Dyiana Etienne, RN Corona, CA adyi4y@r.postjobfree.com 914-***-****

Registered Nurse

Registered Nurse with clinical experience as both an RN Administrator and Case Manager handling demanding Commercial, Medical and Medicare caseloads and programs. Experience working closely with physicians to ensure the highest, most thorough patient care. Highly effective, detail-oriented healthcare professional with excellent communication and analytical skills. Strong clinical and case management background paired with deep knowledge of medical treatment protocols spanning disease management, acute care, home care, and long-term skilled care. Broad nursing experience working in diverse facilities. Fluent in Spanish

Core strengths include:

Interpersonal Communication Collaboration & Teamwork Patient Advocacy Health Coaching & Education Relationship Building Provider Coverage & Coordination Telephonic Health Assessment Care Planning & Coordination of Care Intervention & Evaluation Cultural Competence & Adaption Utilization Review & Management Quality Improvement Clinical & Behavioral Health Case Management & Resource Management Disease Management

Education, License & Certification

Master of Science, Nurse Administration, College of Mount Saint Vincent, Riverdale, NY

Bachelor of Science, Nursing – College of Mount Saint Vincent, Riverdale, NY

Registered Nurse – Certified Case Manager (CCM)

Patient Review Instrument – State of New York PRI & Screen (PRI)

Geriatric Workforce Enhancement Program– (GWEP)

Basic Life Support– (BLS)

Case Management Experience

Centene/Corona, CA 2020- Present

Case Manager

Remotely provided case management covering Tricare/Medicare and Medicaid. Telephonic Nurse Case Manager acts as an intermediary to drive appropriate and cost-effective intervention healthcare services for individuals by developing patient-centered case management plans. Leverages effective, independent nursing judgment and skills and evidence-based clinical decision-making criteria to optimize and improve individuals' health across the care continuum. Demonstrated experience in managing chronic disease processes, nursing process, and collaborative care planning, work environments.

Led a successful 65+-patients coordinated internal and external resources in collaboration with patients, families, health care teams, community agencies, and payors to achieve the best possible patient outcomes.

Utilization Management- Provide authorizations for transplant patients. Responsibilities include the review of medical records, review policy and procedures and make determinations for covered services.

Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols to optimize performance and safety.

Delivered outstanding care to patients with various diagnoses and managed care from treatment initiation through to completion.

Montefiore Medical Center Bronx, NY 2015-2020

Assistant Director of Nursing

Ensured that the nursing staff provided quality and appropriate patient care that met and exceeded the regulatory standards of health care.

Lead a team of RN’s, LPN’s, SW’s, and Ancillary staff

Directed day-to-day administrative and operational functions for a 700-bed facility, providing guidance and leadership to over 300 employees across more than 10 departments.

Established and implemented a staffing plan and nursing schedule.

Administered nursing services covering surgical, medical, critical care, pediatric, ICU, and emergency room.

Identified department issues to recommend corrective actions of the American Medical Association (AMA) elopement patients, care, and do not resuscitate (DNR) department issues.

Supported performance improvement projects.

Collaborated with staff, management, and external groups to coordinate administrative consents, a workflow of admissions, room charges, and discharges.

Center Light Healthcare System Bronx, NY 2013-2014

Assistant Director of Care Management

Drove day-to-day operations for designated Clinical Care Management Department teams. Provides management direction to Case Managers, Utilization Managers, Clinical Social Workers, Clinical Authorization Specialists, and Operational staff. Accountable for team Personnel Management, Fiscal Management, Communication, Customer Services, Goals/Outcomes Management, and Quality/Process Improvement Initiatives to ensure a high-quality level consistent with organizational standards.

Managed a staff of 90 Care Managers, five Department Managers, and up to 10, 000 Care Members.

Devised strategies to reduce expenses, modernize operations, and revamp procedures to improve institution operations.

Streamlined HR efficiencies, coordinated new hire orientations, and provided presentations and training to educate up to 50 new employees.

Performed care management, utilization management, discharge planning, care coordination, nursing, or social work.

HHH Choices Health Plan Bronx, NY 2011-2013

RN Case Manager Supervisor

Developed a plan of care that corresponds with the physician's orders by assessing the patient's needs, condition, environment, consultation with other health team members at time of initial visit and updating the plan of care regularly. Performed recruiting staff, conflict resolution, budgeting, implementing customer service standards, ensuring a high patient care level, and maintaining a safe and clean work environment. Handled DOH, CMS Survey Readiness, HEDIS Chart reviews, and Chart Audits.

Led an interdisciplinary team comprised of 12-15 Nurse Case Managers, Field Nurses, and clerical professionals.

Supervised 15 Care Managers, Field RN staff, and 1500 Medicaid team members.

Improved procedures for processes for quality review.

Additional Medical Experience:

Performance Improvement & Quality Management NY Presbyterian Hospital New York, NY 2010-2011

RN Case Manager & Utilization Manager Visiting Nurse Service of New York Bronx, NY 2004-2010

RN Home Health Care Nurse Montefiore Medical Center Bronx, NY 2003-2004

RN Clinical Staff Nurse Sound Shore Health System New Rochelle, NY 2002-2003

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