Part-Time Subject Matter

Megan Steffora Aldin, RN, BSN

Miami, Florida

Cell 312-***-**** - E-mail: **********@*****.***

https://www.linkedin.com/in/megan-steffora-aldin-53a53419/

Objective

Experienced RN, licensed in New York and Florida (Compact), with both clinical and administrative work experience.

Subject matter expertise in Health Literacy and readability for patient communication

Experience with regulatory compliance to meet State and National guidelines

Prefer Telecommuting in either a Part-Time or Full-Time position

Professional Experience

UnitedHealthcare/Optum Miami, Florida

Clinical Nurse Consultant (April 2016 – April 2024)

Promoted to a multidisciplinary team that focuses on Health Literacy and insuring ‘Just Plain Clear’ language and readability in denial letters and templates.

Develops and maintains an online Model Language Tool for use by Medical Directors and acts as a subject matter expert for staff as needed

Ensures that standards are met in Health Literacy while also following State and National guidelines for language;

Completed UnitedHealthcare Emerging Leader Program, September 2019.

UnitedHealthcare New York, New York

Clinical Auditor (February 2012 - April 2016)

Coordinated the internal reviews on denial letters to determine compliance with contractual and regulatory requirements of state Medicaid and Medicare programs, while reviewing for efficiencies and effectiveness of procedures.

Reviewed denial notices issued by the Notification Unit to ensure accuracy and compliance, as well as providing recommendations for improvement, as needed;

Maintained extensive knowledge of regulatory and applicable accrediting body requirements for compliance matters, including state rules, contractor risk agreements, and federal legislation and company guidelines.

EHE International New York, New York

Clinical Intervention Nurse (May 2009 - June 2011)

Coordinated follow-up care, including specialist appointments, referral services and health coaching.

Alerted member patients of significant laboratory and diagnostic findings and provided counseling post health exams for specific health risks;

Assisted in weekly posting of information regarding pertinent health topics on company website, and daily monitoring of responses.

New York-Presbyterian Hospital New York, New York

Bone Marrow Transplant Coordinator, Oncology Service Line (April 2008 - May 2009)

Responsible for the identification and work-up supervision of patients who were undergoing Stem Cell Transplantation.

Managed and identified caseload of patients undergoing Stem Cell Transplantation to ensure that pre-transplant testing was completed in compliance with transplant procedure and research protocols;

Conducted searches for sibling and unrelated donors through international databases;

Educated patients regarding medications, side effects, transplant procedures and research protocols.

Children’s Memorial Hospital Chicago, Illinois

Patient Safety Project Manager (October 2005 - February 2007)

Reported to CMO, with responsibility for generating quarterly reports regarding safety and adverse events.

Involved in all aspects of patient safety and investigation of adverse events within the hospital, from review of occurrence reports, medical record review, interviews of relevant parties and conduction of Root Cause Analyses;

Led and/or participated in various hospital committees, including Patient Safety.

New York-Presbyterian Hospital New York, New York

Black Belt, Performance Excellence (July 2004 - October 2005)

Involved in GE Six Sigma program, which focused on developing team leadership, project development and statistical analysis skills.

Oversaw stages of a project with the goal of improving patient care, from the initial phase of collecting and analyzing data to implementing change resolutions;

Assisted with completion of application and other preparation for upcoming JCAHO survey, including coordination of command center for CMS survey and preparation and evaluation of Periodic Performance Review for all inpatient and outpatient departments for JCAHO.

Risk Control Analyst (December 2002 - July 2004)

Reported to Administrator of Claims Management supporting the Hospital’s malpractice insurance program.

Managed caseload of malpractice lawsuits against the hospital, in coordination with outside counsel, including interviewing involved parties, providing industry expertise and reporting progress to internal management;

Established appropriate levels of insurance indemnity reserves and related expenses for hospital lawsuits, in coordination with in-house insurance expert and third-party insurance companies;

Investigated and reported significant events with completion of Root Cause Analyses for NY state database.

Senior Staff Nurse- Pediatric Intensive Care Unit (June 1999 - December 2002)

Assumed responsibilities of charge nurse, which included the coordination of patient admissions, staffing of nurses, and acting as a resource for newer staff members on the night shift.

Performed critical care nursing and charge nurse responsibilities on a 20 bed intensive care unit, including proficient utilization of patient documentation software;

Involved in preparation of unit staff for JCAHO survey.

Education

Columbia University – School of Nursing New York, New York

Completed graduate level course work in research methodology (Spring 2003) GPA 4.0/4.0

University of Pennsylvania Philadelphia, Pennsylvania

Completed graduate level coursework in Health Care Administration (Summer and Fall 2001) GPA 3.7/4.0

University of Pennsylvania Philadelphia, Pennsylvania

Bachelor of Science in Nursing (May 1999) GPA 3.3/4.0

Recipient of the Alex Hillman Family Foundation Scholarship

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