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Manager Nurse

Location:
Philadelphia, PA, 19103
Posted:
March 09, 2010

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Resume:

ROBIN M. BRYANT

*** *. ******* ******

PHILADELPHIA, PA. 19120

215-***-****

EDUCATION

****-**** *******, ******** ** the University of Pa. School of Nursing

****-**** ******** ** ******* in Nursing, LaSalle University

EMPLOYMENT

INDEPENDENCE BLUE CROSS

May 2005-Present: Training and Education Coordinator

Responsible for designing and delivering core training and education programs to new and

transitioning associates in the Health Services Department.

Designing and delivering training and education programs to Case Managers in managed care

setting to perform telephonic case management.

Coordination of continuing education sessions for Medical Management staff via outside vendors.

Coordinated the development of the Preceptor Development Workshops for Medical Management

Staff.

Provided corporate training in Managing Organizational Transitions

Worked collaboratively on multiple corporate projects.

August 2003-May 2005: Professional Provider Auditor

Responsible for auditing claims submitted to IBC to verify accuracy of payment and charges

Identify patterns of provider billing abuse and/or fraudulent cases

December 2002-August 2003: Patient Care Coordinator

Responsible for precertification of Restorative Services: Chiropractic Care, Physical and

Occupational Therapy

May 1992-October 1992: Utilization Review Coordinator

Telephonic review process with hospital Utilization Review Department for justification of

Hospital admissions

TEMPLE CONTINUING CARE CENTER

June 2001-March 2002: Nurse Educator

Coordination of educational activities for professional and non-professional nursing staff

UNIVERSITY OF PA. MEDICAL CENTER

September 1994-May 2001: Clinical Resource Coordinator/Case Manager

Utilization Management, coordination of Multi-disciplinary patient care rounds and discharge

planning activities. Collection of quality assessment data and data entry. Identification of selected

risk management concerns. Participation in development of clinical pathways

November 1992-August 1994: Utilization Management Coordinator

Collection of clinical information from medical records and communication to third party

payers. Communicate with Physician Advisor and attending physicians regarding utilization

and insurance company denial activity

July 1990-April 1992: Assistant Nurse Manager

Administrative responsibilities including staffing, performance evaluation of auxiliary staff

Participation in disciplinary counseling

Assisting with interviewing and hiring of prospective employees

Coordination of staff development activities

Assumption of 24-hour accountability of maintaining patient care unit in absence of Nurse

Manager

1980-1990: Staff Nurse

Direct patient care on 24 bed Medical-Surgical unit with Charge Nurse responsibilities.

Preceptor to graduate and student nurses. Diabetic educator for in-patient setting. Chairperson

of unit Quality Improvement and Nursing Practice Committees

1978-1980: Staff Nurse

Direct patient care on a 48-bed Medical-Surgical unit with Charge Nurse responsibilities

1976-1978: Staff Nurse

Direct patient care on a 54-bed Medical-Surgical unit

CERTIFICATIONS

Certified Professional Coder-Apprentice

InterQual certified trainer

Certified trainer in Bridges’ Managing Transitions

ACTIVITIES

Volunteer-Philadelphia Reads Program, 2002

Independence Blue Cross-Blue Crew Volunteer Program

Member of Sounds of Independence Chorus

Induction: SIGMA THETA TAU Nursing Honor Society

REFERENCES

Furnished Upon Request



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