Registered Nurse Management

Jordan Boggs, BSN, RN

*** ********* ****, ****, ***** Carolina 29063

803-***-**** phone

******.*****@*****.***

www.linkedin.com/pub/jordan-boggs/29/21b/670

Career Objective: Experienced Registered Nurse with case management and

managed care expertise seeking career advancement opportunities within a

multidisciplinary healthcare model, focused on optimizing patient outcomes

in a cost effective and efficient environment through the implementation of

proactive member-centric care planning and comprehensive provider-centric

quality improvement initiatives.

Summary of Expertise

. Thirteen years of cross-functional clinical, case management and

quality improvement experience.

. Detail and result oriented, proactive problem solver with notable

critical thinking skills.

. Fosters proactive team collaboration; exemplary individual

contributor.

. Pioneered Sickle Cell Anemia Taskforce by identifying high risk

population, initiating Sickle Cell Rounds, identifying barriers to

care, proposing and implementing interventions resulting in cost

saving of over $500,000 in 12 months.

. Technologically advanced experience with a wide range of healthcare

documentation and reporting systems, including McKesson CCMS, McKesson

VITAL, Deerwalk EVEREST, Deerwalk MAKALU, Ingenix IMPACTPRO, McKesson

INTERQUAL.

. Leader in productivity and quality, with average caseload of 100

members and demonstrated cost savings exceeding local and national

expectations within corporation.

. Exceptional and tenacious care coordination capability.

PROFESSIONAL EXPERIENCE

Carolina Medical Homes, Columbia, SC 2012 -

present

Clinical Care Coordinator/Health Coach

. Developed and implemented the Care Coordination program (including

Disease management and Case Management) in accordance with the mission

and strategic goals of the organization, federal and state laws and

regulations, and accreditation standards.

. Incorporated use of predictive risk modeling software into the care

coordination program.

. Perform collaborative interventions to assess, plan and coordinate

continuum of care for high risk members to promote quality and cost

effective outcomes.

. Develop, assess and adjust as necessary the care plan and promote

desired outcome.

. Coordinate health care services to meet the medical socio-economic

needs of clients.

. Provide patient and provider education.

. Develop and implement Quality Improvement Initiatives in accordance

with the mission and strategic goals of the organization, federal and

state laws and regulations, and accreditation standards.

. Implement procedures to promote patient safety, care continuity and

coordination practices.

. Established professional relationships with state, stakeholders, and

community agencies to facilitate care coordination and quality

processes both internally and externally.

Absolute Total Care, Columbia, SC 2010 -

2012

Case Manager II

. Pioneered Sickle Cell Anemia Taskforce by identifying high risk

population, initiating Sickle Cell Rounds, identifying barriers to

care, proposing and implementing interventions resulting in cost

saving of over $500,000 in 12 months.

. Documented cost savings of over $2 Million in 18 months.

. Performed collaborative interventions to assess, plan and coordinate

continuum of care for high risk members to promote quality and cost

effective outcomes.

. Developed, assessed and adjusted as necessary the care plan and

promoted desired outcome.

. Coordinated health care services to meet the medical socio-economic

needs of clients.

. Provided patient and provider education.

. Identified related risk management quality concerns and report these

scenarios to the appropriate resources.

South Carolina Medical Endoscopy Center, Columbia, SC

2009 - 2010

Clinical Team Leader

. Recruited and trained physicians for the practice.

. Developed and implemented community education programs to promote

colorectal cancer awareness.

. Contributed to the census growth of the practice.

. Coordinated staff development and education.

. Provided clinical practice management.

. Conducted thorough patient assessments.

. Facilitated the Quality Improvement Counsel as Chairperson.

UHS-Pruitt Corporation, Norcross, GA 2008 -

2009

Clinical Nurse Liaison

. Conducted comprehensive and pre-screening clinical assessments.

. Marketed facility services within the community and healthcare

facilities.

. Contributed toward relationship-building with referral sources in

correlation with company sales initiatives.

. Developed and maintained referral sources.

Other Case Management Experience

Workers Compensation Case Management 2002 -

2008

. Scored average of 96 percent on Quality and Outcomes Reviews.

. Selected to serve as the only employee in South Carolina trained in

Crisis Response Management.

. Selected to serve as one of only two (of 35 employees in South

Carolina) trained in Ergonomic Assessment in the Workplace.

. Selected to serve as one of only two (of 35 employees in South

Carolina) trained in Catastrophic Case Management.

. Maintained a high level of consumer satisfaction.

. Developed and implemented company services in new service area.

. Consistently met or exceeded expectations.

. Analyzed, developed, and assessed plan of care outcomes for injured

workers.

. Implemented care strategies to enhance expeditious return to work.

. Conducted both field and telephonic based case management.

. Collaborated with physicians, therapists, patients, employers,

specialists, insurance carriers and others.

. Monitored patient progress toward desired outcomes through assessments

and evaluations.

. Developed and presented health and wellness programs.

. Researched and applied insurance-special instructions.

. Complied with appropriate laws and regulations.

. Audited medical records to validate appropriate and medically

necessary care, accuracy in billing, and to identify opportunities for

cost savings.

. Prepared patient and employer specific reports.

EDUCATION

Bachelor's of Science in Nursing

University of South Carolina, May 2000, GPA 3.5 (Major GPA 3.9)

LICENSURE

South Carolina Multi-State Nursing License

Current / Active Registered Nurse (RN) License.

PROFESSIONAL PARTICIPATION

. South Carolina Department of Health and Human Services Quality

Improvement Committee; Member

. Birth Outcomes Initiative-Care Coordination Committee; Member

. ECPI University Advisory Board; Member

. Rehab Professionals of the Carolinas; Chapter President (2005, 2006,

2007)

. Rehab Professionals of the Carolinas; Member

. South Carolina Claims Association; Member

. South Carolina Workers Compensation Educational Assoc.; Member

. University of South Carolina Educational Resources Committee; Student

Representative Member

References

Available upon request.

Contact this candidate