Operations Coordinator Management

Anita Nesby-Flowers BS., RN

***** ******* ***** *******, ******** phone no. 248-***-**** Email *******@*******.***

PROFESSIONAL SUMMARY:

Nursing professional multi-faceted, efficient and reliable with 25+ years of experience, with high level of problem solving, assessment and customer service skills, well organized and results focused, who demonstrates effective written and oral communication, experience in directing staff while maintaining leadership to provide, and improve quality, collaborates with health plans interdisciplinary teams and department to effectively plan, implement, evaluate and effect change for the greatest quality outcomes.

Salvation Army Harbor Light. 4/2022-11/2022

Medical Administrator, Medical Respite program

Coordinator of medical respite program and supervision of medical staff for medical respite, SUD, and residential programs. Collaborate with clinical and other departments

Total Health Care Inc. 10/2015-10/2021

Manager, Care Management/Clinical Operations

Responsibilities include management of Case Management, Disease Management, Utilization Management and clinical operations departments. Direct reports; CEO and Associate Medical Director.

Total Health Care Inc. 7/2007-10/2015

Clinical Operations Coordinator

Total Health performed in multiple roles as a clinician such as, Clinical Operations Coordinator, Complex Case management and Diseased management, quality improvement specials, HEDIS analyst, Clinical lead in the implementation our Care Management data system and was Plan facilitated for collaborative project with U of M and the Institute for Health Care Studies initiative Reducing Disparities at the Practice Site (RDPS) a 3 year transition to Patient Centered Medical Home Project. Clinical lead for THC’s SNP program 2013-2015.

St. John Detroit Riverview Hospital--10/2005-7/2007

Clinical Case Manager/Discharge Planner

Utilized strong organizational, collaborative skill and knowledge of the health care industry along with understanding for the surrounding community afforded me the ability to successful move clients to the appropriate next level of care utilizing all the, benefits and resources available to meet the individual needs of the patient and their family to provide effective transitions of care.

Detroit Community Health Connection -4/2003-10/2005

Center Director

Administrative duties including monitoring regulatory compliance, management of Health Center business operation and the health center staff and coordination of the Health Center’s activities. Consults with and offered suggestion to the Leadership on challenges and opportunities related to the operation of the four other sister health center facilities. Center director role included, acting as a liaison between the Health Center, patient and community of perspective users of the health center services; participate in the development of corporate strategies, promotion professional development. Fifteen to twenty percent of the Center Directors time was spend building and promoting health and wellness in surrounding communities by attending police precinct and community organization meeting, organized health fair for health screenings. Leadership was evident by my ability to increased encounter activity from an average of six hundred fifty per month to just over one thousand per month over a twelve-month period.

Apria Healthcare Group-9/2003-4/2004

Responsible for the in-service, marketing and sales of Apria’s complete infusion product line, which included but not limited to TPN, Enteral, Hydration, Antibiotic, immune, chemo-therapies and pain management.

CAPE Health Plan-6/1997-2/2003

Director of Case and Utilization Management

Responsibilities were directing program development of activities within a department. Specific job duties include collaboration with and strategizing with senior management and directors for the maintaining of quality-improvement programs, collaborating with physicians and medical staff to ensure service expectations are being met, directing the workflow of other case managers, utilization mangers and developing departmental policies and procedures.

Great Lakes Health Plan-11/1996-6/1997

Utilization Management Specialist

Duties included but not limited to telephonic case and utilization management review.

Detroit Receiving Hospital-9/1980-11/1996

Care Manager/QI specialist/Acute Care Nursing

Clinical experience across multiple disciplines in the acute care inpatient setting, advanced to Quality department and performed specific surgical quality studies, performed third party payer utilization management and was selected by Vice President of Nursing to participate in Discharge Planning, Utilization Management and Social Work Redesign project.

EDUCATION:

B.S. Applied Science-Nursing

Siena Heights University

Adrian, Michigan 2003

Associated Degree Registered Nurse

Wayne County Community College District

Detroit, Michigan 1986

MDTA Practical Nursing Program

Detroit, Michigan 1975

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