Senior Healthcare Consultant, Education, Quality, Reimbursement
Resume:
RYAN COLEMAN, MS, BSN, RN
**** *. ****** ***., *********, CO. 80128
************@*******.***
PROFILE
Healthcare professional with over 16 years of experience as an RN, Educator, Health Care Consultant, and Healthcare Economic and Reimbursement expert, combined with an advanced education in healthcare systems and administration.
Cross-functional leadership of clinicians and medical device professionals that provide continuing education, orientation, competency validation and consultation for healthcare services and reimbursement.
Oversight of numerous Centers of Medicare/Medicaid (CMS) projects focusing on CMS reimbursement protocols and quality measures/programs that impact healthcare customers.
Oversight of affiliations with Schools of Nursing; facilitation of nursing shared governance, site coordinator for participation in National Database of Nursing Quality Indicators (NDNOD).
Delivers cross-functional education of various medical devices and pharmaceuticals.
Plans, coordinates, and evaluates overall education for end users in clinical and healthcare administrator roles.
Participates in research and development of reimbursement policies and procedures.
Promotes improvement in performance, quality, and safety with numerous stakeholders.
Coordinates education and reimbursement activities with numerous agencies including clinics and payers.
Core competencies include:
Nursing Theory and Practice Standards
Quality & Process Improvement through healthcare consultation
Coding, Coverage, & Payment for national payers (including Centers for Medicare/Medicaid - Quality Programs and Measures)
Quality Patient Care and Safety
Healthcare Leadership and Educational Processes including curriculum development
Regulatory Compliance
GCP/FDA Standards
Budgeting/Cost Controls
Team Leadership Facilitation – rapidly assess, synthesize, and apply knowledge
Numerous clinical areas of Nursing: Operating Room, Med/Surg nursing, Clinical Research
EDUCATION
Capella University
MS in Human Services: Health Care Administration
2012
Regis University
MS in Nursing: Leadership in Healthcare Systems: Education 2006
Prairie View A&M University, College of Nursing
BS in Nursing
1999
EXPERIENCE
MEDTRONIC (COVIDIEN)
2014 – Present
Manager, Healthcare Economic Policy & Reimbursement
Lead numerous cross-functional teams in learning the ever-changing reimbursement landscape for numerous medical devices and impart general information how CMS reimburses for those medical devices in a variety of healthcare settings. Develop language and sales plans with marketing teams where an economic story is needed because reimbursement opportunities may be lacking. Develop CMS quality initiative plans that impact various medical devices and subsequent customer needs.
SENIOR HEALTHCARE CONSULTANT: EDUCATION, QUALITY, AND REIMBURSEMENT
2013 - Present
Healthcare Consultant: Education, Economic, and Reimbursement
Work within numerous healthcare areas to assist healthcare professionals and business leaders in learning development of new procedures, devices, and pharmaceutical use. Direct numerous projects simultaneously, as senior healthcare consultant in rolling out education, economic, and/or reimbursement opportunities with technology and/or pharmaceutical information. End users include: healthcare professionals, sales/marketing leaders, and patients served nationally and internationally.
HEALTH ONE - LINCOLN SURGERY CENTER
2012 - 2014
Operating Room Circulating/Charge Nurse
Assist physicians with surgery on various outpatients, specifically lower extremity injuries. Manage procedural documentation, medication administration, and clinical assessment of patients’ responses to treatments. Coordinate activities between surgeons, anesthesiologists, and operating room staff members.
COLLEGE AMERICA
2010 - 2012
Dean of Nursing Students/Faculty
Teach, lead, and mentor students in an accelerated AND program from entry into program through to graduation. Coordinate all facets of classroom, clinical lab, and clinical practice activities to ensure safe, culturally, competent care. Classes include: Fundamentals of Nursing, Medical/Surgical nursing, and Advanced Medical/Surgical Nursing. Develop and continually assess curriculum for classroom, lab, and clinical activities. Assist with accreditation and certifications of both regional and national bodies.
DENVER SCHOOL OF NURSING
2008 – 2010
Associate Professor/Lab Manager
Teach, lead, and mentor students in an accelerated BSN and ADN program. Coordinate classroom, clinical lab, and clinical practice activities. Classes include: Health Assessment, and Pharmacology/Drug Calc. Develop curriculum for classroom and lab activities.
UNITED HEALTH GROUP 2008
Affordability Consultant
Ensure practical, safe, and economically sound practice among members and physician groups. Responsible for Colorado market (consisting of CO, NM, WY, MT), including market analysis, data retrieval analysis and instituting economic impact for positive outcomes for members, United Health Group, Physician groups, and healthcare centers of care.
PLATT COLLEGE 2007 – 2008
Faculty/Consultant
Teach, lead, and mentor students in an accelerated BSN program. Coordinate classroom, clinical lab, and clinical practice activities. Classes include: Health Assessment and Medical/Surgical Nursing. Develop, present, and assess curriculum for nursing practice. Collaborate with students, faculty, administration, and accrediting bodies.
REGIS UNIVERSITY 2007
Instructor/Faculty
Teach students in the Choice and Accelerated BSN programs at this nationally recognized university. Coordinate classroom, student lab, and clinical practice activities. Tutors L.E.A.P. students. Develop and present curriculum on health assessment and nursing foundations. Serve on a committee to aid student’s transition into the nursing profession. Designed an effective curriculum on short notice; achieved 91% average passing score.
CONCORDE COLLEGE 2004 – 2006
Instructor/Faculty
Lead second session practical nursing students. Develop and deliver classroom and lab coursework in pharmacology, introduction to medical/surgical nursing, nutrition, and the integumentary system. Introduce students to clinical settings to study live patient care in healthcare environments.
Collaborate with college faculty to achieve nursing student national exam pass rates of 95%+.
MAXIM HEALTHCARE SERVICES
2002 – 2003
Director of Clinical Services
Manage clinical team for a home healthcare agency. Supervise RNs, physical therapists, occupational therapists, speech therapists, certified nursing assistants, and personal care professionals. Organize daily activities and clinical data. Secure adherence to Medicare, Medicaid, and private insurance regulations. Collaborate with a national team of professionals providing culturally competent care to clients in the Aurora, Colorado area. Developed a tracking system for charting/paperwork; successfully passed an internal audit.
INTERIM HEALTHCARE 2001 - 2002
Home Health Care Nurse/Research Coordinator
Facilitate phase III clinical trials involving anemic oncology patients requiring blood transfusions following chemotherapy. Conduct patient screening, enrollment, informed consent procedures, administration of an investigational drug, and patient education. Collect and prepare source data and laboratory samples. Complete case report forms; report adverse events (AEs) and serious adverse events (SAEs). Provide resolution of data queries, communication with CRAs, submission of regulatory documents, and implementation of protocol procedures. Secure GCP and FDA compliance. Train research personnel. Led the organization to pass national audits for home care and research patients.
NATIONAL JEWISH MEDICAL RESEARCH CENTER 2001
General Clinical Research Center Nurse
Facilitate phase I, II, and III clinical trials involving adult and pediatric patients with pulmonary diseases, specifically asthma, in the #1 respiratory hospital. Manage patient randomization and research procedures while complying with clinical protocols as well as GCP and FDA regulations. Lead patient education, collection and preparation of source data and laboratory samples, investigational drug administration, and tracking and reporting of AEs and SAEs. Appointed as a General Clinical Research Center representative. Designated as a certified professional with competency and safety in working with human subjects. Transitioned into a research nurse role during staff shortage; increased patient enrollment 10% and achieved 90%+ patient satisfaction.
TEXAS HEART INSTITUTE AT ST. LUKE’S EPISCOPAL HOSPITAL 2000 – 2001
Cardiothoracic Anesthesia Research Nurse
Provide assistance during phase III cardiothoracic anesthesia trials involving various drug and instrumentation products for coronary bypass grafting patients in the operating room. Recruit, enroll, and follow patients, collect and prepare source data and laboratory samples, administer investigational drugs, and use investigational instrumentation. Complete case report forms, resolve data queries, communicated with the CRA, and tracked and reported AEs and SAEs.
TEXAS ORTHOPEDIC HOSPITAL 1999 – 2000
Operating Room Circulating Nurse
Assist physicians with surgery on orthopedic patients, specifically spinal and upper extremity injuries. Manage procedural documentation, medication administration, and clinical assessment of patients’ responses to treatments. Coordinate activities between surgeons, anesthesiologists, and operating room staff members. Achieved 95%+ patient satisfaction levels, one of the highest for any staff member, as a new graduate nurse.
CREDENTIALS
Presentations
“HIV Medication Adherence in Adolescents,” Ryan Coleman, SN, Prairie View A&M University, Houston, TX and William Holzemer, PhD, RN, University of California-San Francisco, San Francisco, CA.
Non Juried:
“HIV Medication Adherence in Adolescents,” Ryan Coleman, Summer Research Project, Presented before peer and university review boards.
Honors/Awards
Selected from a national pool of candidates to attend a nursing fellowship and research-training program at the University of California-San Francisco. Co-authored a paper and delivered a presentation on the topic with one of the nation’s leading HIV/behavior researchers.
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