Nurse Practitioner Medical

EDUCATION

**** ******* ** ******* ** Nursing, Spring Arbor University (MSN-FNP)

**** ******* ** ******* ** Health Administration, Central Michigan University (MSHA)

**** ********* ** ******* ** Nursing, Medical College of Georgia (BSN)

1982 Associate of Science in Radiology, Medical College Georgia (ASRT)

PROFESSIONAL EXPERIENCE

PHYSICIANS URGENT CARE (Franklin, TN; Brentwood, TN; Berry Farms, TN) July 2020 - Present

PRN Staff Nurse Practitioner (FNP – BC)

Independently assessing and treating patients with common acute conditions, illnesses, or minor trauma

Perform examinations and screenings of patients

Order and administer tests including bloodwork

Order diagnostic tests as appropriate

Review, interpret test results, diagnoses health problems and recommend further treatments options

Prescribing medications within scope of license

Consult with other healthcare professionals as needed.

ANTHEM INC., Indianapolis, IN October 2005 – Present

Health Services Director, Care Management

Designed, implemented, directed and evaluated strategic Population Health and Disease Management programs to support clinical, quality-related or business goals for the Government Business Division unit.

Subject Matter Expert supporting the Commercial Health and Medicaid Accounts. Currently involved in implementing the Case Management programs at the state level.

Developed strategic partnerships with health plan leadership and external customer representatives / vendors.

Reported project status to senior management, ensuring accuracy and timeliness of deliverables for assigned functional areas.

Implemented and ensured compliance with corporate management policies, practices, and procedures.

Directed reporting/forecasting activities of the business unit focused on setting and achieving short and long-term strategic goals.

Delivered analyses and project updates to all areas requiring information for management reporting, analysis and executive decision-making.

Coordinated developing and implementing policies and procedures to support strategic plans, objectives and NCQA elements.

Vanderbilt University Medical Center, Nashville, TN August 2002 – October 2005

Director of Patient Care Services, Vanderbilt Breast Center for Women’s Health and Imaging

Managed a staff of 35 FTE’s, including Nurses, Mammography Radiologic Technologist and administrative staff.

Oversaw the operations 3 internal/external mammography/cancer clinics.

Responsible for fiscal accountability, maintaining state and federal regulatory standards: ACR Certification (Academy of Radiology), MQSA (Mammography Quality Standards Act) accreditation

Implemented patient satisfaction surveys of pre & post mammogram procedures.

Developed procedures with community services to promote access to healthcare and treatment of the underserved population in the Nashville Community and adjacent areas.

Accountable for a $15M budget, P&L, reporting to the finance committee regarding budget and Cost of Care issues.

Increased mammography clinic utilization 35%, mainly through implementation of community outreach efforts.

HCA - Summit Medical Center, Hermitage, TN April 1999 – May 2002

Director of Emergency Services, Level II Trauma Center / Director of Diagnostic Imaging

Implemented performance improvement activities and monitored quality outcomes for the Emergency Department.

Conducted Spanish classes for hospital staff.

Managed 110+ FTE’s: Registered Nurses, Licensed Practical Nurses, Paramedics and administrative staff.

PRN Staffing in the Joseph M. Still burn center, as needed.

Collaborated with ED Physicians to developed and implement “Treatment Guidelines” for the Emergency Department.

Achieved top Best 25% of HCA’s ED Departments benchmarks and a ranking of 37th out of 166 HCA hospitals.

Chaired of the Emergency Preparedness Committee for Summit Medical and committee member with the Nashville Emergency Response Team.

Developed and implemented the Hospital Emergency Incident Command System for the hospital and a Customer Service training program for Emergency Department Staff post 9/11.

Increased ED visits by 21%, via the implementation of a walk-in ED clinic, utilizing physician assistants and nurse practitioners.

Accountable for a $15M+ budget.

Instituted an evaluation and subsequent set of initiatives to shore up efficiency and boost patient satisfaction of the Imaging Department. Outcomes that were accomplished without an increase in staff included:

oIncreased patient satisfaction (65% to 85%)

oIncreased employee satisfaction (74% to 82%)

Bolstered reimbursements 8% by improving clinical documentation and ensuring the accurate use of modifier coding.

South Carolina Department of Corrections (SCDC), Columbia, SC December 1997 - February 1999

Program Manager I

Oversaw the Health Care provided for 9 Prison Medical units, 250 + FTEs, managing the budgeting and contract, overseeing all areas of care provided by the external prison health vendor, Correctional Medical Services (CMS). Areas of services included: Medical Dental and Nursing Services, Quality Management, Infection Control, Pharmacy, and Ancillary Services, Case Management and Utilization Management.

Conducted routine audits of all prison Medical Health Units and served as the Quality Management Coordinator,

Served as HIV Clinical Coordinator for an inmate population of 558 inmates. Responsible for the coordination of inmate counseling, daily dorm rounds, coordinating care with Infectious Disease Specialists, discharge planning of HIV inmates, disease management training to the HIV inmates, and training of staff in issues related to the HIV disease and developed strategies to facilitate treatment of HIV inmates within a correctional environment and post release from prison.

Correctional Medical Services, Inc. (CMS), Summerville, SC October 1996 - December 1997

Director of Nursing Services

Medical College of Georgia, Augusta, Georgia, February 1993 – October 1996

Senior Surgical ICU / Trauma Nurse

Wills Memorial Hospital, Washington, Georgia August 1992 – February 1993

Director of Critical Care Services (Emergency Department & ICU)

Augusta Correctional and Medical Institution (ACMI), Grovetown, Georgia August 1991 - August 1992

Unit Head Nurse - HIV Maximum Security Unit

Surgical ICU/Open Heart Recovery - Medical College of Georgia, Augusta, Georgia June 1989 – August 1991

Charge - Staff Registered Nurse

CAREER PRIOR TO NURSING

Medical College of Georgia, Augusta, Georgia April 1987 - June 1989

Senior Radiological Technologist / Special Procedures

St. Joseph’s Hospital, Augusta, Georgia, 309120 August 1981 – April 1987

Lead Radiological Technologist

REGISTRATIONS & CERTIFICATIONS

Family Nurse Practitioner Certification (FNP-BC) January 2020

Register Nurse, June 1989

Certified Case Management, March 2014

Registered Radiologic Technologist, September 1983

LANGUAGES

Fluently Speak, Read and Write Spanish

REFERENCES AVAILABLE ON REQUEST

Contact this candidate