Summary
Overview
Work History
Education
Skills
Websites
Affiliations
Timeline
Awards
Awards
Generic

Toni May

Shelbyville,IN

Summary

Well-qualified Manager of Clinical Operations & Quality. Successful at program management. Excellent interpersonal, presentation, communication, and relationship skills. Hardworking and pragmatic with strong analytical approach to work.

Overview

17
17
years of professional experience

Work History

Health Information Management Analyst (Remote)

Repucare- Elevance Health
03.2023 - 01.2024
  • Responsible for providing first class consultative services to the State of Indiana client by reviewing claims data and reporting opportunities to improve quality and key performance indicators using evidenced-based-practice guidelines.
  • Translating data trends into strategic benefit information to solve gaps that impact the State of Indiana overall strategy and bottom line.
  • Established and maintained a strong relationship with external clients and internal stakeholders with a high degree of professionalism.
  • Improved data accuracy by conducting thorough audits of health claims and identifying discrepancies.
  • Built complex data analysis reports and provided timely feedback to stakeholders.

Clinical Informatics Analyst (Hybrid)

HCA/Cerecore
08.2022 - 03.2023
  • Led Meditech Expanse implementation for Parkland Medical with a team of experts.
  • Developed and prepared training tools, user manuals and led provider EHR education for Parkland Medical.
  • Served as a liaison between clinical staff and IT departments, ensuring seamless integration of informatics solutions into daily workflows.
  • Worked closely with subject matter experts to develop solutions and improvements for clinical systems.
  • Collaborated with stakeholders to drive communication and coordination of health informatics activities and promote accountability.
  • Improved patient care quality by implementing clinical informatics systems and processes.
  • Responsible for Electronic Health Record (EHR) implementation for a large multifacility health organization including service lines surgery, primary care, and acute services.
  • Streamlined data management for better decision-making by developing efficient clinical information workflows.
  • Optimized data accuracy, by building ICD 9 codes and clinical descriptions for the Meditech Expanse Platform.


Case Manager (PRN)

Major Health Hospital
11.2022 - 02.2023
  • Developed and implemented comprehensive case management plans to address client needs and goals.
  • Developed comprehensive discharge plans to transition clients to appropriate service providers in community.
  • Achieved positive client outcomes by developing and implementing comprehensive case management plans.
  • Enhanced communication between clients and providers through consistent follow-ups and progress updates.
  • Analyzed data to identify trends and opportunities for process improvements utilizing the Meditech Expanse system.
  • Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.
  • Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.

Perioperative Services Consultant

BE Smith- Good Samaritan Hospital
05.2022 - 06.2022
  • Responsible for providing first class consultative services at Good Samaritan Hospital until they hired a permanent manager. Reporting to the Regional Chief Nursing Officer with an operating budget of 40 million. Responsible for 40 FTEs in perioperative services to include 12 surgery rooms, that included hybrid and robotic surgery suites.
  • Improved client satisfaction by effectively managing multiple projects and consistently meeting deadlines.
  • Developed innovative strategies for clients, resulting in increased revenue and business growth by leading the team to increase on time starts to the national benchmark of 65%
  • Streamlined internal processes to enhance team efficiency and improve overall project outcomes by decreasing turnover times from 30 minutes to the national benchmark of 28 minutes.
  • Enhanced communication among team members, fostering a collaborative and supportive work environment.
  • Analyzed data sets to identify trends and opportunities for process improvements utilizing the EPIC system.

Clinical Director of Perioperative Services

Decatur County Memorial Hospital
10.2019 - 03.2022
  • Reporting to the Chief Nursing Officer with an operating budget of 19 million. Responsible for 27 FTE, oversee pre-operative pre-admission testing, 4 surgery suites, post anesthesia care unit phase 1 and 2, central sterilization, and anesthesia services
  • Oversaw quality improvement initiatives, leading to higher patient satisfaction rates and better compliance with regulatory standards. Recognized with Five-Star Quality Recognition in 2021.
  • Analyzed data to identify trends and opportunities for process improvements utilizing the Meditech Expanse system.
  • Enhanced patient care by implementing evidence-based clinical practices and protocols.
  • Streamlined clinical operations for improved efficiency and reduced costs.
  • Developed a new surgical area for the hospital using skills of project management, collaborating with key project stakeholders on details, overseeing construction, and ensuring compliance with healthcare regulations.

Clinical Operations Ambulatory Manager

COMMUNITY HEALTH NETWORK
05.2016 - 09.2019
  • Managed several work-site clinics and advanced practice providers for the Community hospital system in the north, south, and east region of Indianapolis.
  • Increased team productivity by implementing streamlined processes and effective communication strategies by leading an IRB approved research project for the organization by supporting virtual professional governance in the work site care clinics.
  • Built high performing teams through effective recruitment, onboarding, and talent development initiatives. Received the Patient Choice Award in 2018 for all regions.
  • Evaluated employee performance and conveyed constructive feedback to improve skills.
  • Cultivated positive rapport with fellow employees to boost company morale and promote employee retention. Attained 88% employee engagement scores and 92% patient satisfaction scores.
  • Drove operational efficiency through data-driven decision-making processes, leveraging analytics tools for informed strategy development utilizing the EPIC system.
  • Achieved departmental goals by developing and executing strategic plans and performance metrics by developing and implementing evidenced-based practice monthly program with advanced practice providers.
  • Leveraged data and analytics to make informed decisions and drive business improvements utilizing the EPIC system.

Clinical Operations Manager Surgical Neuro Trauma Progressive Care Unit

INDIANA UNIVERSITY HEALTH METHODIST
06.2011 - 10.2015
  • Reporting to the Director of Surgical Services with an operating budget of 12 million. Developed a new Surgical Neuro Trauma Unit from inception.
  • Responsible for overseeing the hiring process and managing construction activities utilizing skills such as project planning, collaborating with stakeholders, overseeing construction and ensuring compliance with healthcare regulations with successful implementation increasing bed capacity by 24 beds for IU Health Methodist Hospital.
  • Improved patient outcomes by streamlining clinical operations and implementing efficient processes by participating in Stroke Certification process.
  • Reduced operational expenses by optimizing resource allocation and managing budgets by establishing an Accountable Care Unit, resulting in a 30% decrease in length of stay per month.
  • Collaborated with cross-functional teams, and innovative technology to develop discharge plans for patients by creating an Electronic Report Board later adopted throughout the IU Health Network.
  • Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures by hiring a clinical nurse specialist for the unit. As a result the team achieved an acquired pressure ulcer rate and patient fall rate below the 25th percentile nationally. Demonstrated zero central line associated bloodstream infections and zero catheter associated urinary tract infections.
  • Improved employee satisfaction by streamlining clinical education to new RN graduates by participating in a statewide Nurse Residency Pilot Program succeeding with a 0% nurse turnover rate for three years saving an average of 1.5M.
  • Established effective communication channels between departments, fostering a collaborative work environment.
  • Led the implementation of electronic medical records systems which streamlined documentation processes while maintaining high standards of patient privacy utilizing the CERNER system.
  • Implemented new policies and educated staff on changes.
  • Participated in nursing research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas.
  • Created a safe work environment by enforcing workplace safety policies and conducting regular risk assessments.


Clinical Operations Manager/Perioperative Services

INDIANA UNIVERSITY HEALTH METHODIST
01.2007 - 05.2011
  • Reporting to the Surgical Director with an operating budget of $32M Led a team of 22 FTEs.
  • Developed a new Endoscopy suite comprising of eight procedure rooms and a post-anesthesia care unit for the hospital using skills of project management, collaborating with key project stakeholders on details, overseeing construction, and ensuring compliance with healthcare regulations.
  • Implemented innovative technologies to enhance patient care by initiating a new Endobronchial Ultrasound Program for IU Health.
  • Reduced operational expenses by optimizing resource allocation and managing budgets by renovating the endoscopy staffing model to support volume and improve revenue growth by 20% each month.
  • Analyzed data to identify trends and opportunities for process improvements utilizing the CERNER system.
  • Evaluated and analyzed patient feedback to identify gaps in service delivery, implementing effective solutions that led to increased satisfaction rates.
  • Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures by standardizing a statewide scope reprocessing and sterilization policy.

Education

Doctor of Nursing Practice - Nursing Administration

UNIVERSITY OF INDIANAPOLIS
Indianapolis, IN
05.2020

Master of Science in Nursing - Nursing Science

UNIVERSITY OF INDIANAPOLIS
Indianapolis, IN

Bachelor of Science in Nursing - Nursing Science

UNIVERSITY OF INDIANAPOLIS
Indianapolis, IN

Skills

  • Project Management
  • Program Management
  • Clinical Operations
  • Quality Outcomes
  • EHR Implementation
  • Excellent Communication Skills
  • Reporting
  • Clinical Workflow
  • Contracts
  • Process Improvement
  • Stroke Certification
  • Clinical Practice Guidelines

Affiliations

  • Sigma Theta Tau International
  • Indiana Organization of Nurse Executives
  • American Organization of Nurse Executives

Timeline

Health Information Management Analyst (Remote)

Repucare- Elevance Health
03.2023 - 01.2024

Case Manager (PRN)

Major Health Hospital
11.2022 - 02.2023

Clinical Informatics Analyst (Hybrid)

HCA/Cerecore
08.2022 - 03.2023

Perioperative Services Consultant

BE Smith- Good Samaritan Hospital
05.2022 - 06.2022

Clinical Director of Perioperative Services

Decatur County Memorial Hospital
10.2019 - 03.2022

Clinical Operations Ambulatory Manager

COMMUNITY HEALTH NETWORK
05.2016 - 09.2019

Clinical Operations Manager Surgical Neuro Trauma Progressive Care Unit

INDIANA UNIVERSITY HEALTH METHODIST
06.2011 - 10.2015

Clinical Operations Manager/Perioperative Services

INDIANA UNIVERSITY HEALTH METHODIST
01.2007 - 05.2011

Doctor of Nursing Practice - Nursing Administration

UNIVERSITY OF INDIANAPOLIS

Master of Science in Nursing - Nursing Science

UNIVERSITY OF INDIANAPOLIS

Bachelor of Science in Nursing - Nursing Science

UNIVERSITY OF INDIANAPOLIS

Awards

  • Received the excellence award winner through the advanced TruU leadership course in 2021.
  • Sigma Theta Tau Academic Honors, 2019
  • National AONE Nurse Manager Fellowship Program, 2012

Awards

  • Received the excellence award winner through the advanced TruU leadership course in 2021.
  • Sigma Theta Tau Academic Honors, 2019
  • National AONE Nurse Manager Fellowship Program, 2012
Toni May