Clinical RN Resume Samples
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Clinical RN Resume Samples
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JF
J Ferry
Joyce
Ferry
8674 Hauck Skyway
Detroit
MI
+1 (555) 511 6047
8674 Hauck Skyway
Detroit
MI
Phone
p
+1 (555) 511 6047
Experience
Experience
New York, NY
Clinical Services Supervisor RN
New York, NY
Gleichner-Denesik
New York, NY
Clinical Services Supervisor RN
- Develops overall work schedules to assure that the individual clinics have enough staff to support patient care
- Assists with the development, implementation, and data collection process
- Assist in the development and implementation of new policies and procedures
- Develops overall work schedules to assure that the individual clinics have enough staff to deliver patient
- Oversees the Managed Care function
- Ensures systems are in place for patient safety and risk management purposes
- Leads and supports day-to-day operations of clinical staff who support the providers
Philadelphia, PA
Clinical Coordinator Pyschiatric Telehealth RN
Philadelphia, PA
McClure-Fahey
Philadelphia, PA
Clinical Coordinator Pyschiatric Telehealth RN
- Assists partner site hospitals/clinics in developing and maintaining telehealth programs
- Promotes a work environment conducive to producing high quality work
- Assists hospital in evaluating patient care areas and supports hospital improvements
- Reviews clinical processes functions and suggests improvements, assisting with implementation as directed
- Assists in the planning, development, implementation and coordination of Telehealth activities
- Makes recommendations for program changes that will assist in achieving program clinical goals
- Assists in developing outcome measures and telemedicine tools
present
Philadelphia, PA
Clinical Director RN
Philadelphia, PA
Gottlieb LLC
present
Philadelphia, PA
Clinical Director RN
present
- Supports activities and development of nursing managers and/or supervisors in the incumbent’s assigned surgery center(s)
- Coordinates with Materials Manager for equipment, special equipment, and supplies for upcoming surgical cases, and resolves any problems
- Assists with environmental hazard and infection control surveillance, and participates in emergency preparedness drills
- Directs the hiring, selection, performance reviews, and training of medical personnel
- Coordinates orientation of new employees
- Evaluates nursing activities to ensure patient care, staff relations, and efficiency of service
- Follows equipment safety guidelines
Education
Education
Bachelor’s Degree in Another Healthcare Related Field
Bachelor’s Degree in Another Healthcare Related Field
Southern Illinois University Carbondale
Bachelor’s Degree in Another Healthcare Related Field
Skills
Skills
- Basic to intermediate proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); basic
- Self-starter, highly motivated with high energy level
- Interpersonal skills to drive collaboration, commitment and productivity when working with cross-functional
- Flexibility to adapt to ongoing change and work in a fast-paced, customer driven environment
- Monitor department work hours (including vacation and holiday schedules), personnel, work assignments, etc., to
- Demonstrates superior written and verbal communication and presentation skills
- Assist in maintaining the department budget, place orders for equipment and supplies as necessary
15 Clinical RN resume templates
Read our complete resume writing guides
1
Clinical Access Team Telephonic RN Resume Examples & Samples
- Facilitate and assess member’s clinical requests for access to care
- Active, unrestricted RN license in one of the following Nurse Licensure Compact (NLC) states
- Previous experience in case management, discharge planning, home health, rehab, or DME
2
Director of Clinical Operations, RN Resume Examples & Samples
- Strategize, develop, and direct operations of the health services department to ensure provision of high quality, cost-effective medical services
- Development and management of budget related medical care, P&L involvement
- Directly lead, supervise, and develop the health services leadership team and maintain accountability for clinical team development and performance
- Works with the site medical expense team to provide direction for actions to control targeted costs for inpatient and outpatient services
- Conduct regular agenda driven meetings with staff to address issues, concerns, and to communicate corporate and site-specific philosophy
- Oversee the integrity of the patient-data base system to ensure consistency in the data entry and integrity
- Coordinate plans with the local and national quality committee to comply with CMS regulations and National accreditation agencies
- Coordinate quality program and contractual requirements, maintaining compliance with regulatory and accreditation requirements
- Strategize with the senior staff regarding program expansion, business development, new care models
- Collaborate cross-functionally to meet goals and objectives and drive staff efforts in implementing activities to meet business goals
- Develop and routinely update comprehensive medical management work plans/programs to ensure revenue accuracy
- Focus on quality improvement, utilization and appropriately reduce medical costs while incorporating the skills of provider partners whenever possible
- Strategize and evaluate methodologies for program adaptation and integration within partnering organizations
- Conduct meetings with selected partners to promote program visibility, and support dynamic, results-oriented relationship with selected organizations, contracted facilities, or associated consortium or corporation
- 4 year RN degree or higher and active, unrestricted license OR 2 year RN degree and active license along with Master’s or 4 year degree in another healthcare related field
- 3+ years of leadership and management experience in an organization that serves the elderly population
- Experience with Medicare, Medicaid OR managed care in a variety of health care settings
- Strong negotiation skills, budget management experience and regulatory knowledge
- Leadership experience with effective team building and quality improvement programs
- Demonstrated success working across functions and businesses to achieve business goals
- Effective in motivating and mentoring colleagues and peers
- Able to travel 60% within FL market (West coast and southern FL)
- Nurse Practitioner license
3
Clinical Grievances Rn-telecommute Resume Examples & Samples
- Clinical Interface / Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members, program definition and clarification)
- A current, valid and unrestricted RN licensure and residency in the state of Hawaii
- MS Office proficiency with the ability to navigate through multiple systems
- ICD 10 familiarity
- Access to high speed Internet and designated work space in the home
- Experience with Managed Care Clinical Quality Programs
- Previous experience in a telecommuting role
- 3 years Acute Care and / or Hospital experience
4
VP Clinical Services, Rn-monarch Healthcare Resume Examples & Samples
- Assumes a leadership role in the strategic direction, monitoring and support of the Clinical Services Department Staff
- Ensures that all department functions are staffed appropriately and that all departmental processes are completed in a timely and accurate manner on a regular basis
- In conjunction with the CMO, and in collaboration with the Medical Directors and Clinical Directors, develops and leads new program development; may participate in or lead project task forces or committees to accomplish strategic goals. Gathers data and determines resource needs
- Consistently supports compliance by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and license requirements (if applicable), and current MHC policies and procedures
- Current and unrestricted RN license and BSN
- 5 or more years of medical management experience with IPAs, medical groups or HMOs
- Prior management experience over multiple departments or functional areas within a managed care setting
- Proven track record of quality leadership and exceptional teamwork in order to build and foster stellar working relationships in both Clinical and Operational departments
- Familiarity with Federal and State governmental health care regulations and accrediting agency requirements
- Master's degree in Business Administration or a health care related field
5
Clinical Documentation Improvement Rn-k Sign On Resume Examples & Samples
- Leads the development and execution of physician education strategies resulting in improved clinical documentation
- Ensures effective utilization of the Midas Clinical Documentation Improvement Focus Study, documenting all verbal, written, electronic clarification activity
- Steers the development and implementation of education plans for the interdisciplinary care team to promote accurate and complete documentation in the medical record
- Active, unrestricted RN license
- 5+ years of clinical experience working as an RN in an inpatient hospital, acute care setting
- Strong organizational skill
- BSN/MSN degree
6
Supervisor Clinical Administration Rn-telecommute From Anywhere Resume Examples & Samples
- Needs ability to multi-task and meet deadlines
- Will be working closely with manager to ensure team and business needs are met
- Some flexibility will be needed in working hours to ensure business needs are met
- Positions in this function include RN roles (with current unrestricted licensure in applicable state) responsible for providing clinical expertise in any of the following areas
- Unrestricted RN licensure in applicable state
- Supervising individuals, scheduling, timecards, work flow
- Employee monthly scorecards
- Knowledge of clinical letter auditing/process
- A working knowledge of Medicaid and Medicare regulations as well as NCQA regs
7
Director of Clinical Operations, RN Resume Examples & Samples
- *This position requires travel up to 50% of the time within North Carolina***
- Ensure achievement of the site's clinical performance measurements, specific to utilization, STAR/HEDIS measures and documentation/coding requirements
- Communicate and collaborate regularly with internal UHG partners and external SNF partners (Administrators/DONs) to strengthen and grow business relationships and opportunities
- 4 year RN degree or higher and active, unrestricted license OR 2 year RN degree and active license along with Master’s or 4 year degree in another healthcare related field in the State of North Carolina
- 3 or more years of leadership and management experience in an organization that serves the elderly population
- Experience with Medicare, Medicaid OR managed care within health care settings
- 3 or more years of experience in operational management responsibilities including: performance evaluation, financials/budgetary, input to strategy, collaborating with senior leadership
- Ability to travel up to 50% in the NC market
- Strong budget management experience and regulatory knowledge
- Master’s degree in a healthcare related field
8
Clinical Documentation Improvement RN Resume Examples & Samples
- Provides timely feedback to providers regarding clinical documentation opportunities for improvement and successes
- 5 + years of clinical experience working as an RN in an inpatient hospital, acute care setting
- Previous CDI experience - conducting efficient and regular documentation reviews and evaluating the quality and efficiency of documentation practice
9
Clinical Applications Analyst, RN Resume Examples & Samples
- Healthcare applications experience as typically acquired in 6 to 8 years
- Technical and/or business experience
- Software implementation experience using diversified product lines of information systems is preferred
- Strong problem and issue resolution experience
- Knowledge of industry standards to support business requirements
- Thorough understanding of hospital inpatient, clinic outpatient operations, and/or financial software along with understanding the technical environment of product lines for which they are responsible
- Good organization skills; ability to prioritize multiple activities and objectives in a rapidly changing environment, and deliver quality service
- Work closely with health care application users, vendors, and technical professionals
- Demonstrated strong analytical and critical thinking skills
- Strong written, verbal and presentation skills with the ability to communicate complex technical issues in terms clearly understood by technical and non-technical audiences
- Good knowledge of word processing, spreadsheet and presentation computer programs, preferably Microsoft
- Strong collaboration and consulting skills
- Self motivated, self-directed and independent thinking as well as an effective team player
- Ability to take the most highly complex problems, requirements, or strategies; research solutions and take from concept to implementation for desired outcomes
10
Supervisor, Clinical Administration Rn-tn Resume Examples & Samples
- This role will have team members in HI, AZ as well as the Central/Western time zones
- Positions in this function include RN roles responsible for providing clinical expertise in any of the following areas
- Active and unrestricted RN licensure in applicable state
- 3+ years of experience supervising direct reports to include scheduling, overseeing work flows, and providing feedback on performance
- Efficient in e-mail and communications internally and externally
- Knowledge of clinical case review
- A working knowledge of Medicaid and Medicare guidelines and regulations
- Ability to work Saturdays and on-call on a rotational basis or as needed
- Supervisory experience in a healthcare/health provider setting
- Knowledge of NCQA regulations
- Managed Care or experience working for a health plan
11
Clinical Grievances RN Resume Examples & Samples
- Clinical Grievances (analyzing, reviewing and evaluating quality of care concerns and grievances)
- Clinical Interface/Liaison (clinical problem solver with facilities, providers, resolution of issues concerning members, program definition and clarification)
- Clinical Operations Analysis (monitors and analyzes medical management activities; provides analytical support to clinical programs; may perform clinical assessments and clinical audits)
- Clinical Writing (writing nursing tools and reference information to support the design of clinical products and services)
- Coaches, provides feedback, and guides others
- A current, valid and unrestricted RN licensure in the state of residence
- 1+ years medical records review experience
- Access to high speed Internet
- Clinical appeals and grievances experience
- 3 years Acute Care and/or Hospital experience
12
Bariatric Clinical Coordinator Must be an RN Resume Examples & Samples
- Oversight and coordination of the bariatric program at Westlake Hospital, working collaboratively with the Bariatric Medical Director
- Ownership of accrediatation process including serving as a liaison between hospital and Metabolic and Bariatric Surgery Accrediatation and Quality Improvement Program (MBSAQIP) and ensures continuous compliance with requirements
- Develops and implements services within the bariatric program that will meet the needs of the community
- Acts as a liaison between patient, physician, and hospital. Proactively addresses problems to ensure timely response to any potential patients to assure positive patient satisfaction and optimal outcomes
- Serves as liaison between facility and any surgeon performing metabolic and bariatric surgery at Westlake Hospital
- Provides clinical care directly or indirectly to all areas of surgical weight loss program
- Works collaboratively with the nurse managers and ancillary directors to ensure the delivery of quality bariatric patient care, including offering education, support, and resources as needed
- Provides ongoing support for patients undergoing bariatric procedures
- Provides nursing, ancillary, and medical staff with ongoing education as well as annual compentencies. Develops preoperative and postoperative clinical pathways for the bariatric program
- Facilitates information sessions, support groups, and other community outreach initiatives
- Educates patients, family, hospital staff, medical staff on program and sensitivity issues
- Maintains records and assists in the collection of necessary data
- Maintains, updates, and initiates relevant policies and procedures
- Makes recommendations in terms of inventory procurement and selection
- Champion for high quality, compassionate care for all bariatric patients within hospital
- Conforms to the established Standards of Behavior
- Minimum of three (3) years of inpatient clinical experience
- Clinical knowledge regarding the care of bariatric patients and metabolic and bariatric surgery patients
- Possesses a clinical knowledge in care of surgery patients and extensive knowledge of gastric bypass surgery
- Certification in relevant specialty preferred
- Membership in appropriate professional organization preferred
- Must possess the ability to work well interpersonally with other staff members and to interact with the Medical Director and other Physicians/their office staff
- Flexbility; willingness to work evenings/weekends as necessary
13
Director of Clinical Operations, RN Resume Examples & Samples
- 4 year RN degree or higher and active, unrestricted license
- 3+ years of hands-on clinical nursing experience
- 1+ years of leadership and management
- Able to travel on a daily basis within CT market
- Ability to attend occasional out of state meetings / functions
14
Clinical Services Supervisor RN Resume Examples & Samples
- Leads and supports day-to-day operations of clinical staff who support the providers
- Develops overall work schedules to assure that the individual clinics have enough staff to support patient care
- Ensures workflows are in place and functioning to deliver on clinical quality outcomes
- Participates in implementation and measures best practices throughout the Continuous Clinical Improvement Care teams
- Ensures systems are in place for patient safety and risk management purposes
- Coordinating the Minnesota Department of Health or other accrediting bodies regulations as it applies to the Clinic function
- Works closely with the education and quality departments
15
RN Transplant Clinical Coordinator Resume Examples & Samples
- Graduate of accredited school of professional nursing, minimum of a Bachelor’s Degree
- Two years med/surg and/or acute hemodialysis experience for renal/pancreas - preferred
- One year experience in management of organ failure/transplant patients required
- Current Specialty certification preferred
16
Rn-is Clinical System Analyst Resume Examples & Samples
- Provides system level support for computer software and classroom environment used to conduct trainings
- Required to create documentation for end-user trainings, in the form of flyers, newsletters, screensavers
- Provides on-call support and problem resolution for computer applications in a multi-user computer and communications environment
- A TX Licensed Nurse with a minimum 2 years clinical experience
17
Clinical Services Supervisor Rn-mhi Edina Resume Examples & Samples
- Is accountable for the daily operations and oversight of clinical staff at the Minneapolis Heart Institute Edina and Shakopee locations
- Collaborates with clinic management and supervisors across MHI clinics to streamline processes and ensure consistency
- Is responsible for making decisions that impact health care outcomes, resource allocation and customer satisfaction
- Serves as a link between nursing personnel and other healthcare disciplines and staff throughout the organization
- Fosters a culture of accountability, excellence and staff participation/engagement
- Ensures systems are in place for risk management purposes
18
Clinical Informaticist, RN Resume Examples & Samples
- Serves as a resource for clinical end users (physicians, nurse practitioners, physician assistants, clinical staff etc.) to help assist and facilitate workflow and process improvement initiatives; maintains visual presence with end-users on inpatient clinical units
- Works to advance clinical workflow by leading and organizing process teams. Assures standards, processes and policies are maintained in the development of new clinical informatics processes
- Incorporates best clinical practice and regulatory requirements into workflow design and process development
- Collaborates with all members of the healthcare team as applicable in the planning of process and workflow improvement initiatives
- Maintains a working relationship with clinical and I/S staff to ensure applications are working as designed, and that future implementations/upgrades are designed around clinical best practice and end user optimization
- Submits change requests as per change management process
- Assists the I/S Department in prioritizing change control items
- Is responsible for training new medical staff members, midlevel providers, special limited staff, resident physicians, and locums physicians on inpatient clinical application(s)
- Provides maintenance training and continuing education to physicians related to inpatient clinical application(s)
- Provides maintenance training and continuing education to staff "Super Users" related to inpatient clinical application(s)
- Works with I/S Department to coordinate planned and unplanned downtime, communicates with Providers and clinical staff and serves as a resource person during downtime of critical systems with patient care services and physicians
- Demonstrates thorough knowledge of inpatient clinical applications
- Registered Nurse with current Alabama RN licensure. BSN preferred
- Minimum of three years RN clinical experience required
- Demonstrated experience in Healthcare Information Technology (IT) either through course work, experience in a hospital with the selection or implementation of a clinical information system
- CPOE implementation experience preferred
- Previous participation and/or leadership in a hospital committee required
- Ability to work independently, and manage multiple projects, with strong prioritizing skills
- Experience teaching clinical and/or computer classes to students preferred
- Competency validation assessment experience preferred
- Microsoft Office – basic skills required (Excel, Word, PowerPoint, Outlook)
- Strong understanding of clinical workflow processes, resulting in current and future workflow enhancements and performance improvements to support nursing and physician practice
- Demonstrated ability to be self-directed with excellent organization, analytical and interpersonal skills
19
Clinical Access Team-telephonic RN Resume Examples & Samples
- Telephonically assist members with access to care issues
- Assess, provide education, research, and provide resolution
- Work in a virtual call center environment and handle inbound calls in a call queue
- Inbound and outbound calls to members, providers, internal departments working towards resolution
- Active, unrestricted RN license in the state where you reside
- 3 years of prior clinical experience preferably in acute care, skilled or rehabilitation clinical setting
- Ability to work 9:30 to 6:00 EST
- Bilingual - ability to speak fluently in both English and Spanish
20
Clinical Coordinator Pyschiatric Telehealth RN Resume Examples & Samples
- BA, BS degree in Health Care or equivalent experience, Registered Nurse
- Five to ten years of experience in clinical operations at hospitals/clinics
- Mission and values
- Demonstrates behaviors that reflect the key moral commitments, ethical principles, values and philosophies of Dignity Health
- Approaches each person, patient, staff and team member as a unique person with inherent value as a as a human being; treating them as a whole person, showing concern for their physical, intellectual and cultural well-being
- Protects the dignity of the patient within the limitations of the situation and required protocols
- Assists partner site hospitals/clinics in developing and maintaining telehealth programs
- Assists in the planning, development, implementation and coordination of Telehealth activities
- Makes recommendations for program changes that will assist in achieving program clinical goals
- Assists in developing outcome measures and telemedicine tools
- Improves utilization of existing services and expands telehealth services in new locations and applications
- Reviews clinical processes functions and suggests improvements, assisting with implementation as directed
- Facilitates safe and effective clinical consultations by working with medical staff and patients
- Assists hospital in evaluating patient care areas and supports hospital improvements
- Program knowledge
- Is familiar with the operation of telehealth equipment and specialized clinical equipment and accessories
- Trains staff and providers in the proper and safe operation of telemedicine equipment and specialized clinical equipment, procedures and protocols
- Troubleshoots problems with systems and protocols
- Is knowledgeable regarding applicable regulations and standards (including privacy and security). Aides staff in achieving compliance
- Supports efforts to obtain reimbursement for services by ensuring appropriate and timely documentation to demonstrate quality of care
- Increases visibility for programs by researching industry topics, contributing to articles and speaking before various clinical and other groups. Participates in efforts to obtain grant funding
- Acts as an effective ambassador for telemedicine within and outside the DHTN
- Departmental standards and personnel policies
- Demonstrates awareness of department mission and goals; reviews and participates in establishing annual department and personal goals
- Develops policies and procedures for areas of clinical or process expertise
- Adheres to departmental standards and personnel policies
- Works closely with Mercy Foundation staff to fulfill grant reporting and requirements
- Maintains confidentiality regarding all patient and company information according to policy
- Leadership functions
- Plans task(s) or project(s), including setting objectives and involving others accordingly
- Establishes meeting agendas and program priorities and documents follow-up actions
- Identifies and initiates quality and process improvements
- Anticipates and solves problems, developing systems to avoid them in the future
- Collaborates with service line leaders and outside groups to promote Telehealth activities
- Serves as a role model of professional conduct, maintaining a positive attitude and effective skills in sharing controversial information
- Internal and external customer service
- Maintains a clean appearance and demonstrates personal dignity and a positive attitude while representing the DHTN
- Maintains and promotes positive, open and honest relationships with employees, patients, and healthcare providers
- Promotes a work environment conducive to producing high quality work
- Completes both assigned and volunteered tasks
- Promotes teamwork by consistently extending one’s self to assist colleagues in the completion of their tasks when requested or volunteering when the need is obvious
- Communicates changes and delays to those affected
- Interpersonal relationships and conflict resolution
- Gives constructive feedback and discusses issues of concern with co-workers on a one to one basis in a private and constructive manner within 72 hours of occurrence
- Receives both technical and interpersonal feedback from co-workers and supervisors without taking offense
- Recognizes his/her technical and interpersonal limitations and asks for help when necessary
- Teaches, coaches and mentors fellow team members in an affirming and positive way
- Keeps personal biases and private life separate from work issues
- Demonstrates tolerance when dealing with clients and other team members
- Communication and technical skills
- Excellent oral and written communications/presentation skills
- Good listening skills to understand both content and perspectives
- Demonstrated skills in operating personal computers and applicable software
- Understanding of electronic medical records and other repositories of health-related information
- Performs other duties as required. Accepts and/or requests other projects and responsibilities. Assists where needed to ensure a smooth functioning department
21
Clinical RN Doc Improv Spec Resume Examples & Samples
- Improves overall quality and completeness of clinical documentation by performing admission / continued stay reviews
- Conducts timely follow-up reviews of clinical documentation to ensure that issues discussed and queries left in the medical record have been answered by the provider
- Will utilize coding and clinical expertise to identify opportunities and ensure the accuracy and completeness of clinical documentation user for measuring and reporting physician and hospital outcomes
- Tracks and trends specific opportunities for improvement through the query process
- Participates in data collection for performance measures
- Stays current with requirements of CMS Inpatient Prospective Payment Systems (IPPS), AHA Coding Clinic and ICD-10 Official Guidelines for Coding and Reporting
- Participates in department and facility Quality and Performance initiatives
- Works closely with case management, quality management, risk management, and medical staff credentialing to provide data related to key clinical indicators and operational metrics
- Works in conjunction with the Directors of Case Management, Quality Improvement, Medical Staff Credentialing, and medical staff leadership to assure effective monitoring and successful completion of identified plans for improvement
- Prepares and presents educational programs using adult learning principles for identified improvement needs as indicated
- Must have current Nevada Registered Nurse License, RHIA, RHIT, CCS or combination thereof preferred. Prior experience in case management, clinical documentation improvement, and/or coding accuracy preferred
- Minimum of three years’ experience in a clinical role and a minimum of one year experience with inpatient coding, process improvement in an acute care facility preferred or equivalent experience. Coding skills with experience in ICD-10, knowledge of CMS Inpatient Prospective Payment System, and working knowledge of AHA Coding Clinic
- Certified Documentation Improvement Specialist (CDIS) preferred
- Excellent oral, written and communication skills
- Proven communication skills in dealing with multidisciplinary clinical and operations teams including physicians
- Current working knowledge of one or more of the following: Medical /Surgical Nursing, Critical Care, Care and Case Management(Resource Utilization), Surgical Services, Prenatal Services, Accreditation and Regulatory Compliance, Core Measures and Public Reporting of Hospital Quality Data
- Experience in development of reference based continuing educational programs using Adult Learning Principles
- Must be self-motivated and have the ability to work within the established policies, procedures and practices prescribed by the facility, corporation and the immediate supervisor
22
Clinical Account Executive / RN Sales Rep Resume Examples & Samples
- Minimum of one year healthcare or related industry sales experience
- Ability to effectively communicate homecare services with all levels of the healthcare delivery team
- Strong Microsoft Office skills
23
RN Shared Services Clinical Assessment Manager Resume Examples & Samples
- Receives and reviews patient OASIS assessments for assigned care centers
- Reviews OASIS patient status items compared to other related patient documentation and Plan of Care to verify completeness and accuracy
- Assists in evaluating needs of the patient and suggests referrals to other disciplines as indicated by the patient’s needs
- Identifies need for OASIS/documentation education and communicates group needs to care center leadership and Clinical Assessment Team Lead
- Current unencumbered license to practice as a Registered nurse in all states in the assigned region
- One (1+) year ICD-9 or ICD-10 coding and OASIS experience
- HCSD or BCHH-C ICD-10 certification
- OASIS (COS-C/HCS-O) certification, required within 3 months of hire date
24
Clinical Base Supervisor RN Resume Examples & Samples
- Coordinates daily activities of Air Methods CBS medical staff
- Provides duty schedule and assures proper medical coverage for all shifts at assigned base(s) (monthly schedule, ill call coverage, vacation coverage, approves schedule changes)
- Reviews payroll for accuracy and overtime issues
- Receives feedback related to flight issues/concerns; resolves issues/concerns and/or refers to appropriate person for resolution
- Recommends and implements changes to improve efficiency and effectiveness of program performance
- Assigns responsibilities and projects to medical crew members
- Serves as a role model for provision of advanced level medical care
- Maintains and monitors medical crew licensure, certifications, clinical requirements, OSHA training and testing, and advanced procedures tracking in conjunction with Medical Educator Coordinators
- Assists in completion of new employee orientation in collaboration with Medical Education Coordinator
- Actively seeks Public Relations and Outreach Education opportunities for assigned base(s) service area
- Participates in local EMS/hospital/advisory committees as Air Methods CBS representative
25
Clinical Services RN Resume Examples & Samples
- Perform all phases of therapeutic apheresis procedures, ensuring safe and appropriate care of patient
- Coordinate closely with physicians and nurses at a variety of hospitals to arrange therapeutic apheresis treatments and facilitate coordinated care. Evaluate patient medication for compatibility and safety of apheresis procedure and determine when to contact the physician
- Demonstrate knowledge and compliance with all departmental and organizational standard operating procedures, policies, practices and regulations
- Explain, as needed, clinical apheresis procedures to patients and their family and other attending healthcare professionals
- Represent the American Red Cross to the community and internal customers by establishing and promoting a positive organizational and professional image
- Complete necessary training and demonstrate competency to perform each job function
- If appropriate, operate American Red Cross vehicles in compliance with all applicable regulations
- A minimum of 1 year experience in medical/surgical or critical care nursing is required. Good vein selection and venipuncture skills are essential. Previous apheresis or dialysis experience is preferred
- Bilingual English/Spanish. Good verbal communication skills and the ability to effectively discuss procedures and medical issues with patients, families, and physicians. Customer service experience, effective verbal communication and public relation skills are preferred
- Heaviest needs are on Tuesday, Wednesday & Thursday 9am-6pm + on-call for evening/weekend procedures at area clinics/hospitals. Reliable transportation required for frequent work travel (up to 4 hours one-way); mileage reimbursement is provided
- Nurse License / Licencia de Enfermera
- Nurse Registration / Registro de Enfermera
- CPR / Resucitacion Cardio Pulmonar
- Driving Record / Certificacion de violaciones a las leyes de transito
26
Clinical Grievances Rn-telecommute Resume Examples & Samples
- *Monday - Friday, 8-5***
- Provides explanations and information to others on difficult issue
- 2+ years case management or managed care experience
- RN licensure with current unrestricted licensure in Missouri
- Proficient with MS Office Products to include Excel, Word and Outlook
- Access to high speed internet and a designated work space in the home
- Experience in Healthcare Quality
27
Initial Clinical Reviewer RN Resume Examples & Samples
- Reviews charts and analyzes clinical record documentation in order to approve services that meet clinical review criteria
- Conducts regular audits, as assigned, to ensure guidelines are applied appropriately
- In states where required, refers all cases that an approval cannot be rendered to the Physician Clinical Reviewer. In States where allowed, will make denial determinations as a specific case warrants
- Converses with medical office staff in order to obtain additional pertinent clinical history/information; notifies of approvals and denials, giving clinical rationale
- Provides optimum customer service through professional/accurate communication while maintaining NCQA and health plan?s required timeframes
- Documents all communication with medical office staff and/or treating provider
- Practices and maintains the principles of utilization management by adhering to policies and procedures
- Participates in on-going training programs to ensure quality performance in compliance with applicable standards and regulations
28
Clinical Quality Analyst Rn-telecommute Resume Examples & Samples
- Implement and maintain data bases necessary to complete standard quality reports and analysis within agreed upon deadlines surrounding the EFC CHOICES population
- Complete ad hoc reports as requested
- Routinely analyze results of quality reviews to report error trends
- Manage assigned special projects to completion within target date
- Create Quality system tools / databases to capture relevant data
- Use creativity to solve problems
- Strong clinical judgment
- Demonstrate leadership in continuous improvement
- Utilize change management to drive results
- Develop recommendations for quality remediation plans
- Share best practices and support team goals and objectives
- Drive consistency and efficient processes on the team
- Actively participate in quality improvement initiatives / meetings
- Responsible for maintaining and increasing self-proficiency in the use of quality tools and methods and the application of quality science
- Interface with many internal clinical staff and external providers to gather critical incidents information for quick turn-a-round state reporting to avoid liquidated damages
- You can be a part of this team. You can put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered
- Bachelor’s degree or higher Required
- 2+ years of experience working with intellectual and developmental disabilities within a Health Care or Managed Care environment ECF Choices environment
- Solid experience in tracking and trending critical incident data
- Strong computer skills including the ability to create and manipulate Excel spreadsheets
- LCSW,LBSW, LMSW or RN within the state of TN
- Experience in a Long Term Care environment
- Experience with ECF Choices
- Medical record review experience
- Knowledge of health care products, delivery systems, claims processing and supporting systems
- Knowledge of quality improvement methods and tools (SPC, Six Sigma)
29
Clinical Claims Review RN Resume Examples & Samples
- Provide support to all units within CR&R and Claims to ensure Star Ratings are not jeopardized and all clinical components are met for CMS, NCQA, URAC, DOL, DOI, and all other State and Federal entities
- Consider, review and evaluate claims and appeals in compliance with state and federally mandated turn- around-times and process requirements
- Nursing diploma or higher
- 5+ years nursing experience, preference given to those with experience in utilization review, case management, clinical claims review or similar field
- Knowledge of managed care delivery system concepts such as HMO/ PPO
- Knowledge of evidenced based and standardized criteria such as Milliman Care guidelines
- Knowledge of CPT, and ICD-10 coding. Broad knowledge of medical conditions, procedures and management
- Ability to learn and differentiate between company products and the benefits
- Must demonstrate knowledge of or ability to learn and apply job functions as it relates to state, federal laws and regulations applicable to the operating unit
- Ability to do retrospective utilization reviews using standard criteria, protocols and guidelines
- Ability to use critical thinking and make sound decisions; detail oriented and ability to work well under pressure
- Ability to work well within a small team, excellent interpersonal skills. Excellent communication, documentation, and organizational skills
- Solid computer proficiency
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Clinical Coord RN Resume Examples & Samples
- Collaborates with manager in prospective monitoring of the schedule to assure adequate nurse-patient ratio on a given shift. Reviews monthly schedule, communicating with staffing office regarding staffing changes
- Facilitates shared decision making among staff. Facilitates unit throughput on given shift to improve LOS (Length of Stay)
- Coordinates/provides in-service programs to assist staff to maintain or enhance their competence in fulfilling job responsibilities based on identified needs of patient care personnel
- May assist manager with interview, selection, retention, mentoring, and evaluation of staff
- Participates in development of policies, procedures and standards for the department
- One to two years of progressively more responsible experience with evidence of increasing leadership abilities
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Acute Rehab Clinical Coord, RN Resume Examples & Samples
- Graduate of accredited school of nursing from either CCNE or NLNAC
- BSN or Specialty Certification (must be nationally recognized)
- 3 years acute care experience
- Charge, preceptor or other leadership experience
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Clinical Care Coordinator, RN Resume Examples & Samples
- Assist in the development of preliminary and comprehensive assessments of the nursing needs of each resident. Review resident’s medical and nursing treatments to ensure that they are provided in accordance with the resident’s care plan and wishes
- Assists DON with incident reporting to assure complete documentation of occurrences. Analyzes data and develops appropriate action plans, identifies trends, patterns and outcomes
- Admit, transfer and discharge residents as required
- Monitors compliance and accuracy in Care Tracker
- Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to long-term care
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Clinical Supr / ADT RN Resume Examples & Samples
- BS in Nursing or Healthcare administration preferred
- Minimum of 5 years Med/Surg, ICU, ED, and/or OB experience preferred
- ACLS, PALS and Neonatal Resuscitation preferred
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Clinical Care Coordinator, RN Resume Examples & Samples
- Determine departmental staffing requirements and assist in the recruitment, interviewing, and selection of
- Must have 1 year experience in a supervisory capacity in a hospital, long-term care environment, or other related
- Interpersonal skills to drive collaboration, commitment and productivity when working with cross-functional
- Basic to intermediate proficiency with Microsoft product suite (MS Word, Excel, Power Point, etc.); basic
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Clinical Qual Imprv Mgr RN Resume Examples & Samples
- Responsible for leading implementation of interventions to improve Healthcare Effectiveness Data & Information Set (HEDIS), Consumer Assessment of Health Plan Survey (CAHPS), and other quality measurements to include: data pursuit of strategy, barrier analysis, interventions for rate improvement and monitoring/evaluation; collaboration with other corporate initiatives
- Directs and leads team of professionals who compiles and analyzes data required to understand trends and performance levels related to HEDIS, CAHPS as well as coordinates and prioritizes decisions across functional areas for successful development and implementation of impactful interventions to improve quality performance
- Lead reporting and enterprise communication processes to share gaps and opportunities for improvement
- Directs and leads team in performing medical chart reviews to support HEDIS improvement and compliance related activities
- Provides Leadership for and collaborates with network management, internal staff and/or other key stakeholders (both internal & external) to define potential quality improvement activities within the corporation
- Experience with Healthcare Effectiveness Data & Information Set (HEDIS) and Consumer Assessment of Health Plan Survey (CAHPS)
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Clinical Coordinator, Rn-specialty Clinic Resume Examples & Samples
- Current Texas license to practice nursing
- Minimum of 3 years of clinical experience in a pediatric setting
- BLS and PALS CPR is required
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Clinical Documentation Spec-rn Resume Examples & Samples
- Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced based practice, and current regulatory requirements
- Educates all internal customers on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement strategies
- Maintains the integrity of data bases, tracks and trends response to clinical documentation and measures for performance improvement
- Demonstrate positive and effective interpersonal relations dealing with all members of the team (ie co~workers, physicians, leadership, etc.)
- 5 years relevant clinical experience
- Clinical documentation improvement experience preferred
- Ability to prioritize work
- Basic Computer skills
- Effective problem~solver with good interpersonal communication skills, verbal and written
- Effective observation, analytical, and critical thinking skills
- Current nursing license in the State of Illinois
- Certification in clinical documentation improvement preferred. Ability to work in changing environment
- Ability to prioritize independently and respond to multiple simultaneous requests
- Ability to work under stressful conditions and in difficult situations
- May be exposed to hazardous materials and life threatening diseases
- This position needs to recognize needs and behaviors of specific age groups of patients treated
- Extensive knowledge and experience of ICD~9 coding classification system and DRGs
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Rn-cdu-pcu-clinical Decision Observation Unit-orlando Resume Examples & Samples
- As an extension of the emergency department our focus is to efficiently facilitate the patient’s plan of care, for a variety of populations including medical, cardiac, neurology, & oncology medical. We work collaboratively within the hospital to safely discharge the patient
- If you enjoy teaching, facilitating plan of care, collaborative interactions & variety of clinical experiences, this is the right environment for you
- American Heart Association (AHA) Basic Life Support (BLS) certification. If certification is from another agency, certification from AHA must be obtained within 90 days of hire
- AHA Advanced life support certification (ACLS, PALS, NRP) per specialty/unit requirements. If certification is from another agency, certification from AHA must be obtained by 90 day evaluation
- Bachelor’s degree in nursing (Preferred)
- EKG, ACLS, PALS, NRP (based on patient population; See document EKG and Advanced Life Support Requirements) (Preferred)
- 18 month contract applies. If candidate leaves Florida Hospital prior to completion of contract, they must pay back the full sign on bonus. Transfers forfeit any unpaid amounts. Terminations will pay back the full amount paid out
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Clinical Director RN Resume Examples & Samples
- Evaluates nursing activities to ensure patient care, staff relations, and efficiency of service
- Coordinates patient care with business office, pre-op, ORs, Procedure Rooms and PACU
- Supervises activities to ensure appropriate patient care, and monitors efficiency of service in all patient care areas
- Supports activities and development of nursing managers and/or supervisors in the incumbent’s assigned surgery center(s)
- Observes nursing care and visits patients to ensure that nursing care is carried out as directed and treatment is administered in accordance with physicians’ instructions
- Coordinates with physicians, medical staff, and administrator to ensure that effective communication is maintained
- Coordinates with Materials Manager for equipment, special equipment, and supplies for upcoming surgical cases, and resolves any problems
- Coordinates orientation of new employees
- Investigates and resolves complaints. Refers unusual problems to the Administrator
- Interacts appropriately and effectively with all patients/others regardless of age or ethnic background
- Follows equipment safety guidelines
- Assists with environmental hazard and infection control surveillance, and participates in emergency preparedness drills
- Ensures that Standard Universal Precautions, the National Patient Safety Goals, and principles of aseptic and sterile technique are used appropriately
- Implements safe practices and provides knowledgeable guidance and evaluation of the environment of care management, including life safety (fire prevention), security, hazardous materials and waste management, emergency preparedness, infection control, the safe use of medical equipment, and utilities
- Ensures meaningful differences are implemented as outlined in the EDGE (Every Day Giving Excellence) Program
- Participates in review and revision of the policies and procedures at the Surgery Center
- Directs the hiring, selection, performance reviews, and training of medical personnel
- Calls on physicians to solicit their participation in the surgery center
- Orders or directs ordering of supplies including drugs, solutions, and equipment, and maintains records on narcotics
- Serves as an Ex-officio member of the Medical Executive Committee for one or more Centers
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RN System Clinical Educ Spec Resume Examples & Samples
- Must have current Wyoming RN license
- Current BLS certification through American Heart Association and certified as an instructor within 12 months of hire
- Current PALS certification through American Heart Association and certified as an instructor within 12 months of hire
- Current ACLS certification through American Heart Association and certified as an instructor within 12 months of hire
- Current PEARS certification through American Heart Association and certified as an instructor within 12 months of hire
- Preference given to candidate with Bachelor or Master's degree
- Must have experience with Learning Managements systems such as Healthstream or LifeTalent
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Clinical Supervisor RN Resume Examples & Samples
- Excellent team skills
- Compassionate and caring
- Accountable
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Clinical Care Review UM RN Resume Examples & Samples
- Licensed Registered Nurse graduated from an accredited program
- Current unrestricted Florida Registered Nurse license
- Three or more years’ experience in a related clinical setting
- Valid driver’s license and reliable automobile transportation for on-site assignments and off-site work related activities
- Self-directed and the ability to work independently
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Clinical RN Peds Resume Examples & Samples
- Must possess a professional and mature demeanor
- Takes accountability for own actions with the ability to accept constructive feedback
- Must be able to work in a fast-paced environment, handle multiple tasks and work with interruptions
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Clinical Auditor, RN Resume Examples & Samples
- Knowledge of medical terminology, ICD-10 & CPT coding, and Medicare Diagnosis Related Group (DRG) payment methodology
- Strong analytical, organizational and time management skills
- Bachelor’s Degree (BA/BS) and/or equivalent
- Prior auditing and medical record review experience
- 2 to 3 years of managed care experience, preferred
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Clinical Qual Imprv Spc Rn-sfl Resume Examples & Samples
- Support retrospective HEDIS by being a subject matter expert in HEDIS clinical measures to include retrieval, abstraction, and quality over reads
- Utilize health analytics tools to identify HEDIS trends and opportunities in the south region to enhance the health of Florida Blue members and support providers with management of their members
- Lead member and/or provider initiatives for HEDIS/STARs/Quality Rating System improvements
- Collaborate with Member, Physicians, various departments to assist the member to meet their health care goals, reduce care gaps, improve health outcomes and reduce the total cost of care
- Investigate Potential Quality of Care issues (PQI) within regulatory guidelines in the South Region
- Participates in meetings with various departments to educate teams on care gaps, activities, issues or concerns for the south region
- HEDIS Quality Improvement experience
- Potential Medical Quality of Care Review experience
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Clinical Rn-ob Resume Examples & Samples
- OB/GYN and Labor and Delivery experience preferred
- EFM certification preferred or within 90 days of hire
- Will be required to cross train to pediatrics
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Clinical Informatics RN Resume Examples & Samples
- Application Analysis: Understands application at a detailed level, ability to troubleshoot and work with users and vendor for problem resolution
- Project Management: Leads small to large projects, and assists other project managers
- Project Champion: Assists business in understanding work flow changes as they relate to new and changing technology. Embraces change and influences user adoption
- Business Analysis: Works with internal business customers in clinical, finance, billing, and marketing to understand and meet business needs
- Customer Service: Maintains effective relations with customers to create a climate receptive to transformation through the use of information technology
- Process design and improvement: Ability to evaluate current processes, recommending areas for change and improvement using standard tools
- Liaison to Customers, Vendors, and other internal IS resources
- Subject Matter Expert in either healthcare or information technology
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Clinical Supervisor Operations, RN Resume Examples & Samples
- Supervises all clinical operations and administrative responsibilities including back office and radiology staff of the medical practice(s)
- Assists in the development, review, and revision of standard operating policies and procedures in collaboration with senior management
- Oversees and maintains necessary staff certifications and licensing requirements
- Oversees, and as necessary, performs administrative functions to include answering and triaging telephone calls for patient care matters, chart preparation for clinical care, maintaining and filing medical records, and assisting with appointment scheduling
- Coordinates, or serves as liaison, for administrative support activities including facilities management, pharmacy, utilization management, quality management, risk management, human resources, and payroll
- Controls wage and non-wage expenses including pharmacy and medical supplies in accordance with the budgetary guidelines set by the Organization
- Works in a collaborative role with other managers and related offices or organizations
- Performs nursing tasks and functions within the scope and practice of RN licensure
- Interviewing, hiring, and training new employees
- Planning, assigning, directing work and determining work hours
- Appraising performance and assist in staff development
- Rewarding and disciplining employees
- Addressing patient, physician, and staff concerns and resolving problems accordingly
- Managing payroll, monitoring employees’ accruals and time off, and overtime usage
- Ensuring a safe environment for staff and patients; participate in organization’s safety committee and implement recommendations as required
- Understanding and enforcing the organization’s patient care standards and requirements, including areas such as safety and quality assurance as is appropriate
- Manage the physician and nurse’s schedules to provide quality care and services, recommending schedule improvements as needed
- Assist Senior Management with the monitoring of performance measures and designing methods for improving the quality of care and service delivered in our physician practices
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Clinical Rn-physicain Services Resume Examples & Samples
- Organizational Integrity – Demonstrates an understanding of and adheres to the Trinity Health Standards of Conduct, Organizational Integrity Program policies of Trinity Health and MHP. Demonstrates the ability to report issues and concerns, including the Four-Step Reporting Process and the Trinity Health Hotline
- Respect– Recognizes the value of every person; embraces the sacred dignity of each regardless of position, education, race, religion or ethnicity, believes in the worth of the whole individual
- Compassion – Responds to the needs and suffering of others by caring for them in body, mind, and spirit; actively listens to understand people's needs and responds in a manner that recognizes them; suspends judgement of others
- Social Justice – Demonstrates a commitment to the common good of all people, ensuring that their basic needs are met; is an active advocate of health and access to healthcare for all, treats all people fairly with honesty and integrity, practices responsible stewardship of human, natural and fiscal resources
- Option For the Poor –Enables people to help themselves; utilizes all resources available to respond to the needs of the poor and underserved and advocates changing environments from unhealthy to health and conditions from inhumane to humane for those we serve
- Excellence - Makes continuous, service excellence focused improvements while balancing touch with technology; reaches beyond the norm to the exceptional, empowers others, provides care with compassion, excellence and vision, utilizes team work to serve our customers and fosters a climate that supports a learning organization
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Clinical Resource Rn-interventional Cardiology Resume Examples & Samples
- Unit & Staff Management.Guides other nurses in planning patient care and developing a comprehensive multidisciplinary plan of care for patients within area of specialization
- Patient Satisfaction. Guides staff to communicate with patients and peers to assure customer satisfaction
- Communication & Evaluation. Acts as a resource person for planning and implementing teaching programs both individually and through collaboration with other nurses. Assists in the evaluation of outcomes of teaching strategies and revises as necessary
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Clinical Care Cordinator Rn-st Paul-f/t Resume Examples & Samples
- Participates in review, revision and updates of P & P’s to reflect current national and industry specific clinical standards of care and support various state and federal regulations
- Data collection and analysis of long term care clinical indicators
- Implements clinical practice guidelines relevant to long term care
- Works collaboratively with the Directors of Nursing to develop Clinical Quality Committee membership, scope and function
- Schedule management
- Review admission paperwork to deem appropriateness
- Manage budget
- Previous experience in healthcare required, long-term care and/or home health industry preferred
- Strong understanding and application of the quality process and tools
- Candidates should have excellent communication and presentation skills, with the ability to communicate with multiple levels in the organization
- Candidates should also possess the ability to work as part of a team, coach and train staff, as well as strong analytical and problem-solving skills
- Must possess the ability to seek out and develop new methods and principles and be willing to incorporate them into existing practices
- Must demonstrate analytical ability and possess a comprehensive knowledge of basic data analysis and communication tools including, Excel, Access and Word
- Must possess and demonstrate personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health
