Pamela Parson-Williams, MSN, MHA; RN; FASRN, PHC

**** ******** ** *** *

Rahway, N.J. 07065

Cell: 973-***-****

adrt21@r.postjobfree.com

EDUCATION

Hampton University

Hampton, Virginia

Bachelors of Science in Nursing.

1987-1992

University of Phoenix

Phoenix, Arizona

Masters of Science in Nursing

Masters of Healthcare Administration

2013-2016

EXPERIENCE

Horizon Blue Cross and Blue Shield of New Jersey

Newark, New Jersey

Supervisor Inpatient Case Management

2006 – 2013

Responsible for leading a specific clinical care team in a hands-on manner to provide exceptional service to the customer and contain medial claims cost. This is accomplished through active involvement and leading of the day-to-day operations of a clinical care team and ensuring staff is consistent with Horizon’s policies and procedures and are compliant with contractual, state and federal guidelines. I also serve as a medical resource to members and providers, as well as non-clinical staff.

Supervisor Prior Authorization Clinical Management

2013 - 2015

Responsible for leading the clinical care team in a hands-on manner to provide exceptional service to the customer and contain medial claims cost. This is accomplished through active involvement and leading of the day-to-day operations of the prior authorization clinical care team and ensuring staff is consistent with Horizon's policies and procedures. The staff are managed to adhere to compliance with contractual, state and federal guidelines as well. The team serves as a medical resource to members and providers, as well as non-clinical staff.

Manager Utilization Management Appeals

2015 – Present

Responsible for providing leadership and oversight of the overall clinical and non-clinical operations through assisting the Director in establishing, interpreting and implementing new and existing company policies and procedures. I am also responsible for the adherence and maintenance of the regulatory agency requirements and for analyzing utilization, performance trends, and quality of health care to ensure timely and cost effective delivery.

Trinitas School of Nursing

Elizabeth, New Jersey

Adjunct Faculty

2017 – Present

Responsible for educating future nurses for the 21st century in healthcare. We address the many changes that must be adapted by nursing curricula. I am the clinical instructor for first year students in a local community facility. Currently, we are managing patients on a 30 bed, stepdown telemetry floor. The patients encompass Cardiac, Medical, Surgical and overflow, as applicable. I am committed to the vision of excellence as we continue to move forward into the second decade of this millennium. Trinitas School of Nursing is accredited by the Accreditation Commission for Nursing Education, Inc. and accredited and approved by the New Jersey State Board of Nursing.

Certifications/Membership

Population Health Coordinator – Duke University

Sigma Theta Tau National Honor Society

Chi Eta Phi Sorority, Incorporated

National Black Nurses Association

American Society of Case Management

National Council of Negro Women

Fellow American Society of Registered Nurses

References Available Upon Request

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