Human Resources:

I am very interested in the position of Manager- Clinical Operations at Amerisource Bergen.

As a highly skilled and registered professional nurse with a Master’s Degree in Business and nearly ten years of disease

management, case management and utilization review experience, I am enthusiastic to put my capabilities to work for

the development of this department.

Since I have worked in this capacity for so long, I am able to perform core duties of this position efficiently and

effectively. My natural leadership talent provides me with the ability to set objectives, planning, organizing, controlling

and evaluating the activities of the assigned staff. In addition, I am able to manage, hire, terminate and resolve conflicts

between staff.

I have had the opportunity to learn on the job that it is important to possess sound judgment that is in turn essential in

modifying situations that may change in an instant. Furthermore, I have a profound ability to analyze situations and

apply critical thinking skills appropriately.

Possessing all these skills along with the extensive experience makes me a perfect candidate for the position of clinical

manager. My resume is enclosed which will provide you with further details regarding said capabilities. Alternatively, I

am available by cell at 214-***-**** and will return any calls at my earliest convenience.

Thank you for your consideration.

LaTonya Myrick RN, MBA, CCM

LaTonya Myrick RN MBA CCM

13465 Inwood Rd. #1313, Farmer's Branch, TX. 75244

214-***-**** acej0v@r.postjobfree.com

Professional Background

A motivated, high energy health professional with exceptional clinical, leadership and management skills in the areas of

nursing, utilization review and case management seeking to expand into health operations management

Professional Experience

Care Coordinator- Team Leader

June 2008 to Current

Children’s Medical Center of Dallas

• Supervision and direction of multiple case management staff in Level I acute pediatric facility

• Coordination with hospital interdisciplinary team and insurers to effectively manage discharge needs

• Reporting of quality and key performance indicators affecting admission and continued care of inpatients

• Lead Case Manager in collaboration with EPIC Team in implementing computer directed order entry system

• Designated Care Coordinator to lead and implement care coordinator protocols for new observation unit

• Mentoring, coaching, performing yearly evaluations of case management staff

• Assisting with development of agenda items for staff meetings

• Utilization reviews applying Interqual criteria for 20-30 patients daily

Assistant Director of Nursing/Unit Manager

March 2008 to May 2008

Stone Gate Senior Care- Town East Rehabilitation & Health Center

• Management of 2 skilled/rehabilitation units housing 60 residents

• Supervision of 8 professional staff nurses and certified medical assistants

• Hiring, mentoring and coaching of professional staff

• Teaching and implementation of new protocols and procedures for staff nurses and clinical support

• Reporting and tracking incident occurrences to Facility Administrator and Director of Nursing

Denial Resource Specialist

April 2007 to March 2008

Baylor Medical Center-Denial Resource Center

• Supported system’s new Medicare Appeals program for 13 facilities

• Review of designated CPT codes targeted for Medicare appeals and reimbursement

• Responsible for reporting number of Medicare appeals and financial impact of overturned Medicare denials

• Second level review, writing and tracking of managed care denials

Nurse Consultant

April 2003 to April 2007

Aetna Health Insurance- Parkland HealthFirst Managed Medicaid Plan

• Utilization Review and Precertification Nurse for managed Medicaid plan – 30,000 members

• Daily onsite utilization review and application of Milliman criteria for 35+ admissions daily

• Initiating member referrals to case managers and discharge planners after hospital admissions

• Pre-certification and authorization of inpatient, outpatient procedures and home medical equipment

• Review of denied appeals

Education and Training

Master of Business Administration: University of Dallas December 2007

Bachelor of Science Nursing: Rockhurst University May 1997

Contact this candidate