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Medical Registered Nurse

Location:
Phoenix, AZ
Posted:
March 06, 2019

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Resume:

VOLA GARY, BSN, RN

**** * *** ******, **** **** Phoenix,

AZ 85013 602-***-****

ac8o6m@r.postjobfree.com

SUMMARY

● 24 years of nursing experience in various areas within the healthcare delivery systems. Ethical, dedicated, flexible and customer-service driven BSN RN who has served pediatric, adult, long-term care and geriatric populations in the areas of acute and subacute care, home health, rehabilitation, orthopedics, behavioral health/psyche, case management, medical-surgical, utilization management, and quality management within a health plan.

● Have functioned in the capacity of general nurse, team leader, charge nurse, nurse supervisor, acting director of nursing in long-term care facility, and recently served as the Quality Management Manager (and Interim Director of Medical Services) for State of Arizona at the Department of Child Safety(DCS)/Comprehensive Medical and Dental Program (CMDP).

● Ability to build positive working environment, and relationships with multi-disciplinary members within healthcare, while promoting and achieving accountability among staff. Advocate for patients/members and their families.

● Knowledgeable of Veterans Administration (VA) Choice Program, Medicare and Arizona Medicaid rules and regulations, policies, procedures and guidelines. Recent specific knowledge of AHCCCS/Medicaid Health plan operations. Expert of requirements for children’s health programs such as EPSDT, Maternal Child Health (MCH), Oral Health, Utilization Review, Quality of Care processes, tracking and trending data, Medical Records review, and Quality Management and Performance Improvement. EXPERIENCE

9/2016 – 11/2018

DCS/CMDP State of Arizona Phoenix, AZ

Quality Management Manager – Represent Comprehensive Medical and Dental Program (CMDP) in various meetings and activities within the Arizona Health Care Cost Containment System (AHCCCS)/ Medicaid and the Department of Child Safety (DCS), lead managers and their staff within CMDP in numerous department/units with performance improvements, and directly manage staff within the medical services unit, provide direct oversight of the Maternal Child Health (MCH) and Early Periodic Screening Diagnostic Treatment programs (EPSDT), complete and submit AHCCCS Deliverables timely, monitor program performances, processes, and measures within the Medical Management and Quality Management Units, conduct quality of care investigations, medical records review, process prior authorization request, provide direct supervision of the Maternal Child Health and Early Periodic Screening Diagnostic Treatment programs, temporary/contractor support staff, and all other duties that fall under Quality Management.

10/2015 – 7/2016

Aerotek – TriWest VA/Choice Program Tempe, AZ

contracted Utilization Management Registered Nurse. Serving U.S. Veterans within the Choice Program by Processing Prior Authorization requests, finding and contracting providers to serve Veterans wide-array of health care needs, and focused care managing Veterans Inpatient and Outpatient ordered care needs for the state of Alaska. Communicating and following direction from U.S. Veterans Affairs. 6/2015 – 9/2015

Acuity Specialty Hospital Sun City, AZ

Patient assessments, I.V., PICC line placements and invasive line care, blood and blood product administration, blood draws for labs, medication administration, wound care, care planning, discharge planning, documentation, communication with physicians, staff, patients, and family members, supervision of support staff, incoming and outgoing shift report, and all other duties within the RN scope of practice, and within the Arizona Nurse Practice Act.

8/2013 – 6/2015

Team Select Home Care Phoenix, AZ

One-on-one care to pediatric clients with acute health care issues in their homes. Assessments, care planning and documentation. Assist with care management goals. Communication with physicians, ordering medications and equipment, and maintaining medical records and equipment maintenance logs. Patient and family teaching. Performed skilled nursing duties, such as respiratory care, urinary catheter placement and catheter care. Tube feeding and all other care within the client’s plan of care. 10/2008 - 8/2011

Private Duty Case Management Phoenix, AZ

Determination of services covered by insurance payer and private pay obligations. Patient assessments, documentation, and care planning. Oversight of medication prescriptions, refills and administration. Medical and dental appointment set-up, transportation, and accompanying patient to and from appoints to ensure all physicians instructions and orders are followed as prescribed. Ordering of specialty equipment and routine scheduling of equipment maintenance. Nutrition and food set-up as prescribed. Communication to patient, physician, and family members. 2006 – 2008

Select Specialty Hospital Mesa, AZ

Patient assessments, I.V., PICC line placements and invasive line care, blood and blood product administration, blood draws for labs, medication administration, wound care, care planning, discharge planning, documentation, communication with physicians, staff, patients, and family members, supervision of support staff, incoming and outgoing shift report, and all other duties within the RN scope of practice, and within the Arizona Nurse Practice Act.

EDUCATION

1991 – 1994

Gateway Community College Phoenix, AZ

Applied Associates in Science

LPN Certification, graduation date 12//01/1994.

LPN Licensure from Arizona State Board of Nursing 6/14/1995 1999 – 2000

Gateway Community College Phoenix, AZ

Associate Degree in Nursing Graduation date 12/20/2000 RN Licensure from Arizona State Board of Nursing 5/3/2001 Current and in Good Standing

2013 - 2015

American Sentinel University Aurora, CO

Bachelor of Science in Nursing



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