Manager RN Resume Samples

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E Rodriguez

Ethyl

Rodriguez

643 Hintz Passage

Phoenix

+1 (555) 798 1823

643 Hintz Passage

Phoenix

Phone

p +1 (555) 798 1823

Experience Experience

New York, NY

Unit Manager RN

New York, NY

Kunze Inc

New York, NY

Unit Manager RN

Assist in the development and implementation of an individualized treatment plan for each assigned resident
Assist with completion of annual performance appraisals for all unit nursing personnel, including competency checklists
Performs other duties as assigned
Embrace Consulate Health Care’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into the daily job function
Will perform general nursing duties in cases of emergency or staffing shortages
Performs nursing assessments regarding the health status of the resident / patient
Provides health education to patients and their families

Houston, TX

Manager, RN Field Case Management

Houston, TX

Carter, Cartwright and Murphy

Houston, TX

Manager, RN Field Case Management

Understands and uses data to manage the team as well as individual performance
Responsible for performance management of staff
Networks / communicates with peers to facilitate operational standards and improvements
Leads by coaching staff to higher levels of performance
Articulates team performance and impact of services delivered during client meetings
Identifies opportunities for continuous improvement
Participates in continuous improvement as SME

present

Houston, TX

Clinical Services, Manager RN, Applecare

Houston, TX

Kertzmann and Sons

present

Houston, TX

Clinical Services, Manager RN, Applecare

present

Provides senior management with analysis of case management reports
Performs Case Management duties as necessary
Orients/trains case management staff on case management processes
Provides leadership and direction to case management staff
Assists with health plan audits and surveys
Works collaboratively with internal and hospital contract staff
Participates in IPA UMC Meetings and Provider Office Meetings as assigned

Education Education

Bachelor’s Degree in Health Care Administration

Illinois State University

Bachelor’s Degree in Health Care Administration

Skills Skills

Knowledge of applicable computer applications
Ability to work effectively with staff, patients and physicians
Demonstrated ability to effect change by assuming leadership roles in interdisciplinary teams and supporting the growth and development of team members
Evidence of willingness and ability to assume additional and/or different responsibilities
Demonstrated team-building skills with accountability to those teams
Skill in written and verbal communication. Ability to exercise initiative, problem solving and decision making techniques
Knowledge of cardiac anatomy, physiology, hemodynamics, arrhythmias, dysrhythmia and identification of life threatening ECG changes
Knowledge of the effect of pacing on cardiac output along with the functions of a normal heart and electrical system
Understands the work of the department
Knowledge of CHV policies and procedures including knowledge of OSHA, Blood Borne Pathogens, MSDS Sheets, Infection Control practices, HIPAA, and knowledge of safe handling of radioactive materials

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Manager, RN Transition Program Resume Examples & Samples

A minimum of 5 years acute care nursing care experience
Successfully completed documents to achieve Magnet designation. (preferred)
Project Management experience and ability to manage timelines effectively
Demonstrates leadership and ability to motivate others through change
Demonstrates ability to effectively collaborate with physicians, staff, and patients
Demonstrates ability to utilize effective, appropriate and diplomatic oral and written communication skills
Demonstrates ability to work independently with minimal direction and supervision
Demonstrates ability to write and publish in professional journals and text
Proficient computer skills in Microsoft Office as well as Internet access and utilization
Ability to utilize research data and quality data for improvement of patient-care practices
Valid California Registered Nurse License
Current Basic Life Support and ACLS training

Manager, RN Field Case Management Resume Examples & Samples

Staff development and training
Serves as a coach, mentor and advocate for staff
Accountable for hiring high functioning and effective staff
Identifies opportunities for continuous improvement
Participates in continuous improvement as SME
Networks / communicates with peers to facilitate operational standards and improvements
Understands and uses data to manage the team as well as individual performance
Accountable for operational discipline
Meets business goals and objectives
Responsible for performance management of staff
Articulates team performance and impact of services delivered during client meetings
Current, unrestricted RN license in the State in which you reside
Excellent conflict management skills
Strong ability to prioritize

Manager RN Resume Examples & Samples

This site is open 24X7 and has a supervisor on staff as well as the Manager
Facilitates excellent customer satisfaction while achieving team and division specific financial goals
Supports the Urgent Care/COU team by providing leadership and promoting collaboration with internal and external team members
Ensures standards of care are implemented and compliance with all state and federal regulations, standards of practice, and company policies and procedures
Responsible for the operation of the Urgent Care, Treatment Center, & COU works with supervisors, Team Leads for a 24 hour facility
Manages and is accountable for professional employees and/or supervisors
Current unrestricted RN licensure in the state of Nevada
5+ years of relevant nursing experience (preferably in acute care setting i.e. ICU, ER or Urgent Care)
3+ years of progressive supervisor or management experience (will also consider charge nurse or shift supervisor experience) in healthcare
CPR / BLS
ACLS and PALS or willing to obtain upon hire
Ability to connect team environment
Demonstrated communication and interpersonal skills
Demonstrated organizational, leadership, and team building skills
Expertise in Triage
Demonstrated effectiveness with nursing process
Strong computer skills
Knowledge of best practices in customer service and patient care
Knowledge of and experience in responding to regulatory standards
Able to perform clinical skills of assessment, invasive processes and emergency care
Ability to manage and function in a fast-paced environment
Bachelor’s degree
Electronic Medical Records (EMR) experience
Understanding of complexities of healthcare, and system case management experience
Knowledge of Infusion and Oncology

Medical Program Manager, RN Sacramento Resume Examples & Samples

Performs evaluations of UM/QI programs to monitor quality and appropriateness of care and utilization management and summarizes results of findings. Reviews utilization and quality data, prepares status reports of a potential contracting partner and/or delegated partner, which includes recommendations to improve performance, resolve problems, and/or correct aberrances
Consults with, assists, and advises the Regional Medical Director and regional associates in areas related to: needs identification, development and implementation of utilization management, medical review, quality improvement and educational programs
Implements, participates in, conducts, and evaluates medical and educational processes, programs and procedures for a potential contracting partner and/or delegated partner's staff Assesses knowledge of and compliance with state and federal regulations, Health Net standards and accreditation standards
Implements, conducts, and evaluates performance measurement and monitoring of Health Net and potential contracting partner and/or delegated partner's utilization and quality programs and medical review to ensure quality and appropriateness of service and compliance with, medical standards, medical policies, and compliance with state and federal regulations, Health Net standards and accreditation standards
Collaborates with Provider Network Management and Finance regarding the potential contracting partner and/or delegated partner's ability to meet financial solvency requirements as it affects utilization requirements
Must have and maintain current, valid and unrestricted Registered Nurse license in the state of residence
Valid driver's license in the state of residence
Minimum three years of experience involving independent judgment as to the necessity and appropriateness of medical services rendered, including patient care guidelines, evaluation, training, utilization management, and quality improvement programs or any combination of education and experience
Minimum three years of HMO or medical group IPA experience
Thorough knowledge of medical terminology, disease categories, and the usual and customary services provided in an ambulatory and institutional setting
Strong working knowledge of regulatory requirements: NCQA (National Committee for Quality Assurance), DMHC (Department of Managed Healthcare), DHCS (Department of Healthcare Services), CMS (Center for Medicare and Medicaid Services) related to monitor quality and appropriateness of care and utilization management
Ability to understand and assess provider's compliance with Health Net policies, state and federal regulatory requirements and accreditation standards
Familiarity with all phases of an audit including planning, analysis and report writing
Ability to evaluate appropriate medical services and activities
Strong conflict management and negotiations skills
Ability to effectively work with team members at all levels
Excellent organization skills, with the ability to effectively plan and organize projects with daily workload
Ability to work independently, set priorities, accomplish projects in a timely fashion, and handle multiple projects simultaneously
Strong Computer skills with proficiency in Microsoft Office (Word, Excel, Access, etc.)
Ability to travel extensively as needed
Ability to maintain professional conduct; excellent and professionalism portrayed in all aspects of daily work attitude and performance

Asst Manager, Rn-pediatrics Clinic Resume Examples & Samples

Ensures staff provides the highest quality of care and are in compliance with the Nurse Practice Act, NCQA, TJC, federal, state and local requirements
Recommends, implements and evaluates processes to improve systems and patient care results across the continuum of care
Assists in developing and monitoring budgets and resource allocations
Minimum two (2) years of experience in ambulatory care or other relevant clinical experience required

Manager Rn-risk Management Resume Examples & Samples

The Risk Manager is responsible for the hospital's risk management activities, which may include coordinating insurance coverage and risk financing, managing claims against the hospital, interfacing with legal defense counsel, administering the risk management program on a day-to-day basis, managing and analyzing risk management data, conducting risk management educational programs, and complying with the Joint Commission's risk management standards, all with the objective of controlling and minimizing loss to protect the assets of the hospital
This position is responsible for reviewing and formulating policy and organizational changes and making recommendations for final approval by the Chief Executive Officer and hospital governing body
RN Texas License Required
At least 2 years of acute care experienced required
Experience in critical care, obstetrics, or psychiatry preferred
Current/recent experience in Risk, Quality or performance improvement
MHA, MBA, or JD or other health-related graduate degree required
Healthcare or legal experience preferred
Recent grads will be considered

Hedis Clinical Manager, RN Resume Examples & Samples

Oversee team daily operations
Achieve performance metrics for a fast paced clinical environment
Develop team members and create strategic department process flows and improvements
Contribute to execution of market outreach activities
Develop and execute strategy customized to the needs of our providers
Make recommendations to CMO through detailed analysis/consideration of development issues, hi-potential risks, talent succession plans, and compliance with all associate development
Develop and review metrics and translate into actionable items based on group specific
Weekly review of QINs metrics/productivity
Oversee associates’ needs based on performance
Monitor staff compliance with confidentiality of member, provider, and medical information
Identifies opportunities and recommends methods to improve service, work processes and performance
Assists QINs as necessary in the completion of tasks and assignments to ensure continuity of service
Active RN license in the state of Florida without restrictions
CMS Stars/performance measures/HEDIS knowledge and experienceExperience identifying quality indicators and integrating process improvements
Progressive experience in quality improvement (HEDIS stars measures) with emphasis with leading and managing teams, minimum 2 years’ experience
Strong interpersonal & relationship building skills
Clinical practice experience
Excellent Organizational and prioritization skills
Previous management/supervisory experience
Experience in educating new employees/continued education to employees
BSN or advanced degree
Care Management

Clinical Services, Manager RN, Applecare Resume Examples & Samples

Provides direct day to day supervision of staff including licensed and unlicensed staff
Preparation for case review meetings including health plan specific reviews as directed by Director of IP Management
Acute and SNF Inpatient management (reviews, denials, transfers)
Oversight of discharge planning
Works directly with hospitalists to facilitate appropriate length of stay and resolution of specialist issues
Provide ongoing educational opportunities to staff, ensuring an understanding of the business processes, technology used within the organization, regulatory compliance, program standards and outcomes
Ongoing staff development on the utilization of appropriate criteria
Claims review
Oversight of the Out of Network transfer process
Preparation of inpatient denial letters including DENC as required
Assists with health plan audits and surveys
Responsible for on-call nurse staffing schedules
Provides leadership and direction to case management staff
Orients/trains case management staff on case management processes
Identifies efficiencies and develops/facilitates corrective action plans
Facilitates Cerecons & MedMC training for new employees
Audits Turn Around Times
Performs Case Management duties as necessary
Participates in IPA UMC Meetings and Provider Office Meetings as assigned
Works collaboratively with internal and hospital contract staff
Graduated from registered nursing program
Professional Certification or License
RN licensure without restrictions or citations
CCM certification preferred
Valid California Driver’s license and insurance
2+ years experience in managed care environment
Knowledge of UM / QM processes and principles
Knowledge of Case Management processes
Knowledge of and experience with medical coding
Knowledge of general IPA operations
Computer literate in Microsoft Word and Excel
Strong ability to work effectively with nurses, physicians and other clinical and operational staff, both written and verbally
Flexible and adaptable of schedule to attend various meetings and / or promotional events
Ability to read quickly with excellent comprehension and retention
Previous management and / or training experience is preferred
Self motivated with strong organizational skills

Clinical Operations Manager Rn-cdu Reston Medical Center Resume Examples & Samples

Clinic is open 7 days a week including holidays. Monday - Friday: 5:00 PM - 01:00 AM. Sat/Sun/Holidays: 9:00 AM - 9:00 PM. **
Five (5) years of current clinical experience plus two (2) years of supervisory experience required
ER or Critical Care experience preferred

Clinic Manager, RN Resume Examples & Samples

Minimum of five years of experience as a Registered Nurse with clinical experience
5 years of clinical leadership experience required. If not evident by position title, please include details of this experience in your application
Prior quality committee participation/ lead on key clinical initiatives including MU, PQRS, and Managed Care HEDIS and Star Scores
Experience preparing analytic reports, MOR and TEAM assignment

Team Manager RN Resume Examples & Samples

Directs employee performance management (planning, monitoring, development, evaluation, and reward). Responsible for staff development; acts as an instructor when appropriate
Facilitates overall management of the staffing schedule
Supervises and coordinates the delegation and implementation of patient care of licensed and non-licensed personnel for their assigned shift/area, including delegated assignments, monitoring of patient care, facilitating problem solving, and education/training of staff and patients
Current licensure as a Registered Nurse in Oklahoma required
18 months experience as a staff Registered Nurse required

Manager, RN Regional Case Management Resume Examples & Samples

Prepares the department for accreditation surveys using the appropriate standards of performance. Ensures utilization management compliance with DMHC/CMS/NCQA requirements
Leads activities related to the utilization review process in conjunction with the local Care Management Committee Provider Chair
Identifies, develops and oversees the educational needs of Care Management staff, providers and others. These include an extensive orientation program, cross-training and proactive approach to case management
Identifies opportunities for the development of new care management approaches and prepares proposals with cost analyses, IS requirements, education and implementation plans
Working knowledge of CMS, NCQA, DMCH, HEDIS, medical and regulatory agency guidelines

Clinical Manager Rn-san Juan Resume Examples & Samples

Actively subscribe to the CPEPR
Prior supervisory experience with emphasis in leading and managing teams
Computer leverage
Fully Bilingual English/Spanish

Hospice Clinical Manager RN Resume Examples & Samples

Participates with the physician, referral sources, Clinical/Branch Director and professional staff in decisions regarding patient eligibility and suitability for the hospice program and coordinates hospice care services from admission through bereavement
Coordinates with physicians, case managers, the patient, families and interdisciplinary team to implement that patient plan of care
Coordinates regular interdisciplinary team conferences and promotes communication of information relevant to the patient care process to ensure quality of care and coordination of services
Participates in agency quality assurance activities designed to improve quality and continuity of patient care which includes reviews of medical records, ensure adequate staffing, training and evaluating staff
Two (2) plus years of experience as a Registered Nurse*
Some states have specific requirements related to education, clinical or supervisory experience beyond the listed general requirement and may require up to 3-5 years of experience

Health Center Manager, RN Resume Examples & Samples

Ability to practice independently within established standard operation procedures and protocols
Ability to adjust to an ever-changing environment, including hours of operation, special training, or educational events for member populations
Strong organizational skills and computer aptitude
Sound judgment sufficient to ensure the integrity of operations, and provide exemplary leadership in the development of teamwork among staff
Associate’s degree in Nursing
Registered Nurse with an active Missouri license in good standing (has not been censured or forced to relinquish due to impropriety)
3+ years of experience managing clinic staff and a multi-provider team
Experience in prior authorization, phone triaging, and refill requests
Knowledge and experience in performance improvement processes and applicable governmental and health care regulatory requirements
EMR and basic Microsoft office experience
Occupational Health Care experience, and Occupational Health Certificate (COHN or COHN-S)
3+ years of experience working in a Family Medicine clinic, including experience working with pediatrics

Clinical Manager RN Resume Examples & Samples

Acts as liaison between recruiters, healthcare professionals and facilities
Provides healthcare professionals (HCP) with clinical and professional support to facilitate job completion and retention
Uses in-depth clinical knowledge, professional judgment, and good business-based decision-making skills to justify HCP terminations within a legal and ethical framework
Develops remediation plan with HCP / HCF / Cross Country University (CCU) / other approved vendors as appropriate to continue/enhance employment
Follows-up with HCP and facility on all evaluations that do not meet clinical standards or have negative clinical comments
Refers appropriate candidates to and conducts new traveler training
Conducts interviews for international nurses, makes recommendations for placement, and follows up with periodic/ongoing support and assessment calls
Refers potential risk management incidents/issues as needed
Provides the supply team guidance in making initial employment decisions when candidates do not meet the standard criteria for acceptance
Provides the in-house employees with ongoing clinical and professional education based on the identified needs of an individual or group
Communicate and negotiate with internal and external clients
Interacts in a professional and knowledgeable manner during conflict resolution with traveler and client to facilitate development of a win-win plan
Works with the Account Services and Interview Services leadership team to plan, develop and implement QI initiatives
Acts as resource to HCP to meet cognitive testing requirements of facility, to include CCU’s on-line testing and remediation practices
Availability for defined territory travel (expected frequency minimal <10% travel) For the purpose of on-site potential and current client visits as well as scheduled exhibit shows
On-site visits to defined clients for the purpose of
Increasing CCS clinical visibility
Expanding/growing relationships with current clients at all levels of the Nursing continuum
Maintains accurate record keeping, utilizing CCS current systems
Represent and support the business initiatives of Cross Country Staffing internally and externally
Provides coverage and back up support to Interview Service Managers and Clinical Service Managers
Service all internal and external customers in a positive, professional manner at all times
Registered nurse with strong clinical (3+ years) background and proven leadership experience
Current Registered Nurse License – to remain current throughout tenure with CCH
Candidate must have recent acute care experience in an adult setting with critical care ED) or telemetry experience
Previous Quality Improvement experience in a clinical setting
Interviewing/recruitment experience preferred
Computer skills to include advanced Microsoft Office and Excel skills

Unit Manager / RN Resume Examples & Samples

Act in the capacity as a Team Leader in a modified primary care setting
Assist with completion of annual performance appraisals for all unit nursing personnel, including competency checklists
Monitor compliance with resident record documentation requirements, as directed

Complex Case Mgmt Manager, RN Resume Examples & Samples

Manages the day-to-day operations of the nurses and staff for the targeted Medi-Cal members
Collaborates with internal and external physicians, health care providers, discharge planners, and outside agencies to ensure that continued care/treatment or hospitalization or referral to support services or placement is available to program members
Ensures that all operational program activities are in compliance with the KP benefits and with the various regulatory agencies involved with the management and monitoring of medical care and reimbursement and with government legislative directives
Provides oversight on strategies set by case managers to target/assess risk factors and achieve and ensure patient follow up according to clinical and strategic measures/outcomes
Ensures adherence to case management policies and procedures
Ensures appropriate development of case management plans
Ensures that case managers are developing individualized patient/family education plans focused on self-care management
Ensures that case managers coordinate care/services with utilization and/or quality reviewers and monitors level and quality of care
Management of the administrative functions of the Complex Case Management operations, including space planning/management, identification/proposals for system development/enhancements, recruiting, hiring, training, discipline/reward and termination of CCM personnel
Responsible for monitoring, reviewing, analyzing, and maintaining accurate data as it relates to outcomes, effectiveness of case management plans, and trends
Oversees the participation by case managers with healthcare team/providers in actualizing outcomes by planning, evaluating and implementing decisions and strategies to achieve predetermined cost, clinical, quality, utilization and service outcomes
Trains case managers on the interdisciplinary approach to providing continuity of care, including utilization management, transfer coordination, discharge planning, and obtaining all authorizations/approvals/transfers as needed for outside services for patients/families
Works closely with other groups, including but not limited to, Regional UM, Population Care Management, State Programs, HPRS, Quality, Chiefs Groups, to share information and solicit feedback
Liaisons with other functional groups, including but not limited to, UM Directors, PCM Leaders, Assistant Administrators, Continuing Care, Social Medicine, Long Term Care, Palliative Care, Home Health/ Hospice, to share information and solicit feedback
Prepares written and verbal reports on program status, outcome metrics and other deliverables to designated regional and local senior leaders, committees and groups
Minimum five (5) years of utilization management, case management, or care management experience preferred
Extensive program development and program management experience in health care provider/payer setting preferred
Master's in nursing or related healthcare field preferred
Certification as a case manager preferred with experience in home health, discharge planning, utilization management, and/or ambulatory case management desired

Care Transitions Manager, RN Resume Examples & Samples

Conducts an ‘at the bedside’ meeting with the patient and caregiver to identify and discuss the patient’s reason(s) for admission, care plan, expected length of stay, goals and anticipated post-discharge care needs to ensure a smooth transition
Attends weekly Interdisciplinary Team Meetings (IDT), reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient. Encourages patient and/or caregiver engagement in his/her own care by providing education regarding the patient’s medical condition, disease and symptom management, and referral source and community resource options
Provides information to patients and caregivers about Kindred post acute discharge options and collaborates with Sales and Marketing as needed
Collaborates with all members of the interdisciplinary team to develop a safe, beneficial, and cost effective transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout
Advocates on behalf of the patient and the healthcare provider for needed patient resources and services
Communicates to the receiving provider as the patient transitions from one level of care to the next. Responsible for the management and accurate completion of appropriate service line-specific discharge documentation, education, and review
Provides telephonic and/or onsite support to all patients who are transitioned to the next level of care. All pertinent information collected will be reviewed and assessed with appropriate healthcare team
Contacts the patient’s PCP with each transition of care, providing a summary of the patient’s clinical status. Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status
Maintains excellent documentation of patient encounter records. Enters specified data elements into electronic dashboard with each patient transition or discharge
Assists SDCM and works with IS and other departments to develop clinical information systems for evidence-based assessment tools, intervention protocols and documentation, tracking patient visits, and data collection and reporting. Monitors and collects data to evaluate the effectiveness and the quality of patient care in the post-acute care continuum
5+ years in a transitional care environment preferred, working directly with Medicare and Managed Care services
5+ years of experience as a Case Manager with strong skills and knowledge of discharge planning, community resources and medical management

Unit Manager RN Resume Examples & Samples

Facilitates the resolution of issues and concerns associated with resident / patient care including family issues
Makes nursing diagnoses that serve as the basis for the delivery of care
Adheres to scope of practice limitations based on qualifications
One to three years (1-3) years of supervisory experience preferred

Assistant Manager / RN Bed Management Resume Examples & Samples

Assists to interview candidates for available Bed Management positions
Trains competent personnel
Participates in coaching, counseling, mentoring of department's teammates
Ensures team meets yearly educational requirements
Completes performance appraisals for Bed Management RN's
Functions as a resource for Bed Management and all other departments who require assistance
Ensures departmental, clinical, and administrative responsibilities in the absence of the Manager
Assesses hospital status daily and enters daily alert status as necessary
Oversees patient transfer operations ensuring timely and safe patient transfer from PCL and all other outlying facilities
Assures orientation manuals are prepared and updated as required

FVC Center Operations Manager / RN Resume Examples & Samples

Manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, the budget, methods, and staffing
Technically proficient in the specific department and knowledge of industry practice and business principles. Works on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends. Has a larger range within the department
Program or project responsibility generally within the function. Manages the operations of one or more departments, direct impact on a specific functional area. Manages the coordination of activities of a section or department with direct responsibility for results, including costs, methods, and staffing. An individual contributor will have significant project/process responsibilities
Follows processes and operational policies in selecting methods and techniques for obtaining solutions. Interprets and recommends change to policies and establishes procedures that effect immediate organization(s)
Decisions have an impact on work processes and outcomes. Erroneous decisions or failure to achieve results will add costs and may impact the short-term goals of the organization
Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers
Interacts with internal departments and external customers; particularly in problem resolution. Acts as an advisor to subordinate(s) to meet schedules and/or resolve technical problems. Responsible for hiring, coaching and counseling employees, including performance reviews, disciplinary action and terminations
Provides technical guidance

Hospiceadmissions Manager RN Preferred Resume Examples & Samples

Bachelor’s degree in a healthcare related field or equivalent experience
Minimum 3-5 years experience in a position of similar level of responsibility preferably in the hospice industry
A proven track record of success in healthcare management
Demonstrated ability to interview, train and manage a team, as well as motivate a team to achieve outstanding admission success
Knowledge and experience in hospice and/or other healthcare services involving referral development
Knowledge of and ability to manage admissions process to include commercial payer, Medicare and/or Medicaid verification
Demonstrated ability to meet or exceed sales objectives
Excellent negotiating skills and financial acumen

Risk Manager RN Resume Examples & Samples

Advises the Leader regarding pertinent issues and problems relating to risk issues in the operation of the hospital
Assists with the maintenance and revisions to the incident reporting system
Develops and provides Risk Management orientation and other educational services for personnel regarding risk issues as required by state statute
Investigates and reports to DOH all allegations of sexual misconduct as reported by patients, families or employees
Participates in claims management activities such as responding to requests for productions, interrogatories, etc
Prepares and/or assists in the preparation and presentation of periodic reports regarding Risk Management services and financial activities and other special reports
Provides information for evaluation and revision of hospital regulations, policies and procedures
Recommends and implements changes in potential and known risk exposures
Researches and maintains trending data on Risk Management issues and medical and nursing standards of care identified through incident report and patient grievances
Bachelor's degree in Healthcare field preferred
Risk Management experience preferred
Able to maintain confidentiality of sensitive information
Experience as a Quality Utilization Management reviewer beneficial
Knowledge of clinical nursing, negligence and/or insurance, risk management principles
Knowledge of Florida Statutes pertaining to Risk Management and Patient Safety, medical malpractice, nursing standards of care, HIPAA, EMTALA, and FDA/medical recalls
Able to relate cooperatively and constructively with internal and external customers
Ability to identify potential risk/quality issues and to analyze and prepare reports
Ability to interpret, adapt and react calmly under stressful situations

Clinic Manager, RN Resume Examples & Samples

Ability to establish and maintain effective working relationships amongst a team, collaborating with a variety of individuals
Considerable skill in facilitating problem solving
EMR and basic Microsoft Office experience
Registered Nurse with active South Carolina license in good standing
1 or more years of experience in managing role as an RN
2+ years of experience working in Occupational Health medicine
Knowledge of State Worker’s Compensation law, OSHA, HIPAA, CLIA regulatory, FMLA, ADA, and other occupational health regulations and legal requirements pertaining to ambulatory medical facilities
COHN certification or willingness to obtain

Clinical Manager, RN Resume Examples & Samples

Coordinating, implementing and overseeing the clinical care of guests/residents in skilled nursing/long term care neighborhood
Maintaining clinical practice and processes in accordance with the Erickson Living Management Policies and Procedures and nursing standards of practice
Ownership of documentation process including MDS, care plans, incident reporting and charting requirements
Ensuring appropriate staff is on duty based on guest/resident acuity and provides recommendations based on identified needs of the neighborhood
Monitoring all aspects of infection control for staff and guests/residents and collaborating with clinical leadership to develop appropriate process to ensure effective infection control monitoring to include antibiotic stewardship
Analyzing, developing and implementing Quality Improvement measures for clinical indicators/benchmarking such as Falls, Pressure Ulcers, Medication Errors, Restraint Utilization, Re-hospitalization, Anti-psychotic utilization, ADL splits/documentation, etc
Collaborating with Staff Development Coordinator to ensure all required training and competency reviews are completed according to federal, state and local regulations
Participating in clinical leadership meetings such as Wound Rounds, Clinical Operations Meeting, Utilization Review and Performance Improvement/Risk Management/Safety (PI/RM/S) Committee
Graduate of a nursing degree program of college or university for Registered Nurses is required
Basic computer skills required including experience with Microsoft Office, internet and web applications, Power Point, Excel and Visio
Experience with electronic medical record preferred
Experience in wound care, quality improvement, MDS, Fall Management, Infection Control and standards of skilled nursing/long term care documentation guidelines preferred
CPR/First Aide training preferred
Current Registered Nurse license for the state in which he/she operates
Have and/or obtain ANNAC certification within 6 months post- employment

Associate Manager RN, Surgical Services Resume Examples & Samples

Personnel management: Assists Manager with recruitment and hiring of staff. Provides leadership and direction in support of the organization and department goals and objectives on the front line. Conducts performance appraisals. Counsels employees and acts on disciplinary problems. Develops and maintains staffing patterns for the units. Assists in the coordination and leadership with the Manager of Surgical Services in leading staff and UBT meetings
Quality assurance/improvement: Develops and updates policies, procedures and standards of care for the units and monitors compliance with those standards. Supervises and assists in the delivery of patient care. Develops and achieves departmental goals and objectives in support of Surgical Services. Coordinates inter-departmental and intra-departmental problem resolution. Serves as a resource to other departments in area of specialty
Works with educator to develop and mentors preceptors
Develops work plans as necessary
Assists in coordination of training/in-service on all new equipment or new procedures for surgical services
Minimum two (2) years of demonstrated staff leadership or advance nursing practice role

Practice Manager RN Resume Examples & Samples

Coordinates care for patients in the Stoneman and Sandwich primary care practices. Coordinate activities to ensure that office operations conform to principles of good clinical care; create and monitor office systems that promote customer service and customer satisfaction and maximize center efficiency
Directly supervises employees of the Stoneman and Sandwich Primary Care practices. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, selection and training employees; scheduling, planning, assigning, and directing work; appraising performance; rewarding and disciplining/counseling employees; addressing complaints and resolving problems. Recommends personnel actions, addresses conflicts among staff and brings them to a resolution
Provide professional nursing care and support for center patients receiving treatments, examinations, evaluations, etc. Through the nursing process of assessment and evaluation while maintaining standards of professional nursing within the realm of departmental policy
Under the direct supervision of the Physician, assist in providing nursing care to patients. Triage and evaluate patients, obtain major complaints and brief medical history when necessary and take vital signs with complete chart documentation
Ensure staff provides quality safe care according to current standards of practice for administration of procedures/treatments/medications
Ensures staff documents according to entity/dept. guidelines
Oversees the maintenance and filing for administrative and patient records and correspondence, as well as inter and intradepartmental correspondence, reports, etc. in accordance with accepted office practices and procedures
Coordinate and monitor billing operations
Maintains medical records; ensures compliance with policies and procedures and acceptable medical record keeping practices. Assists in the preparation of medical records for utilization review
Ensures that incoming calls are handled in an efficient, customer friendly manner, managing the flow of calls to proper staff members, maintain the messaging system
Oversees daily mail operations, as appropriate
Purchases equipment and materials required for the day-to-day operations of
The practices; overall responsibility for coordinating building maintenance. Insure proper level of stock and maintenance of necessary supplies, equipment, precautionary cart and pharmaceuticals weekly
Prepares administrative and management reports, correspondence. Conducts special projects and related activities for the practice as requested
Assess personal and learning developmental needs and act as a resource person. Conduct staff meetings and other activities which promote the growth and developmental of nursing and patient care
All other duties as assigned or necessary
Current RN Licensure in MA, BSN Preferred
3 - 4 years of clinical experience in primary care or acute care preferred
Minimum of 2 years supervisory experience preferred
Proficient in computer applications
Strong communication and interpersonal skills required
Current Basic Life Support Certification

Assistant Clinical Manager Rn-emergency Resume Examples & Samples

Graduate of an accredited/approved school of Nursing
Three (3) years of clinical experience in an acute, Emergency Department
Certification in Emergency Nursing
Two (2) years of recent clinical supervisory experience or charge nurse experience

Risk Manager Rn-risk Management Resume Examples & Samples

Baccalaureate degree in healthcare-related required
Minimum of 2 years clinical health care experience in an acute care facility
Minimum 2 years’ experience in clinical risk management preferred
Supervisory and/or management experience preferred
Comfortable and skilled at working with physicians, healthcare providers and other stakeholders in the organization
Capable of gaining immediate credibility with individuals through experience, presentation, communication skills, empathy, and compassion
Analytical skills including working knowledge of basic statistics and statistical analysis methodologies
Knowledge of PC based computer software (i.e., Word, Excel, Access and/or similar systems preferred)
Knowledge of healthcare-related regulatory and accreditation requirements
Risk Management Certification (CPHRM) preferred

Care Transition Manager Rn-prn-heb Resume Examples & Samples

Reviews Readmission Risk Predictor (RRP) scores daily for all assigned patients. Collaborates with interdisciplinary team to identify high risk patients whose RRP score may not have indicated appropriately
Interviews/Assesses patients / caregivers as part of transition evaluation and as needed
Updates Estimated Transition Date (ETD) as needed
Executes and updates transition plan and post-acute management plan as needed
Communicates with payors as needed
Assigns patients to appropriate transition program(s) (i.e. Healthways, NTSP, THPG or based on payor preferences) and provides support as needed
Complies with all documentation requirements. Documents all activities in electronic health record
Adheres to compliance requirements: Code 44 intervention, HINN letters, Second IMM, Observation letter, etc
Serves as a content expert regarding medical necessity criteria, patient status and discharge criteria

Care Transition Manager Rn Resume Examples & Samples

Actively participates in Daily Patient Care Briefings and identifies patients appropriate for transition needs intervention
Ensures all assigned patients have an identified Primary Care Physician (PCP). If PCP not identified, exhaust all efforts in an attempt to assign
Identifies transition needs (including medications), develops transition plan within 24 hours of referral, and discusses funding of post-transition care with patients / caregivers; documents appropriately
Educates interdisciplinary team and patients / caregivers regarding available post-acute care services and needs
Communicates transition plan and post-acute management plan with patients / caregivers and post-acute care stakeholders
Facilitates care conferences for complex transitions and/or placement
Identifies community resources / service needs; facilitates appropriate referrals as needed (acute and non-acute)
Monitors follow up activities for all appropriate patients post hospitalization and supports patient transition plan adherence
Escalates issues to appropriate level of CTM leadership and coordinates mitigation activities as needed
Ensures scheduling of follow-up PCP appointment (for patients not served by CNL/ PCF)
Schedules clinic follow up appointments in cases in which a PCP is unable to be identified /assigned (for patients not served by CNL/PCF)
Ensures transition plan and post-acute management plan consistency across care settings
Participates in Joint Commission readiness activities
Proactively identifies and documents potential denials, avoidable days, alternate level of care days, etc

Clinical Operations Manager Rn-perinatology & High Risk Programs Resume Examples & Samples

This position will support programs serving the high-risk perinatal population
Minimum of BSN and five (5) years recent nursing experience in High-Risk Perinatology
Minimum of five (5) years experience managing perinatology service
Demonstration of experience in application and translation of evidence -based protocols within a health care service
Certified in EFM

Practice Manager Rn-cardiology Resume Examples & Samples

Minimum of five years supervisory/management experience in a health care setting
Three years as an RN
Previous Inpatient and/or Outpatient EP related experience required
ECG, arrhythmia/dysrhythmia knowledge required
Current CPR certification and ACLS is required
Two years experience in a cardiology practice or critical care setting is preferred
Understands the work of the department
Demonstrated team-building skills with accountability to those teams
Demonstrated ability to effect change by assuming leadership roles in interdisciplinary teams and supporting the growth and development of team members
Evidence of willingness and ability to assume additional and/or different responsibilities
Demonstrated understanding of quality improvement processes at both the unit and the network level; ability to apply these processes to advance nursing practice in the care of patients
Knowledge of cardiac anatomy, physiology, hemodynamics, arrhythmias, dysrhythmia and identification of life threatening ECG changes
Knowledge of the effect of pacing on cardiac output along with the functions of a normal heart and electrical system
Knowledge of CHV policies and procedures including knowledge of OSHA, Blood Borne Pathogens, MSDS Sheets, Infection Control practices, HIPAA, and knowledge of safe handling of radioactive materials
Knowledge of applicable computer applications
Skill in required patient care area, patience and understanding of emotional and psychological well being of all patients, especially the geriatric patient
Skill in written and verbal communication. Ability to exercise initiative, problem solving and decision making techniques
Ability to work effectively with staff, patients and physicians
Ability to establish priorities and coordinate work activities. Indications/contraindications for cardiac pacing/defibrillation, normal device function knowledge and ability to troubleshoot, basic components of device system (generator including lead, battery, and electrical circuit)
Needs to be independent and self motivated. Device training is very extensive
Successful completion of the orientation process and its associated competency assessments
Successful completion of unit/department specific competency assessments, as appropriate
Collaborate with physicians to determine department needs and performance/quality issues
Create and implement plan of action in response to identified variances in practice/operations
Serve as a resource for internal and external customers for issues related to CV and EP services
Provide thorough documentation to Administration for new services/equipment requests that clearly outlines risks, benefits, cost, revenue projections and customer requirements
Assist with promotional/PR activities as requested related to CV and/or Radiology svcs
Ensure that we are providing quality patient services, and resolve patient care issues
Track statistical information regarding volume and employee production, overtime, and prepare requested statistical reports on a regular basis. (monthly, quarterly, yearly)
Meet with physicians on a routine basis to address concerns and improve internal efficiencies
Participate in the development and implementation of long-range plans and budgets and assure that the operation stays within approved budget
Keep current on healthcare regulations and billing and insurance issues
Work with HR to recruit, hire, train, supervise, and provide interim and annual evaluations and feedback to staff
Conduct employee counseling, and disciplinary meetings in accordance with HR policies
Conduct regular staff meetings to address concerns and promote teamwork. Coordinate the education, training, and development of the staff
Responsible for preparing staff payroll for HR processing and maintaining employee PTO records
Act as a resource to all staff for all clinical needs- Examples: assessing atrial/ventricular sensing and capturing, lead impendence, battery status, device parameters, etc. Along with the knowledge/understanding of reprogramming of the devices to address device issues
Operates all areas of responsibility with strong business ethics and integrity. Embraces, lives out and promotes the network values – PRIIDE

Assistant Clinical Manager, Rn-north Surgical Resume Examples & Samples

Licensed as a Registered Nurse in the State of Alaska
3 years of clinical experience in an acute care, medical-surgical department
Certification in Medical-Surgical Nursing (CMSRN)
2 years of recent clinical supervisory experience or charge nurse experience

Manager Rn-cardiac Catheterization Resume Examples & Samples

Responsible and accountable for nursing care delivered on the unit, based on the Nursing Process—assessing, planning, implementing, and evaluating patient care in compliance with hospital policies and procedures
Intagregrates service into the organization’s primary functions
Responsible for coordinating and integrating interdepartmental and intradepartmental services
Recommends a sufficient number of qualified and competent persons to provide care and treatment
Determines and ensures the competence of all staff members is assessed, maintained, demonstrated and improved on an ongoing basis
Completes yearly performance evaluations for all staff at the Wound Healing Center
Continuously assess and improves the performance of care and services provided
Responsible for orienting and providing in-service training and continuing education for all persons in the department
Maintains and improves own nursing knowledge
Maintains JCAHO standards and stays up to date on guidelines for other regulatory agencies
Follows up in a timely manner in response to all patient/family concerns, including communication with the Administrator-on-site
Participates in selecting sources for needed services not provided by the departments or the organization
Graduate of an accredited school of nursing; BSN preferred
Current licensure in the State of Texas as a Registered Nurse
Minimum of three years clinical experience in area of specialty with an emphasis on leadership and management
Current verification of competency in BLS is required

Trauma Manager Rn-trauma Services Drmc Resume Examples & Samples

Current licensure in Texas as Registered Nurse RN
Bachelor of Science in Nursing BSN required
Current verification of competency in cardiopulmonary resuscitation through Life Support Training including neonatal and pediatric resuscitation
TNCC required

Manager Rn Referral Hh Resume Examples & Samples

Reviews orders for new admissions for appropriateness
Maintains Knowledge and applies knowledge of federal and state rules and regulations for home care
Acts as a resource for patient admission or non-traditional care patients
Oversees referral coordinator roles and front office operations
Supervises staff regarding insurance verification and authorizations
Supervises staff in coordination of staffing and meeting 48 hour admission requirements
Clinical review of all referrals to ensure adequate and safe discipline assignments
Initiate clinical coordination of supplies and labs for patients for cost efficient and safe care
Obtain all necessary clinical information for accurate coding
Ensure appropriate primary MD and MD qualifications and documentation requirements
System Auto-fills:May perform other duties as assigned or requested and job specification can be modified or updated at any time

Senior Manager RN Team Resume Examples & Samples

Supervises, coordinates and evaluates call center operations to maintain high productivity while providing highest level of service
Manages, hires, trains and coaches staff to attain highest degree of customer satisfaction to Kaiser members
Coordinates and monitors productivity through state of the art technology
Ensures all truck lines are operational
Ensures cost effective operations performance through cost effective use of labor and staffing levels within budgetary guidelines
Responds to changes by making adjustments in force to support service levels in a dynamic environment by monitoring calls waiting and queue lengths
Reviews reports to spot trends in call volumes and services to make required staffing adjustments
Advises staff in resolution of more complex clinical questions and/or calls
Collaborates with Call Center Manager and Adult Call Center Manager to plan and achieve department goals and objectives
Coordinates and directs the daily shift operations with the Call Center Manager and Adult Call Center Manager
Ensures clinical practice is aligned to The Joint Commission, NCAQ, federal, state, and local regulations
Minimum two (2) years of experience as a supervisor/leader in a call center environment
Minimum one (1) year of experience in a medical office/ambulatory setting
Experience in staffing/scheduling preferred