Utilization Review Clinical Education

Tanya Westbrook RNC-OB, MSN

Montrose, *****, United States, 970-***-****, ****************@*****.***

SUMMARY Accomplished RNC-OB, MSN with extensive leadership and direct patient care expertise, including IV therapy administration and clinical education in outpatient settings. Seeking to leverage specialized nursing skills as an Infusion Specialist

Dynamic Clinical Director with over three decades of experience in healthcare leadership and reimbursement consulting. Proven expertise in clinical utilization review and quality assurance, evidenced by increasing billable revenue by 34% within six months. Certified in clinical education and adept at developing interdisciplinary strategies to meet regulatory standards. Committed to leveraging extensive clinical knowledge and management capabilities to drive operational excellence and enhance patient outcomes in a fast-paced consulting environment.

WORK EXPERIENCE

09/2024 – 04/2025

Clinical Director/Utilization Review/QA Director, Starlight

Home Health

Montrose, USA

Developed and delivered clinical leadership and business management strategies for Home Health patients across four counties.

Coordinated care management teams to ensure that patient needs were met with appropriate schedules.

Conducted QA reviews to guarantee compliance with professional standards and organizational requirements.

Performed Utilization Review audits on all Medicare patients admitted for

service.

03/2024 – 09/2024

Clinical Educator, Cedar Point Health

Montrose, USA

Designed and delivered clinical education programs for staff within the Cedar Point Health Primary Care organization.

Facilitated hands-on training sessions for medical assistants and front office staff.

Engineered and launched a Medical Assistant certification program.

04/2022 – 03/2024

Senior Manager, Consulting Services, Oracle Cerner

Corporation

Kansas City, USA

Drove continuous improvement initiatives within professional services. Cultivated senior-level consultants with substantial solution knowledge and broad expertise across various offerings.

Established and nurtured executive-level relationships with key strategic

clients.

09/2021 – 12/2023

Interim Director Women’s Services, Piedmont Henry Hospital

Stockbridge, USA

Spearheaded leadership and oversight for the Women's Services department.

Orchestrated collaborative interdisciplinary strategies for DNV and ensured

compliance with regulatory standards.

04/2021 – 09/2021

Interim Director Women’s Services, Emory Hospital

Nashville, USA

Provided leadership and oversight for Women's Services.

Coordinated interdisciplinary strategies for Joint Commission preparation.

06/2020 – 01/2021 Nursing Director, RIVER VALLEY FAMILY HEALTH CENTER Montrose, USA

Managed day-to-day operations and provided direction for all nursing and medical assistant personnel.

Established the first primary COVID urgent care clinic in Montrose County.

12/2019 – 02/2020 Interim Director of Women’s Services – Obstetrics (thru LFT), Dallas, USA

B.E. SMITH

Provided leadership and strategic oversight for Women's Services. Focused on optimizing staffing/productivity grids and enhancing staff utilization ratios.

03/2019 – 11/2019 Clinical Education Specialist- Maternal Infant Care Milwaukee, USA

(Contract), GE HEALTHCARE

Delivered real-time education and training on medical devices utilized in Labor/Delivery and Postpartum environments.

Developed strong partnerships with C-Suite customers to enhance service delivery.

10/2018 – 03/2019 Interim Director of Women’s Services – Family Birth Saint Albans, USA Center (thru LFT), NORTHWESTERN MEDICAL CENTER

Administered leadership and oversight for Women's Services.

Stabilized unit staffing, resulting in a reduction of overtime and premium pay.

06/2018 – 04/2019 Clinical Nurse Manager – Montrose Team, HOPEWEST Montrose, USA HOSPICE

Directed leadership and oversight for Hospice/Palliative care staff. Ensured strict adherence to organizational policies, procedures, and

regulations.

01/2017 – 12/2018

Director of Women’s Services – The Baby Place, Elko, USA NORTHEASTERN NEVADA REGIONAL HOSPITAL

Provided directional leadership for Women's Services.

Increased billable revenue by 34% within 6 months through strategic initiatives.

11/2016 – 03/2017

Interim Nurse Manager, Birthing Center, UNIVERSITY OF Burlington, USA

VERMONT MEDICAL CENTER

Provided interim leadership for Birthing Center services.

Implemented a staffing grid with daily monitoring of patient census.

02/2016 – 11/2016 Senior Community Health Nurse Supervisor, STATE OF Sarasota, USA FLORIDA DEPARTMENT OF HEALTH

Planned, implemented, monitored, and evaluated grant-funded services. Supervised the delivery of comprehensive adult and dental services.

04/2015 – 11/2015 Director, Women’s, and Children’s Services, BAYFRONT Port Charlotte, USA HEALTH PORT CHARLOTTE

Oversaw departments focusing on Women's Services.

Achieved budget neutrality within the department by implementing effective staffing guidelines.

09/2014 – 03/2015 Clinical Strategist, CERNER CORPORATION Kansas City, USA

Engaged leadership within client organizations to articulate vision and demonstrate benefits.

Conducted comprehensive outcomes assessments to design appropriate workflows tailored to client needs.

03/2013 – 08/2014 Manager of Clinical and Customer Support, HILL-ROM Cary, USA CORPORATION

Supervised clinical application specialist team support.

Championed the implementation of clinical consultative workshops to enhance service offerings.

EDUCATION

2012 – 2013 Kaplan University Davenport, USA

Masters in Science

2005 – 2007 Colorado Mesa University Grand Junction, USA

Bachelors in Science, Nursing

2005 – 2007 Colorado Mesa University Grand Junction CO, USA

Associate in Science, Nursing

SKILLS

Quality Review

Utilization Review

Healthcare Information Technology

Interim Leadership Management

Performance Improvement

Women’s and Children’s Nursing

Acute Care

Clinical Informatics

EMR Education and Training

Clinical education and training

Leadership

Mentoring

Collaboration

Problem Solving

Communication

Team Building

Stakeholder Management

Clinical Experience

Reimbursement Optimization

RAI Process Knowledge

Training Development

Critical Thinking

Communication Skills

Customer Service

RN License

Professional Development

HIPAA Knowledge

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