Director case management
Resume:
PRESCOTT VALLEY, AZ
E-mail *****-*****@****.***
Tony Ward RN BSN MS
Summary of qualifications I have been an RN for 30 years and I have built a strong knowledge base and expertise. I am highly motivated, forthright, determined and innovative individual who is able to cope under pressure.
Effective leader able to successfully plan, delegate, and review activities of staff.
Computer experience in Word, Excel, Midas, Soft Med, Allscripts, Cerner,Cerme
Professional experience
Interim Mananger case management department 6/12-9/12 Dominican Hospital Santa Cruz California
Interim Director Resource management Yakima Vallley Hospital department Yakima Wa 3/12-6/12 Corrected Cath lab admissions that led to five hundred thousand dollar recovery by RAC activity also corrected admissions problems centered on cath lab admits
Interim Director of case management, Whideby General Whideby Island Wa Department 11/11-3/12 Corrected work flow processes and developed a CM position in the ED and permanent SW position which aided in diversion of administrative admissions
Rideout Memorial Hospital Marysville Ca 5/15/11-9/1/11
Interim Mananger Position to aid process enhancements, work flow and utilization review process enhancement
Interim Director San Mateo County hospital Case Management program 02/2010– 02/2011 Travel assignment trustaff
I Evaluated, Developed, Enhanced case management program Trained staff in Interq2al, and new work flow processes.
Established goals and objectives for utilization review and Discharge planning.
Developed Utilization Review Committee, ED Case manager position, Case manager positions developed from retired Social Worker for complex case management and ED diversion program.
Committees: Revenue Cycle, Compliance, Chair UR committee, HIM, Ethics and Lower Level of Care.
I developed processes for Administrative Days which decreased from 20% to 1.8%, LOS 4.3, Average 0bservation hours 21
US ARMY RESERVES: John F Kennedy Special Operations Warfare College Ft Bragg NC, DEPLOYMENT 7/09- 02/20/10 Special Operations Civil Affairs Team leader.
I accomplished work related to the conceptualization, design, documentation, of assistance programs and or projects and support of host governments within a host nation working with non governmental organizations, developing governmental programs and mission-specific programs as well as being Company Commander for 50 soldiers
Banner Thunderbird Medical Center Glendale Az, 6/6-7/9 Inpatient Case Manager responsible for utilization review and discharge planning of Medical / Surgical, Emergency, Observation Patients and ICU
Blue Cross Blue Shield Arizona Phoenix Az, 01/05-4/06 Interim Manager LTC Case Manager for complex medical population which included on site visits hospital for utilization review and speak with patients to develop a discharge plan
Presbyterian Health Plan, Albuquerque, New Mexico 10/ 1997 - 7/ 2004 Program Administrator, Health Services. I reported to the Chief Medical Officer and CEO. I developed programs with HEDIS measures, population analysis, database constructions, which all met NCQA accreditation and internal benchmarks. I designed care processes that met regional and internal benchmarks. I developed drivers for clinical success and selected appropriate targets for clinical improvement initiatives. I developed programs for care of Asthma, Diabetes, CHF, Frequent Falls, and rehabilitation programs
Maricopa Medical Center, Phoenix, Arizona 7/1985 - 10/1996 Charge Nurse and Staff Nurse positions Level I Trauma
Manager of Trauma center for 6 years during which I directly supervised 30 employees, determined needs and plans for the utilization of staff, space, equipment and developed staff schedules. 10/1996- 10/1997 I was the first inpatient case manager within Maricopa county Medical Center and same campus satellite clinic
Education
Eastern Arizona College AA Deans List Honors
Arizona State University BSN consistent deans list, phi beta kappa and Golden Key honor societies
Masters of Science International Institute Chinese Medicine Integrated medical college Diplomate of Oriental Medicine
US ARMY 1985-1993 US ARMY RESERVES 403d combat support hospital 6 month tour active duty support with special American Army and Honduran teams
2005-2010 US Army Reserves, Army Airborne Special Operations Civil Affairs 492 nd CABN
US Army Commendation Medal
US Public Health Service Award 1984 Developed campaign for the CDC for immunization of college age students nationwide
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