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Manager Management RN

Location:
Katy, TX
Posted:
September 24, 2016

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Resume:

William L. Weeks, RN, BBA

**** *********** **.

Katy, Texas 77494

281-***-**** cell acwrcm@r.postjobfree.com

SUMMARY

Over 20 years experience as a Registered Nurse with a current unrestricted Texas RN license. Graduate of the Houston Community College nursing program. Bachelor’s Degree in Business Administration with a concentration in Healthcare Management from American InterContinental University, GPA 3.80. Management experience. Over ten years experience in bilingual medical case management and disease management for pediatrics, adults, and seniors. Over five years experience in OR, ER, and critical care. Extensive project management, process improvement, workflow analysis, quality assurance, and contract compliance experience. I am a Combat Veteran, U.S. Army Special Forces. Bilingual English and Spanish. I am a life long non-smoker. Currently working in pediatric home health.

EXPERIENCE

NURSING SUPERVISOR / CASE MANAGER

Employed with Epic Health Services, specializing in high acuity pediatric patients, from February 2010 to November 2015. I worked as a Nursing Supervisor and Case Manager. I did admissions, assessments, authorizations, supervised nurses.

HEALTH SERVICES MANAGER

Health Services Manager with EverCare of Texas for over two years. In that time I have managed two departments, the Telephonic Service Coordination and the Precertification department. In both departments, I put in place standard operating procedures and developed processes that greatly improved productivity, cost effectiveness, and customer service. Designed and implemented the Disease Management program.

RESOURCE COORDINATOR

Resource Coordinator for the Texas Medicaid Enhanced Care Disease Management Program (McKesson Inc.) from November 2004 to September 2007. Provided care coordination and resource coordination support and classes for field based and telephonic disease management nurses. Provided care coordination for difficult and complex cases. Performed chart reviews for quality assurance. Participated in biweekly meetings with Health and Human Services Commission. Designed, prepared and delivered reports to the client, HHSC. Participated in contract compliance audits. Contributed to quarterly and annual reports. Collaborated with HHSC to develop programs that provide better benefits to members and resulting in better clinical outcomes while reducing overall costs for the client.

CASE MANAGER

Case Manager for the Texas Medicaid and Healthcare Partnership (TMHP), Texas Health Network, August 2001 to November 2004. Coauthored case management assessment tools and participated in the design of the case management workflow process. Performed health status assessments, formulated case management plans,

and assessed the appropriateness of the treatment plans for pediatric, adult, and senior Medicaid recipients. Coordinated the activities of the multidisciplinary team members involved in the members’ care. Facilitated members’ access to state and community medical and social services. Provided ongoing evaluation of case management plans to determine effectiveness in attaining desired outcomes and goals.

CASE MANAGER

Workers’ compensation Case Manager, November 1995 to August 2001. Provide bilingual, on site, rehabilitation case management services to injured workers for Corvel, Intracorp, CRA Managed Care and as an independent contractor for contracts with workers’ compensation insurance companies and employers. Assist injured workers to access healthcare and community resources in order to optimize treatment outcomes, expedite return to work, and reduce overall case costs. Provided continual assessment of the efficacy of the treatment plan and the workers’ rehabilitation progress.

ICU NURSE / CATH LAB NURSE

John Sealy Hospital, the University of Texas Medical Branch at Galveston, October 1993 to August 1995. Nurse Clinician II in the cardiac catheterization laboratory and Coronary Care Unit. Also oriented and worked overtime in the Medical Intensive Care Unit, Surgical Intensive Care Unit, and Emergency Department.

ORTHOPEDIC OR NURSE / SURGICAL FIRST ASSISTANT

St. Luke’s Episcopal Hospital, Houston, Texas, May 1993 to October 1993. Member of the orthopedic operating room surgical team with duties to include circulating nurse, scrub nurse, and surgical first assistant.

SURGICAL FIRST ASSISTANT

The Bone and Joint Clinic of Houston, April 1992 to May 1993. Assisted in surgery, on hospital rounds, and in the clinic. Casting and minor procedures. Responsible for patient histories, all documentation, insurance verification and approval for surgery and diagnostics. Managed clinic and surgical schedules, supervised clinic support personal.

CARDIAC ASSIST TECHNICIAN

Baylor College of Medicine, Houston, Texas, March 1989 to April 1992, and Houston Life Support, Houston, Texas, January 1990 to December 1994. Operated intra-aortic balloon pumps, the Jarvik Total Artificial Heart, and left ventricular assist devices in both the intensive care and operating room environments. Also employed as a student nurse at The Methodist Hospital, Houston, Texas, December 1991 to May 1992, part time in the Cardiovascular Surgical Intensive Care unit and the Coronary Care Unit.

GREEN BERET MEDIC

U.S. Army Special Forces, July 1977 to May 1988. Proudly served with the 5th and 7th Special Forces Groups, and as an instructor with Special Forces Schools. Qualified as a Green Beret Medic and Weapons Specialist. Graduate of the Defense Language Institute, Spanish. Operated throughout Central and South America on various classified missions to include military adviser in El Salvador during the civil war and anti-drug and counter terrorist operations in Belize, Honduras, Colombia, and other locations. Organized and operated aid stations and clinics, managed medical coverage for large-scale field operations, trained and supervised medical and other military personnel.



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