Experience

DaVita Medical Group New Mexico

• Hospitals and Health Care
• 200 - 300 Employee

• RN Supervisor, Care Management

  • May 2013 - Present

  September 2017 - Assumed supervising responsibilities for all teammates in Care Management, including UM, CM, and DM.- Oversight of RN, LPN, and Care Management Assistants - Team processes outpatient and inpatient service requests for attributed Medicare Advantage Plan members including data gathering, interpretation and determination through use of CMS/MCG/health plan guidelines, data entry, telephonic interaction with patients and providers/clinical staff as needed, and length of stay management in facilities through collaboration with Hospitalists and multidisciplinary teams to ensure a safe transition of care- Review, revise, and create policies & procedures as needed- Prepare for annual audits- Evaluate processes to ensure efficiencies with workflow- Manage and approve teammate payroll- Complete teammate evaluations and performance interactionsCM/DM Supervisor May 2014-Sept 2017- Develop & implement a case and disease management program for a delegated MAPD program- Supervise a team of RN's, Social Workers, Care Management Assistants, and a Care Management Lead to ensure proper coordination of care & quality services delivered through telephonic & face to face patient interactions with goals of preventing re-admissions, educating on disease processes, assist patients to identify achievable goals, and identify/provide proper community resources.- Review, revise, and create policies & procedures as needed- Perform documentation audits routinely and participate in audits annually, ensuring quality care is maintained within NCQA standards- Evaluate program strategies and implement quality initiatives to improve quality patient outcomes- Manage and approve teammate payroll- Complete teammate evaluations and performance interactionsUM Teammate - May 2013-May 2014: Processed outpatient prior authorization requests



ABQ Health Partners

• United States
• Hospitals and Health Care

• Site Administrator - Women's Health

  • Jul 2007 - May 2013

  Initially, served as RN supervisor, then transitioned to Site Administrator.- Managed 83 staff members including disciplines of; RN Supervisor, RN’s, MA’s, PCC Lead, PCC’s, U/S Techs, MD’s, PA-C, CNP, and CNM’s- Responsibilities included;- Management of all staff members- Payroll- Budget maintenance- Policy & procedure adherence, writing & implementation- Staff training and evaluation- Compliance with various regulations- Overall staff and patient satisfaction



Heritage Home Healthcare & Hospice

• United States
• Hospitals and Health Care
• 700 & Above Employee

• RN - Director of Patient Care Services and Clinical Manager, Heriatage HHC

  • Dec 2004 - Jul 2007

  December 2004 - Jun 2006. Started with Clinical Manager duties at Heritage HHC which included management of RN, LPN, PT, PTA, MSW, OT, ST, HHA, and Clinical Coordinator disciplines.- Managed large service area for Licensed Home Health Care- Reviewed documentation- Analyzed work flow- Reviewed Productivity- Conducted Field Supervisory Visits- Coordinated and supervised patient case conferences- Participated in management meetingsJun 2006-Jul 2007 - Director of Patient Care Services:- Supervised Clinical Managers and responsible for Patient Care Services provided- Continued responsibility for disciplines including; Clinical Managers, Clinical Coordinators, RN’s, LPN's, PT’s, PTA’s, OT’s, ST’s, MSW’s, HHA’s, and Office support staff- Responsible for management and reporting of productivity for field staff- Direct Report was Executive Director



Lovelace Health System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• RN, Nurse Manager, Home Care Specialty Program

  • Apr 1997 - Jul 2004

  - Developed policies, procedures, and completed documentation requirements- Implemented "Early Discharge Home Care Program," serving PP mothers & newborns post hospital D/C- In November, 1998, merged, improved, and managed the Pediatric Home Care Program along with the Early Discharge Program. Duties included; Managed staffDeveloped policies & proceduresCreated documentation forms - JCAHO/Home Care requirementsCompleted monthly statistical analysisPerformed utilization managementAttended management, quality improvement, compliance meetings Performed home care visits Supervised wound care programSupervised Santa Fe adult & pediatric home care program



UNM Medical Group, Inc.

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• RN Inpatient Charge Nurse

  • Jul 1996 - Apr 1997

  Staff SupervisionStaff schedulingFull patient caseload and all inclusive patient care responsibilities

• Nurse Case Manager

  • Oct 1994 - Jul 1996

• RN, Labor and Delivery

  • Jun 1992 - Oct 1994