Vivian Gill
Roseville,CA
Summary
Results-oriented Registered Nurse with over 30 years of experience in various healthcare settings and over 10 years in leadership and quality roles. Skilled in managing clinical teams, developing workflows, and supporting field nurses to provide patient-centered care. Specializes in home health and infusion therapy, with a strong ability to adapt to startup environments, proficiency in technology, and a commitment to empowering clinicians. Board-certified in Medical-Surgical Nursing and certified as a Somatic Life Coach.
Overview
35
35
years of professional experience
Work History
Senior Nurse Specialist – Grievance & Appeals
Partnership HealthPlan of California
09.2015 - Current
- Lead multidisciplinary reviews for 24 counties ensuring delivery of medically necessary services.
- Provide clinical consultation and represent the plan in state hearings.
- Design and manage workflows, mentor nurses, and handle escalated case reviews.
- Coordinate with pharmacy and provider teams to resolve care delays and optimize outcomes.
- Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
- Devised and implemented processes and procedures to streamline operations.
Trainer & Presenter (Contract)
Les Mills US / International
01.2007 - Current
- Facilitate national certification programs for fitness professionals.
- Lead workshops, write educational materials, and assess practical competency.
- Recognized for fostering high-performance teams through embodied leadership.
- Trained and mentored 15 new personnel hired to fulfill various roles.
Utilization Management Nurse (PRN)
VA Northern California Health System / DoD
05.2014 - 09.2015
- Review and coordinate high-acuity transfers between VA and military hospitals.
- Ensure continuity and fiscal responsibility for community-based veteran care.
- Analyze data to improve DoD policies on transport and consult management.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
Nurse Consultant – Referral Management
Spectrum Healthcare Resources (DoD Contract)
01.2012 - 01.2014
- Managed TRICARE referrals for specialty care; ensured compliance and accuracy.
- Functioned as department wellness culture resource and QA/QI contributor.
- Interfaced directly with providers, patients, and insurers.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
Health Manager & Coach
DAC Fitness
01.2005 - 01.2012
- Oversaw three facilities, led 50+ independent contractors, and designed group fitness programming.
- Developed education sessions on preventive health, coached bariatric patients, and led health outreach.
Home Health Nurse & Infusion RN (Multiple Roles)
Methodist Healthcare
01.1996 - 01.2006
- Delivered in-home infusion therapies (IVIG, antibiotics, TPN); educated families on protocols and devices.
- Provided wound care, medication education, and care coordination in Medicare-regulated settings.
- Determined and addresses individual home care needs by completing detailed assessments and reviewing documentation.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Provided physical assessments, medication, and chronic disease management to home health patients.
- Assessed patients' health status and developed individualized care plans to suit needs.
Earlier Clinical Roles
Memorial Hospital
07.1990 - 01.2001
- Various RN roles across pediatric oncology, med-surg, home health, and infusion therapy.
- Employers include Memorial Hospital (CO), Val Verde Memorial Hospital (TX), and Intramed Plus (SC).
- Built foundational skills in infusion care, QA/QI, patient education, and charge nurse responsibilities in both inpatient and home settings.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Managed time efficiently in order to complete all tasks within deadlines.
- Goal-oriented professional with proven success in applying analytical skills to solve complex problems and overcome challenges. Dedicated to enhancing team performance and driving business success.
Education
MA - Human Services Counseling – Life Coaching
Liberty University
Lynchburg, VA01.2016
BS - Nursing
University of Tennessee Health Science Center
Memphis, TN06.1990
Skills
- Coaching for nursing teams
- Skilled in infusion and vascular techniques
- Clinical Operations & Protocol Management
- Quality Assurance & Risk Mitigation
- Agile work practices
- Experience with EMR systems and collaboration tools
- Training and instructional design
- Interdisciplinary communication with payers and providers
Credentials
- MA
- RN-BC
Timeline
Senior Nurse Specialist – Grievance & Appeals
Partnership HealthPlan of California
09.2015 - Current
Utilization Management Nurse (PRN)
VA Northern California Health System / DoD
05.2014 - 09.2015
Nurse Consultant – Referral Management
Spectrum Healthcare Resources (DoD Contract)
01.2012 - 01.2014
Trainer & Presenter (Contract)
Les Mills US / International
01.2007 - Current
Health Manager & Coach
DAC Fitness
01.2005 - 01.2012
Home Health Nurse & Infusion RN (Multiple Roles)
Methodist Healthcare
01.1996 - 01.2006
Earlier Clinical Roles
Memorial Hospital
07.1990 - 01.2001
MA - Human Services Counseling – Life Coaching
Liberty University
BS - Nursing
University of Tennessee Health Science Center
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