director, executive, manager, Registered Nurse with extensive management experience in healthcare and managed care industry

Job Target: Director
Employment Status: Active
Experience Level: Not Specified
Seeking: Full-Time
Industry: Management Resumes

Salary: salary negotiable
Degree: Not Specified
Security Clearance: Confidential (Level I)
Travel: Heavy
Relocate:: Yes

Objective

Highly motivated leader with excellent management, communication and inter-personal skills driven by a strong work ethic and a desire to be part of a growing team. A process results oriented philosophy providing integrity, accountability and leadership within an organization.

Job Target

Director

Professional Experience

2005 – present	Wellmark Blue Cross Blue Shield of Iowa Senior Project Manager
	Accountable for all projects as assigned by Vice President of Health Management Operations
2000 – 2005	Wellmark Blue Cross Blue Shield of Iowa Group Leader/ Care Coordination Unit
	Oversaw all compliance, legal, systems, and operational issues As a senior leader reorganized and managed a highly effective Care Management Unit. Achieved URAC accreditation for Case Management for Federal Employee line of business and maintained URAC and NCQA accreditation for utilization management. Participated in the negotiation and selection of a multimillion dollar software solution for the Medical Management teams and assumed business unit project management
1997 – 2000	Wellmark Blue Cross Blue Shield of Iowa Team Leader
	Managed a team of 15 Triage Coordinators in a call center environment Reduced staff turnover rate from 80% to 10% in 2 years Improved member call wait times from 95 seconds to less than goal of 30 seconds Assumed process of OB precertification at an administrative savings of $98,000 in the first quarter following implementation Conducted Reminder Programs for Preventive Care and Wellness Initiatives positively impacting HEDIS sores in Cervical Cancer Screening and Mammography
1994 – 1997	Wellmark Blue Cross Blue Shield of Iowa Case Manager, Special Services
	Provided case management services for the HMO, PPO and Federal Employee Program lines of business Developed and administered Asthma Disease Management Program Administered and enhanced the Breast Cancer Program
1992 – 1997	Wellmark Blue Cross Blue Shield of Iowa Utilization Management Onsite Review Nurse
	Conducted Precertification and Concurrent review for all lines of business Traveled onsite to Des Moines Metro hospitals, primarily Mercy Hospital
1991 – 1992	Mercy Hospital, Des Moines, Iowa Critical Care Nurse, Cardiac Surgical Intensive Care Unit
	Delivered care to post operative open heart patients Included ventilator management, medical technical equipment management, patient education
1988 – 1991	Mercy Hospital, Iowa City, Iowa Critical Care Nurse, Intensive Care Unit
	Included ventilator management, medical technical equipment management, patient education
1978 – 1991	Siouxland Family Practice Center, Sioux City, Iowa Nurse Manager/Staff RN
	Oversight of 7 staff RNs, clinic staffing and patient care

Education

1997	College of St Francis – Bachelor's Degree (BA/BS)
	Bachelor of Science
1976	St Joseph Mercy School of Nursing – Doctorate (PhD/MD/JD)
	Diploma, licensed registered nurse

Relocation Preferences

Palm Desert