Clinical Business Consultant
Resume:
Hector Leonardo Beltran Dechner
Oldsmar FL 34677
*****************@*****.***
September 15, 2021
Dear Hiring Manager,
I am applying for a position at your company. Based on the posted description, I am confident that I am fully qualified for the position and will be a strong addition to your team. I look forward to a job interview at your earliest convenience. Please find my resume attached. I can be reached at the number above or at my email address. Sincerely,
Hector Leonardo Beltran Dechner
September 2017- Present
Hector Leonardo Beltran Dechner
245 Countryside key blvd Oldsmar FL 34677
727-***-**** • *****************@*****.***
Objective
Creative and resourceful individual with 11+ years of clinical, and business management experience. Coming with a broad knowledge of clinical business/technical consulting, high-level commitment to quality, problem-solving, analytical skills, and strong project management skills. Key Qualifications
● Accomplished Clinical business consultant – Over 11 years of clinical experience and 6+ years of experience assisting clients in analyzing, implementing and evaluating business projects to exceed performance expectations utilizing varied business practices, core competencies, and key skills include:
● Decision maker – Collecting facts, discovering issues and providing sound solutions.
● Planner Self-motivated Strategist Analytical Problem solver
● Communication and presentation skills
● Able to build strong customer relationship
● Out of the box thinking: thinking beyond existing practices and mindsets
● A planner and a strategist
● Self motivated
● Superb presentation skills
● Able to cooperate with diverse professionals
● Effective networking skills to deal with customers
● Creative thinking and critical thinking abilities
● Knowledge about latest trends in order to formulate strategies. Work Experience
Product Manager / Case Manager SME
Mhk – Tampa, FL
● Led multiple code upgrades for the UM / CM & Provider Portal solutions.
● Managed the Care Management implementation of multiple multimillion Dollar Health plans implementations.
● Participated in and/or lead in the strategic direction, feature design, user interaction, requirements, and roadmap of one or more products and solutions.
● Worked with development, implementation, testing, support, sales, and field engineering team members to bring new features and products to successful release.
● Communicated with current and potential customers on a regular basis to understand their processes and needs.
● Translated those into product requirements, understood needed changes over time, and helped customers get the greatest value from mhk solutions.
● Represented the “voice of the customer” internally, using healthcare domain experience in guiding product design and development.
● Collaborated on overall mhk product strategy, roadmap, and cohesiveness with colleagues on the Product Management team possessing a range of health and technology expertise.
● Served as an internal subject matter expert in one or more health domain areas.
● Understood and advised on relevant industry trends, including new products, regulatory changes, scientific and medical advances.
● Provided real-time analysis and updates prior, during, and post implementations as to better defined gains and areas of improvement.
May 2019 - Sept 2019
April 2016 - Dec 2018
Feb 2013 - Sept 2015
July 2006 - July 2015
Behavioral Health Staff Registered Nurse
UHS – Pinellas Park FL
● Collaborated with a clinical team of 3 clinical specialists to assist patients through a period of mental crisis.
● Conducted quality reviews for the all psychiatric units.
● Conducted patient psychiatric admissions, assessment, psych orders review, obtained & interpreted appropriate lab tests.
● Chronic patient care in med-surg unit, adeptly handling all aspects of treatment from medication administration to monitoring critical patients per shift.
● Supervised and managed number clinical and support staff in patient care activities while maintaining a high level of staff morale & professionalism.
● Encouraged the use of traditional and non-traditional effective mindful practices during regular patients lifestyle, and moments of crisis.
Utilization Clinical Reviewer
Healthcare Integrated
● Let the coordination and completion of efficient clinical reviews of inpatient and outpatient authorizations.
● Consistently followed with applicable laws and regulations and ensured facility adhered to Medicare, Medicaid and independent health plan regulations.
● Continually maintained and improved the company's reputation and positive image in the markets served.
● Achieved high staff morale/retention through effective communication and facilitating a proactive environment.
● Assisted in the resolution of patients and providers related operational discrepancies.
● Coordinated patient discharges, and post discharge care management tasks.
● Identified inpatient and service request process improvement ideas that led to changes in processes. Clinical Supervisor
Carecentrix/SMS – Tampa, FL
● Led the Clinical and non clinical teams on key production initiatives.
● Conducted multiple prior authorization management studies & proposals which led to more efficient processes.
● Interpreted, and communicated new or revised Medicare, and indecent health plan guidelines.
● Strategically planned methods to achieve operational goals.
● Continually maintained & improved the company's reputation in the markets served.
● Encouraged creative thinking, and empowered the teams to collaborate on providing news ideas and development of better processes.
● Achieved high staff morale & retention through effective communication and proactive supervisory practices.
● Routinely collaborated with department managers to correct discrepancies & improve services.
● Supervised and managed the daily activities of the clinical team consisting of a number nurses and support staff.
● Assisted in identifying, resolving & satisfying client requests and internal operational issues.
● Conducted daily & weekly meetings with front working clinicians, non-clinicians, & the utilization executive team.
Staff Nurse/LPN Supervisor
Manor Care – Palm Harbor, 34684, FL
● Completed patient admissions to long-term and rehab care units.
● Completed daily assessments, orders, obtained/interpreted appropriate lab results, provided wound care treatments, IV antibiotic therapies, TPN therapy, trach care, G-tube care, & G-tube feedings.
● Supervised a number of clinical and support staff.
● Provided pharmacological and non-pharmacological management for the treatment of various disorders.
● Made recommendations for professional development based on performance reviews.
● Ensured compliance with prescribed standards of practice.
● Collaborated with patient care team to yield positive patient outcomes Feb 2012 - Feb 2013
2009 - 2011
Jan 2008 - Jan 2011
2018 - Present
2014 - 2016
2006-2007
Concurrent Review Nurse
Universal Health Care Insurance – Saint Petersburg, FL
● Coordinated and completed efficient clinical reviews of inpatient and outpatient authorizations.
● Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
● Continually maintained and improved the company's reputation and positive image in the markets served.
● Achieved high staff morale/retention through effective communication and facilitating a proactive environment.
● Assisted in the resolution of patients and providers related operational discrepancies.
● Coordinated patient discharges, and post discharge care management tasks. Home Health Nurse
American Nurses - Pinellas Park, FL
● Served as a clinical resource to our patients and their caregivers.
● Collaborated with multi departmental teams to address multiple critical events as a result of patients exacerbated medical conditions.
● Ensured a smooth transition of services upon a patients initial assessment and discharge.
● Collaborated with the interdisciplinary team in the management of the patients care.
● Provided best nursing related teaching based the clients pharmacological and non pharmacological needs.
● Obtained/interpreted appropriate lab results. Povided wound care treatments, IV antibiotic therapies, Trach care, G-tube care & G-tube feedings. Staff Nurse
Freedom Square – Seminole, FL
● Collaborated with other to complete efficient patient admissions to long term care, rehabilitation care, and memory care-units.
● Completed daily assessments, orders, obtained/interpreted appropriate lab results, provided wound care treatments, IV antibiotic therapies, TPN therapy, trach care, G-tube care, & G-tube feedings.
● Oversaw and led a team of clinicians and support staff.
● Collaborated with patient care team to yield positive patient outcomes.
● Made recommendations for professional development based on performance reviews.
● Ensured compliance with prescribed standards of practice. Education
RN / BSN
Medical Prep Institute of Tampa Bay
RN / ADN
Medical Prep Institute of Tampa Bay
LPN
Pinellas Technical Education Center, St. Petersburg, FL Other Skills
● Bilingual (Spanish & English).
● Strong interpersonal and communication skills; computer experience.
● Knowledge of Interqual, McKesson and CMS guidelines.
● Proficient with Microsoft office, and multiple clinical platforms/applications.
● Proficient with Agile, and Waterfall project management methodologies.
Contact this candidate