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Manager Quality Assurance

Location:
Brandon, MS
Posted:
November 08, 2012

Contact this candidate

Resume:

Tari Matura

Email: abo8t7@r.postjobfree.com

Address:

City: Brandon

State: MS

Zip: 39047

Country: USA

Phone: 601-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Objectives To obtain a position as a member of your organization that will utilize my Interqual and Case Management skills, work ethic, professional flexibility, and leadership ability. Nurse Case Manager with valid Mississippi RN License. Solid clinical, utilization review and case management experience within a managed care environment. Responsible Case Manager with excellent communication skills demonstrated by 15 years of experience in healthcare.

Educational Background:

High School Dipolma from Wharton Community College, Wharton TX 1/2001 to 5/1997 (Nursing)

Job History / Details:

Professional Summary

Objectives

To obtain a position as a member of your organization that will utilize my Interqual and Case Management skills, work ethic, professional flexibility, and leadership ability. Nurse Case Manager with valid Mississippi RN License. Solid clinical, utilization review and case management experience within a managed care environment. Responsible Case Manager with excellent communication skills demonstrated by 15 years of experience in healthcare.

Licenses

Registered Nurse in the State of Mississippi

CPR certified through American Heart Association

Professional Experience

September 2012 to Current

Greenwood Leflore Hospital Greenwood, MS

Clinical Care Manager

Disciplined, energetic employee who quickly establishes rapport with patients and colleagues. Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments.Delivered high-quality and compassionate treatment to indigent and low-income patient community. Ensured HIPAA compliance. Responsible for primary care, case management and medication management.Evaluated patient care needs, prioritized treatment and maintained patient flow. Actively participated in unit-based Quality Assurance Program.Sound, ethical and independent decision-making ability consistent with medical protocols.Documented patient information obtained from interviews.

December 2010 to September 2012

The University of Mississippi Medical Center Jackson, MS

RN Marrow Transplant Coordinator

Educated patient and families regarding the bone marrow transplant process. Scheduled necessary tests and followed up results with the Transplant Physician. Performed all tasks with a patient-centered focus while seeking opportunities for improvement of processes and treatments. Recorded patients' medical history, vital statistics and test results in medical records. Delivered high-quality and compassionate treatment to indigent and low-income patient community. Ensured HIPAA compliance. Responsible for primary care, case management and medication management. Developed and maintained quality care systems and standards, including but not limited to, creating and improving medical protocols/guidelines. Actively participated in unit-based Quality Assurance Program. Sound, ethical and independent decision-making ability consistent with medical protocols. Documented patient information obtained from interviews. Maintained patient charts and confidential files.

2010 to 2011

The University of Mississippi Medical Center MS

RN Transfer Coordinator

Coordinated with adult hospital to facilitate timely admissions and transfers of patients throughout the hospital.

Communicated with outside facilities regarding transferring patients to a higher level of care.

Utilized Interqual criteria to determine admission/acceptance status and appropriate level of care regarding transfer of patient.

2008 to 2010

The University of Mississippi Medical Center MS

Case Manager

Clinical case manager for the Hematology Service.

Coordinated discharge plans with patient and their families, worked with other disciplinary teams to develop an appropriate discharge plan, worked closely with the staff physicians, residents and interns to discharge patients in a timely manner.

2007 to 2008

Mississippi State Hospital Whitfield, MS

RN Charge Nurse

Continuous monitoring of court committed male patients.

Assisted in developing and monitoring treatment plans.

2005 to 2007

Mississippi Home Care Brandon, MS

Clinical Team Leader

Initiated and coordinated the patient's plan of treatment through community resources, nursing staff, and therapists.

Assured financial and regulatory compliance affecting patient care.

Participated in QA and QI processes.

2004 to 2005

The University of Mississippi Medical Center MS

Case Manager

Clinical case manager for the Orthopedic Service.

Coordinated discharge plans with patient and their families, worked with other disciplinary teams to develop an appropriate discharge plan, worked closely with the staff physicians, residents and interns to discharge patients in a timely manner.

2003 to 2004

Rankin Medical Center Brandon, MS

Staff Nurse

Direct patient care on the medical surgical floor.

2003 to 2003

North Central Medical Center McKinney, TX

Rehab Staff Nurse

Direct patient care primarily to CVA and orthopedic patients.

2003 to 2003

Central Mississippi Medical Center MS

Staff Nurse

Direct patient care on the telemetry floor.

2001 to 2002

Van Alstyne Elementary School Van Alstyne, TX

Elementary School Nurse

Performed routine hearing and vision screenings as mandated by Texas State Law.

Provided first aid as needed, administered medications prescribed by physicians, assisted handicapped students with activities of daily living as necessary, prepared classroom lectures as requested by teachers or administration.

2000 to 2001

Blue Cross Blue Shield Richardson, TX

Medical Review Nurse

Telephonic utilization review nurse for HMO contracts.

Pre-cert and concurrent reviews as necessary.

1999 to 2000

Matagorda General Hospital Bay City, TX

Rehab Staff Nurse

Provided direct patient care primarily to orthopedic and CVA patients.

Education and Training

May 1997 Wharton Community College Wharton, TX

Associate Degree Nursing



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