Myakka City, FL ***** 863-***-**** ad3bun@r.postjobfree.com

JAMES BAILEY

Creative Medical Marketing Director with experience across multiple domains. Successfully managed united teams to achieve aggressive goals and produce results. Proactive and achievement-oriented Director of Marketing bringing 24 years of marketing and leadership experience with special emphasis helping healthcare clientele. Effective communicator, experienced leader and organized manager. Marketing and admissions professional with a history of meeting company goals and objectives, utilizing consistent and effective practices. Skilled in working under pressure and adapting to new situations and challenges. Detail- oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Innovative professional skilled in; developing marketing strategies, contract development and management, executing strategic plans and analyzing existing data to identify trends and inform decisions. Demonstrated ability to increase revenue and market share. Possesses excellent communication and customer service skills.

PROFESSIONAL

SUMMARY

SKILLS ● Project Management

● Campaign Development

Communications

Management

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● Market Tracking

● Key Decision Making

● Staff Management

Contract development,

negotiation and

management.

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DIRECTOR OF MARKETING 10/2019 to 12/2023

FRUITVILLE HOLDINGS-OPPIDAN, INC., Sarasota, FL

WORK HISTORY

Responsible for the oversight of all marketing and admission department activities with OPPIDAN a CARF Accredited neurologic rehabilitation facility specifically designed for rehabilitative treatment of traumatically brain injured and neurologically impaired.

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Applying experience in areas of healthcare management, Marketing and Admissions, performing payroll functions, hiring and interviewing of professional staff, interacting with physicians and insurance entities, group health insurance, medical case management, utilization review/management, healthcare standards and regulations, negligence, liability, malpractice, risk management and workers compensation.

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Managing referrals to ensure that all clinically appropriate client referrals are processed in timely and professional manner.

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Serving as primary individual to engage in contract review and negotiation with external funding entities, and vendors.

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Serving as qualified educational resource for professional community, public and private facilities, and families with regard to OPPIDAN specifically, and neurologic rehabilitation in general.

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Promoting and implementing OPPIDAN commitment to provide extraordinary customer service to clients and their families, serving as educational resource to community,

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REFERRAL COORDINATOR 10/1999 to 10/2019

Florida Institute for Neurologic Rehabilitation, Inc., Wauchula, FL PROGRAM CASE MANAGER 03/1999 to 10/1999

OPTIMAL ENVIRONMENTS, INC., Lutz, FL

regarding brain injury and related rehabilitation. Chaired 2 morning teleconferences with marketing representatives to cover daily schedules, and discuss active case strategies.

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● Devised content strategy to effectively engage targeted accounts.

● Responsible for all provider contract development and management. Oversaw preparation of marketing copy, images, videos, emails, and other promotional material development and dissemination.

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Coordinated with creative team to generate dynamic marketing content and communication tools for promotional campaigns.

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● Created content and promotional materials to drive engagement and conversions.

● Built strong relationships with industry professionals and influencers. Working within marketing and admissions department with Florida Institute for Neurologic Rehabilitation, Inc. (FINR), at one point a 238-bed rehabilitation continuum of care specifically designed for rehabilitative treatment of the traumatically brain injured and neurologically impaired.

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Applying experience in areas of healthcare management, verification of insurance benefits, interacting with physicians and insurance entities, group health insurance, medical case management, utilization review/management, healthcare standards and regulations, negligence, liability, malpractice, risk management and workers compensation.

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Managing referrals to ensure that all clinically appropriate clients are processed in timely and professional manner

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Serving as qualified educational resource for professional community, public and private facilities, and families with regard to the program specifically, and neurologic rehabilitation in general.

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● Processed referral requests from patients, physicians and other health care professionals.

● Responded to patient inquiries to offer timely updates regarding referral status.

● Called insurance carriers to process cases for precertification behalf of patients. Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.

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● Managed as many as 13 area managers.

● Accessed and reviewed patient records to verify receipt of completed referral files. Developed and maintained strong working relationship with referral sources to streamline processing.

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Weighed diagnostic appropriateness, viability of funding, and family/client goals to determine appropriateness of referral.

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Provided education and instruction to referral sources on referral processes, program capabilities, and brain injury and brain injury rehabilitation.

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Developed and implemented effective strategies to increase referral source communication and productivity.

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Liaised with other healthcare professionals to develop proposed treatment plans to drive the treatment program direction.

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● Spearheaded and implemented new projects to expand scope of engagement.

● Successfully negotiated client contract renewals to increase revenue. Responsibilities included, but were not limited to: coordination of care for each resident to ensure achievement of established goals through communication with clinical treatment

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MEDICAL CASE MANAGER 01/1996 to 03/1999

TRAVELERS PROPERTY AND CASUALTY, Tampa, FL

team, external case managers, adjusters, physicians, and attorneys; providing leadership for interdisciplinary treatment team meetings, authoring monthly treatment summary reports, implementing strategies to contain costs to ensure operation within financial constraints, facilitating written reports for use in legal proceedings, consulting with legal professionals on issues relating to guardianship, lawsuits, etc.; and completion of referral, pre-admission, and marketing processes.

Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.

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Developed and implemented comprehensive treatment plans plans to address client needs and goals.

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Partnered with physicians, social workers, skilled therapists, dieticians, and case managers to develop and implement individualized care plans and documented patient interactions and interventions.

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● Collaborated with interdisciplinary team to determine timely delivery of services. Developed comprehensive discharge plans to transition clients to appropriate service providers in community.

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Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations, and procedural costs.

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● Evaluated treatment plans against individual goals and healthcare standards.

● Provided leadership, guidance and support to staff members. Referred clients to appropriate team members, community agencies and organizations to meet treatment needs.

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Monitored program performance and outcomes for successful delivery of services, while maintaining consistent census above 90%.

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● Partnered with local organizations to expand access to social and community services.

● Worked in U.R.A.C. nationally accredited utilization review/medical case management unit. Responsibilities included performing medical reviews to determine medical necessity of surgical procedures, physical, occupational and speech therapies, and psychological treatment, diagnostic studies, etc.; coordinating communication of information between claims adjusters, patients, and providers within appropriate state mandated regulations and guidelines to ensure compliance for specific state.

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● These reviews were performed telephonically and electronically documented. Continually saving money on inappropriate procedures (Saved up to $60,000 on 2 cases in one day).

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● Received letter of commendation from Regional Vice President. Evaluated treatment plans against individual goals, established criteria, and healthcare standards.

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Discovered existing protocols for relatively new surgery and distributed it to physician reviewers and case managers.

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Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols

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Bellevue University, Bellevue, NE

Bachelor of Science, Healthcare Management, 03/2013 Honors: Summa Cum Laude

EDUCATION

● 4.0 GPA

PROFESSIONAL

DEVELOPMENT

● National Case Management Training Program, Travelers Insurance, Atlanta, Georgia, 1996

● Project Management Essentials Certified, PMEC, Management and Strategy Institute, 2024

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