024
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