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Click here or scroll down to respond to this candidateCandidate's Name , BSN, RNStreet Address KrugerrandSan Antonio, TX Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEEducationBachelor of Science Degree in Nursing at University of the Incarnate Word San Antonio, Texas. Graduated December 2003.Board Certified in Case Management with the American Nursing Credentialing Center (BC) designation. 2009 - 2019Associates Degree in Applied ScienceRegistered Nurse program at San Antonio College, San Antonio, Texas. Graduated May 2000. Licensed Practical Nurse Course, (91c20), U.S. Army Academy of Health Sciences Fort Sam Houston, Texas. Graduated September 1996. National Registry of Emergency Medical Technicians Basic, (91b20), U.S. Army Academy of Health Sciences, Fort Sam Houston, Texas. Graduated July 1995. Experience & SkillsCurrent Registered Nurse (RN) Licensure (Texas).Nine years' experience in utilization management, quality assurance, discharge planning or other cost management programs required.Ten years of management experience and a thorough knowledge of approved standardized care guidelines and government regulations. Demonstrated assessment, planning, organizing, conflict resolutions, negotiating and interpersonal skills. Very good understanding of changing payer policies to maximize funding for billable events.A thorough knowledge of military and community resources and contacts for referrals. Twenty years in Sales, Marketing and business development with sales teams producing one to seven million in gross sales annually.Related ExperienceMethodist Hospital SystemMarketing Clinical Rehabilitation Specialist 10-1-23 to Present HybreCreated and maintains the highest physical inpatient quality services in San Antonio, Texas with direct support of the Department of Defense and the Veterans Administration. Worked with supporting the acute care patients provided the logistical and clinical management of transferring patients into the San Antonio Methodist Health Care inpatient hospital system. Hybrid position of Sales, Nursing assessments and compliance support. Prime Home Health and Palliative Care / Pacific Hospice Marketing Clinical Liaison 10-1-22 to 09-30-23Created and maintained the highest holistic quality for home health services in San Antonio, Texas with direct support of the Department of Defense and the Veterans Administration. Worked with supporting the acute care patients provided the logistical and clinical management of transferring patients into the home health or Hospice care system. Sales and marketing primary focus. All Seasons Home Health and Palliative Care / Visiting Practitioners Director of Military Affairs 2-12-21 to 9-30-22Created and maintains the highest holistic quality Veteran Home Health services in San Antonio, Texas with direct support of the Department of Defense and the Veterans Administration. Worked with supporting the wounded warriors and provided the logistical management of transferring patients into the system and then overseeing the process of positive rehabilitation outcomes Warm Springs Rehab HospitalVice president of Military Affairs 12-12- 10-20Created and maintains the highest holistic quality rehabilitation services in San Antonio, Texas with direct support of the Department of Defense and the Veterans Administration. Worked with supporting the wounded warriors and provided the logistical management of transferring patients into the system and then overseeing the process of positive rehabilitation outcomes. Grew Military hospital care program from 1 to 42 hospitals across the United States. Locally within the San Antonio market we generated 5.5 million in revenue alone. Building relationships with the VA Hospital system and the Department of Defense to help transition patients with the best outcomes. Hanger Orthopedic Group, Inc. 03-08- 12-12Registered Nurse Provided national and local oversight of the case management process and services to ensure that patients are provided with medically necessary prosthetic services and equipment as covered by their health plan. Provide direct supervision of case management services for monitoring case manager's prospective, concurrent and retrospective assessment, planning, implementation, tracking, monitoring, coordination, and evaluation of the managed care members across the continuum of care to include the complete transition of care to out-patient care. Collaborated with other case managers and attending physicians to facilitate case management services for patients and their families. Additionally, ensured compliance with utilization management and the quality improvement process and includes functioning as a resource on case management concepts, principles and strategies, healthcare management and delivery. Monitored outcomes and provided input into the revision of case management care plans in conjunction with case manager education regarding outcomes and revisions.Essential Job FunctionsDirectly managed the case management team and supervisors' performance to meet established productivity standards according to UM functions. Monitored case manager's prospective, concurrent and retrospective assessment, planning, implementation, tracking, monitoring, coordination, reconciliation and evaluation of the managed care members across the continuum of care to include the complete transition of care to out-patient care.Tracked and trended outcomes for potential improvements in the case management process.Provided input concerning revisions of manuals, forms, and other standardized documents.Provided weekly operational reports of case management activities to senior management.Participated in, made suggestions and managed to establish medical management goals. Oversaw catastrophic patient management, report presentation and statistics for monthly operational report.Sales- Performs national in-services and national symposiums which in turn leads to referrals via education, experience and outcomes.QualityOversaw case management functions and ensured compliance with application of criteria from approved standardized guidelines, government mandated regulations and contractual agreements.Interacted with the case managers on a daily basis and regularly interacted with patients, families, and multi-disciplinary team members in order to monitor and impact outcomes. Developed, participated in, and facilitated quality improvement meetings. Provided oversight and analysis of accurate collection, processing and reporting of utilization data and any ancillary utilization information through monthly reconciliation. Monitored case managers' ability to perform Patient Care Committee responsibilities. Monitored and oversight the reporting of all quality issues to the Quality Improvement DirectorMonitored developed guidelines with physicians for access to primary care doctors related to readmission concerns and alternatives, and patient placement in appropriate facilities and programs and reviews communication and recommendations to group regarding utilization.Interviewed and hired medical service case managers and plans for growth and expansion including staffing needs, space, furniture, and necessary equipment for all markets per hiring standards.Coordinated with Network Management staff in the markets regarding network deficiencies, provider issues and medical costs.Customer ServiceAssisted with physician members in their awareness of preferred contracted providers and facilities.Followed-up on patient and ancillary provider complaints. Communicated both vertically and horizontally regarding UM issues and changes, timely and appropriately.CompliancePerformed annual and orientation period reviews for supervisory staff and ensured that annual and orientation period reviews for the case management staff are completed in a timely manner.Maintained knowledge and complies with established and all new or revised policies and procedures, government mandated regulations and health plan benefits and any benefit changes when posted or distributed and facilitate physician and staff education. Ensured compliance with case management documentation to include HIPPA information and financial responsibility direction. LeadershipProvide input on system issues, recommend enhancements and suggest ideas for future development.Notified the Regional UM Medical Director of issues regarding market physicians. Hired and trained new employees for open positions and collaborated with all managers in placing candidates in the appropriate positions. Managed UM projects and staff teams for improvement of UM function and staff potential.Oversight of annual evaluation process and assisted supervisor in developing their skills with the goal of reaching highest aptitude for position and career goals. Counseled staff with performance concerns that require process improvement plans including monitoring and coaching for improved outcomes. SalesImplemented insurance payer process improvements to increase prosthetic revenue each year by ten to fifteen million annually.Brooke Army Hospital 10-04 to 02-08Registered NurseInpatient Case Manager and Outpatient Case Manager Center for the Intrepid designed and implemented Case Management Dept. Ortho Department at Brook Army Medical CenterNeighborCare Pharmacy 05-03 to 09-04Registered NurseAccount Executive:IV Therapy Instructor: Certifies nursing staff for all types of IV therapy Nurse Consultant: Assists nursing and administrative staff on current nursing practice issues and assists with plans of correction at all levels. Additional duties: Heads CQI/CRSE team: Problem solves using a team approach level.In-service organizer: Works with Pharmaceutical Reps. to provide education programs to administrative and nursing staff to maintain competency. IV sales: Educates customers on the latest safety equipment and therapy. Up selling: Promoting computer software programs to increase productivity and communication between our current customers and the pharmacy. Mission Vista / Compass Hospital 04-02 to 08-04Registered NurseMedical / Surgical, Psychiatric Weekend Charge Nurse (pool) Telecare Act 2 San Antonio, Texas 03-01 to 04-02Registered NurseMedical / Surgical, Psychiatric Nurse / Charge Nurse Regent Care Center at Oakwell Farms, San Antonio, Texas 09-00 to 03-01 Registered NurseRehabilitation Unit, Medical / Surgical, IV Therapy Heart to Home Healthcare / Interlink, San Antonio, Texas 06-00 to 06-02 Registered NurseHome Healthcare, Medical / Surgical, IV Therapy Licensed Vocational NurseHome Healthcare 01-00 to 06-00 Advance Hi-Tech Home Healthcare, San Antonio, Texas 11-99 to 06-00 Licensed Vocational NurseHome Healthcare, Medical / Surgical, IV Therapy Girling Home Healthcare, San Antonio, Texas 01-98 to 11-99 Licensed Vocational NurseHome Healthcare, Medical / Surgical, IV Therapy Brooke Army Medical Center, Fort Sam Houston, Texas 08-95 to 09-96 Wilford Hall Medical Center, Lackland AFB, Texas 03-95 to 08-95 Military ExperienceUnited States Army Reserve, San Antonio, Texas LPN 91B, 91C 12-94 to 11-96 United States Army Intelligence Specialist Honorable Discharge 98J 06-89 to 11-94 Fort Hood, Sinop Turkey, Fort Meade, Washington DC Membership and PublicationsCase Management Society of America 2008 to Present Membership Committee Chair- increased local membership from 140 to 170 people direct access and relationships to all local and national case managers. http://www.dorlandhealth.com/Workers-Compensation/piecing-the-patient-together.html http://www.nursingcenter.com/_PDF_.aspx?an=00000446-200602000-00035 http://www.dorlandhealth.com/Catastrophic/trials-of-redemption.html http://www.vfw.org/index.cfm?fa=news.newsDtl&did=3816 http://www.militaryconnection.com/events/bamc-gift-program.html http://www.nydailynews.com/archives/news/2005/05/23/2005-05- 23_fight_for_recovery__prosthet.htmlhttp://www.newsweek.com/id/45557/page/1http://www.samhouston.army.mil/pao/pdf/07_07_05.pdf http://www.123people.com/ext/frm?ti=person%20finder&search_term=dan%20blasini&s earch_country=US&st=person%20finder&target_url=http%3A%2F%2Fwww.innerwheelu sa.com%2Fdownloads%2FFoundation%2520Newsletter.pdf |
