Nurse Manager
Resume:
Marianne Johnson
*** ******** **., ************ *****
Mobile Phone: 412-***-****
E-mail: ************@****.***
OBJECTIVE
Healthcare Professional who is self-motivated, has excellent communication skills, works well with and in collaboration with other team members and possesses exceptional ability to multi-task while producing quality results.
WORK EXPERIENCE
Maternity Clinical Coordinator Medicaid
August 2019- Present
Coordinate maternity and women’s health clinical initiatives for the Medicaid members to ensure a focused, clinically sound, cost effective Medicaid care management model.
Engage with Medicaid providers about evidence-based clinical best practices and DHS regulatory focus topics related to maternal health and women’s health initiatives.
Work with Health Plan clinical leadership, quality leadership, and network management to ensure coordinated care for members and support best practice and high-quality care with providers
Supervisor Mobile Maternity Team UPMC Health Plan
May 2017- August 2019
Day to day management eight Care Managers and one Licensed Social Worker
Conduct interviews, responsible for hiring, yearly evaluations
Complete daily managerial reporting, conduct team meetings
Special projects
On-site Provider office outreach
Sr. Care Manager UPMC Health Plan Maternity Mobile Care Manager
April 2017- May 2017
Face to Face encounters with antepartum members
Educate on all aspects of Maternal/Child well-being
Resource and Advocate for members
Develop, initiate, and execute comprehensive Plans of Care
Work in collaboration with Health Plan (HP)Maternity Care Management Team, Providers, Facilities to achieve optimal outcomes
Coordinate care with appropriate HP services
Project creation, and implementation
Sr. Care Manager UPMC Health Plan
January 2016- April 2017
Project Development
Resource person for colleagues
Provide patient education to patients and care givers
Develop and initiate comprehensive discharge plans of care
Work in collaboration with hospital Case Management team, hospital staff, physicians, home care/hospice agencies, DME companies, post-acute care facilities
Schedule follow up appointments and testing
Coordinate care with UPMC Health Plan services
Contact/Resource representative in facility for UPMC Health Plan services
Provide excellence of care through dedication to UPMC Mission Statement
On-Site Transition Coordinator UPMC Health Plan at Butler Memorial Hospital
October 2011- Present
Provide patient education to patients and care givers
Develop and initiate comprehensive discharge plans of care
Work in collaboration with hospital Case Management team, hospital staff, physicians, home care/hospice agencies, DME companies, post-acute care facilities
Schedule follow up appointments and testing
Coordinate care with UPMC Health Plan services
Contact/Resource representative in facility for UPMC Health Plan services
Provide excellence of care through dedication to UPMC Mission Statement
Community Nurse Liaison
October 2008 – October 2011
Concordia Visiting Nurses Cabot PA
Nurse Liaison to local hospitals and skilled facilities
Marketing to physicians and hospitals providing information on home care services
Knowledge of insurance payer types, qualifying diagnosis and durable medical equipment
Provides expertise in verbal, electronic and written communication to other health care providers to ensure seamless transition between inpatient and homecare setting
Creator and Manager of MIED Program
April 2004-October 2008
Concordia Visiting Nurses Cabot PA
Created, managed and facilitated Mom/Baby program
Responsible for writing policies, procedures, competencies, hiring of personnel, annual evaluations and case management
Maintained case load of antepartum, postpartum and newborns
Maintained State Survey readiness for mom/baby program
Mom/Baby Home Health Nurse
January 2002-February 2004
Armstrong County Memorial Hospital Kittanning PA
Performed antepartum/ postpartum/ newborn home visits, physical and emotional assessments of mom and baby, referrals to community and government agencies, insurance authorization for home visits,
Education of patients and families
Staff Nurse Labor/Delivery/Postpartum/Newborn Nursery
November 2000-January 2002
Armstrong County Memorial Hospital Kittanning PA
Staff nurse part time employment rotating through labor/delivery/postpartum and newborn nursery
Registered Nurse OB/Gyne Office
November 2000-January 2002
Office of Dr. Joseph Rhageeb Natrona Heights PA
Served as RN in office setting assisting with procedures alongside physician, assessing patients, coordinating hospital testing and admissions, insurance authorizations, chart review, ordering and maintaining office supplies and equipment
Preformed low risk antepartum checks for physician when unavailable
Obstetrics Staff Nurse
June-1984-October 2000
Citizens General Hospital New Kensington PA
Prenatal Class instructor
Managed outpatient Prenatal Clinic
Provided expert care to antepartum, laboring and postpartum patients and newborns
Charge nurse and lead RN on all shifts, preceptor for new hires
Served on Steering Committee for implementation of HBO computer based laboratory system
EDUCATION
Enrolled Western Governor’s University Master’s in Nursing Education Program
Estimated graduation date July 2020
Commission for Case Manager Certification (CCMC)
December 2015
Certified Case Manager (CCM)
Vickie Milazzo Institute
October 2015
Certified Legal Nurse Consultant
Slippery Rock University
May 2014
Bachelor of Science in Nursing (BSN)
Citizens General Hospital School of Nursing
August 1980-June 1984
Diploma School Program
Duquesne University
September 1978-December 1978
AWARDS & HONORS
UPMC Health Plan Superstar Award 2015
Magna Cum Laude Slippery Rock University May 2014
Sigma Theta Tau International Honor Society of Nursing 2013
Golden Key Honor Society 2013
Recipient of Dale Carnegie Championship Award in Dale Carnegie Sales Advantage Course December 2009
COMMITTEES & ORGANIZATIONS
National Alliance of Legal Nurse Consultants
Co-chair Profession Practice Council (PPC)UPMC Health Plan
REFERENCES
Available on request
Contact this candidate