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Management Manager

Location:
Homewood, IL
Salary:
90K or above
Posted:
April 28, 2015

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Resume:

Tonia Madkins RN/BSN/BSHMIT

Phone cell 708-***-**** Email: ********@*****.***

Managed Care Coordinator RN-BSN BSHMIT at HealthCura

Acute Care Manager Chicago Market at ChenMed/ JenCare/ PMR

RN/Primary Care Nurse at Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas

EDUCATION

MBA, Keller Graduate School of Management of DeVry University, Master of Business Administration,

Health Services/Allied Health/Health Sciences, General

Background

SUMMARY

Mission: My purpose is to express my ambition, passion, determination and perseverance of never giving up on

my dreams. Being devoted to the growth and development of myself as well as others. Healthcare Professional

(RN) that focus on patient advocacy and being a business to business leader with a strong commitment and high

ethical standards which has been a key to my successful career of 29 years. This commitment is based on the

premise a person's word is a contract always honored. My values have withstood situations during my career

that cause them to be challenged but never changed regardless of consequences.

PROFESSIONAL EXPERIENCE

Managed Care Coordinator RN-BSN BSHMIT

HealthCura 600 w Fulton, Chicago, IL 3/2015 to Present Contract Position

In my present role with HealthCura I function as a Managed Care Coordinator for the four facilities in the Chicago Market which include

Evanston-Rogers Park Family Center, Saint Francis Health Center, Genesis Center for Health/Empowerment, Northwest Community

Access facilities. I function in multiple roles of member advocate, hospital liaison. I facilitate / participate in meetings peer to peer

meeting for MD's. I am a network resource for the Medicaid and Medicare members. •Brand development with HealthCura with the

developing of brand strategy and statistics systems. •Strategic Consulting, including business plan &strategy development. •Advising

new businesses on formation of HealthCura corporations and business structures. •Comprehensive database management •Instruction on

health prevention . Give onsite and offsite education.

Acute Care Manager Chicago Market

ChenMed/ JenCare/ PMR 9/2014 to 3/2015 6 month Contract Position

In my role with ChenMed I functioned as an Acute Case Manager for the five facilities in the Chicago Market which included Ashburn,

Jeffery Manor, Berwyn, Oak Lawn and Glenwood facilities. I functioned in multiple roles of member advocate, hospital liaison. I

facilitated / participated in meetings peer to peer meeting for MD's. I organized and facilitated IDT meetings. I am a network resource for

the Humana, Medicare members. • Brand development with ChenMed with the developing of brand strategy and statistics systems.

•Strategic Consulting, including business plan & strategy development. •Advised new businesses on formation of ChenMed corporations

and business structures, and structuring commercial transactions. •Comprehensive database management •Instruction on health

prevention . Gave onsite and offsite education

RN/Primary Care Nurse

Tonia Madkins Presented by Marypat Parks on 4/23/2015 Page 1 of 3

Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas 8/2010 to 1/2014

In my role with BCBS I functioned as a Primary Care Nurse for the Boeing Medical Management Team. I was responsible for

functioning in multiple roles of member advocate, hospital liaison, Disease, Case and Utilization management. I facilitated / participated

in meetings IDT and peer to peer meetings for MD's. I was the PCN for 200 members that worked for Boeing, they lived in Illinois,

California, New York and Washington •Brand development with BCBS with the developing of brand strategy and statistics systems..

•Comprehensive database management •Instruction on health prevention. Gave onsite and offsite education.

RN Intensive Case Manager

Aetna Greater Chicago Area 1/2010 to 1/2012

I managed 400+ Cases in a cooperate setting. •Management of multiple systems, Cardiac, Psych, Nephrology, and Endocrinology to

name a few. •Disease, education and wellness programs. Insurance and Medical/ Case management. •Utilization management of acute

inpatient, LTC, rehab therapies (PT, O T, Speech), Home Health (SNV, Infusion therapy). •Collaborated with Physicians, pharmacists,

hospitals and other external vendors. •Communication by telephonic triage, emails and also medical education programs. •Utilization of

multiple wellness and disease prevention programs such as WebMD, and Cleveland Clinic. • PowerPoint presentations for educational

and training of staff. •Data analysis tracking of member enrollment, monitoring performance guarantees. •Mentoring and orientation of

new employees. •Computer programs: Dynamo, Interqual, EQ Health, Millimen

RN Acute Care /ERD Case Manager

Holy Cross Hospital, Chicago IL 1/2009 to 1/2011

I managed 200+ Cases in an Acute Care Setting. •Management of Telemetry, Med/Surg and ERD. •Disease prevention and education.

•Utilization of medical and insurance benefits. •Collaboration with Medical Directors, Physicians, pharmacists, multiple hospital staff

and other external vendors to manage the members along with Medical Director and Social services and hospital staff. •PowerPoint

presentations and mentoring of new employees Computer Programs: EQ Health, Millimen, Interqual, EHR

RN-ASHU

Advocate Christ Medical Center 2007 to 2010

In an Acute Care Setting with a staffing ratio of 2:1, Management of Cardiac surgical patients •Charge nurse with staffing ratio of

2:1/1:1, scheduling duties, interpretation of staffing matrix, communication with administrative staff. •Nurse liaison and patient advocate.

Auditing charts and medication records

EDUCATION

Keller Graduate School of Management of DeVry University

Currently attending graduate studies toward Master of Business Administration (MBA), Health

Services/Allied Health/Health Sciences. Expected Graduation 2015–2016

DeVry University-Illinois

Bachelor of Science, Healthcare Management Information Technology/ Nursing 2012 – 2014

Completed 3 semesters at DeVry, Received scholarships for 2012,2013. Graduated with honors. I

completed undergraduate work at DeVry. my undergraduate studies consist of Bachelor’s Degree

Nursing (BSN) and Bachelors Healthcare Management Information Technology ( BHMIT) on the

accelerated track.

Rose State College, Oklahoma

Associates Degree Nursing, Health/Health Care Administration/Management 2000 – 2004

Graduated with honors in Nursing from Rose State College

South Suburban College License Practical Nurse, Healthcare 1989 – 199

Bryman National Education Center Medical Assistant, Healthcare Management Ambulatory Care 1985

ACTIVITIES AND SOCIETIES

Tonia Madkins Presented by Marypat Parks on 4/23/2015 Page 2 of 3

Presidential Dean List

American Red Cross

Volunteer Services

INTERESTS

New Healthcare Reform, New Technologies, EMR, Certifications in EPIC and Project Management

SKILLS & EXPERTISE

• Small Business

• Training

• Managed Care

• Leadership

• Certified EKG Technician

• Healthcare Management

• Nursing

• Cerner

• Telephone Skills

• Hospitals

• HIPAA

• Medical Case Management

• Dynamo

• IV

• Disease Management

• Medicaid

• Microsoft Excel

• Cardiology

• Case Management Software

• Phlebotomy

• Nursing Management

• Customer Service

• PowerPoint

• Management

• Emergency Nursing

• PICC lines

• Healthcare Information Technology

• Milliman

• Medical/Surgical

• EMR

• Team Building

• Orthopedic

• ACLS

• Healthcare

• Surgical Nursing

• Case Management Services

• Critical Care

• Medicare

• Alineo

• EQ-Health

• BCLS

Tonia Madkins Presented by Marypat Parks on 4/23/2015 Page 3 of 3



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