Customer Service Case Manager

JUSTIN JEFFERS

**** ****** ***** ** ******* OK **044 · 660-***-****

**************@*******.***

Empowering clinical leader and analytical problem-solver with talent for team building, problem-solving, and motivating as well as excellent customer relations aptitude and relationship-building skills. Experienced clinical nurse leader who provides strategic vision to complex organizational needs with a focus on quality while improving operational outcomes. Proven experience in clinical strategy and operations, experience with standardizing best practices and process improvements.

EXPERIENCE

MARCH 2018 – PRESENT

ADON, TUTERA SENIOR LIVING & HEALTH CARE - KANSAS CITY, MO

ADON of a 95 bed LTC/Skilled nursing facility.

Assist the DON with oversite and evaluation of all clinical personnel.

Developed policies and procedures to ensure the success of the nursing department.

Assist in the training and development of clinical staff

Strong Rehabilitation focus within the building with high acuity patients coming from the hospital

Assist in ensuring nursing departments compliance with federal, state, and local regulations.

Collaborate with physicians, pharmacists, and other clinical providers to coordinate care and services for the patients within the facility.

Track, trend, and report clinical data to identify risk.

Assist the DON in leading clinical quality and process improvement initiatives within the facility to mitigate risk and improve patient outcomes.

SEPTEMBER 2014 – MARCH 2018

ADON/CASE MANAGER/HR DIRECTOR/MDS DIRECTOR, KANSAS CITY TRANSITIONAL CARE CENTER

I assisted with the opening of the facility in September of 2014 by managing multiple departments.

Responsible for hiring, training, and scheduling of all direct care nursing staff

Supervised the delivery of health care while ensuring the highest levels of safety and well-being for residents

Developed policies and procedures to ensure the success of the nursing department.

Work in collaboration with the IDT to ensure accurate and timely completion of all Medicare documents to maintain regulatory compliance within the community. To include but not limited to: Physician certification/ recertification, NOMNC, SNF ABNs, ABNs, and Letter of medical predictability.

Ensure facility is compliant with federal and state regulations. Develop plan of corrections for any policies that are out of compliance

Communicating the care preferences of clients, serving as

their advocate, and verifying that interventions meet the client's needs and goals of treatment

EDUCATION

JUNE 2004

LPN, north central missouri college

Completed the LPN program in June of 2004 and passed NCLEX in July of 2004.

SKILLS

Nurse Management (15 years)

Case Management (6 years)

Quality Control

MDS

Skilled Nursing

Quality Audits

EMR systems

Insurance Verification

Clinical Documentation Review

Medication Administration

Medical Procedure Scheduling

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