Resourceful Clinic Manager with a focus on developing high standards of practice evaluating patient care for effectiveness and implementing necessary changes to programs and policies. Committed to cost-effective compassionate urgent care. Motivational leader and business administrator with track record of success.
Overview
28
28
years of professional experience
Work History
Clinical Manager
Lexington Kidney Center, LLC
Columbia
07.2019 - Current
Led, inspired, and motivated a multidisciplinary team of 18 field clinicians to deliver exceptional client service and quality clinical care while ensuring adherence to policies and procedures.
Educated and coached field staff on efficient episodic management, high-quality clinical services, EMR documentation, case management, and Medicare regulations/Managed Care requirements.
Provided facilitation and management of successful claim decision appeals.
Ensured compliance with all applicable federal, state, and local laws and regulations.
Technically proficient in the specific department and knowledge of industry practice and business principles. Worked on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.
Responsible for addressing and acting on adverse events and action thresholds.
Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
Directs initiation, maintenance, and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
Plans, coordinates, and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility.
Facilitated timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation, ensuring coordination of care with the multidisciplinary renal team.
Communicates changes in patient status regarding clinical, insurance, travel, and transportation issues to the disease management company.
Maintains current knowledge of disease management software and systems as pertinent.
Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
Participates in the recruitment and interview process, and decision to hire new personnel.
Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in-service training, and policy and procedure in service updates.
Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities.
Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
Maintains current knowledge regarding benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
Completes timely employee evaluations and establishes annual goals for staff.
Provides written documentation of all disciplinary conferences in accordance with the established personnel policies and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
Directs information gathering as required supporting billing and collection activities.
Optimized use of laboratory and inventory resources to control expenses.
Clinical Manager
Central Columbia Kidney Center, LLC
Columbia
02.2012 - 07.2019
Led, inspired, and motivated a multidisciplinary team of 22 field clinicians to deliver exceptional client service and quality clinical care while ensuring adherence to policies and procedures.
Educated and coached field staff on efficient episodic management, high-quality clinical services, EMR documentation, case management, and Medicare regulations/Managed Care requirements.
Provided facilitation and management of successful claim decision appeals.
Accountable for compliance with all applicable federal, state, and local laws and regulations.
Technically proficient in the specific department and knowledge of industry practice and business principles. Worked on issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including an understanding of current business trends.
Responsible for addressing and acting on adverse events and action thresholds.
Ensure education of the patient regarding quality measures, transplant options, modality awareness, and access care, including catheter reduction and adherence to treatment regime.
Accountable for timely completion of patient care assessments and care plans by organizing meetings of the facility’s Interdisciplinary Team to discuss patient care plans and to resolve patient problems.
Directs initiation, maintenance, and communication of efficient and timely patient schedules to ensure maximization of the facility station efficiency.
Plans, coordinates, and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility.
Facilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team.
Communicates changes in patient status regarding clinical, insurance, travel, and transportation issues to the disease management company.
Maintains current knowledge of disease management software and systems as pertinent.
Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations.
Participates in the recruitment and interview process, and decision to hire new personnel.
Ensures completion of new hiring orientation and training including mandatory in-services and ICD code training when applicable. Ensures documentation completed for annual in-service training, and policy and procedure in service updates.
Responsible for all patient care employees receiving appropriate training according to FMS policy, including training to ensure ongoing compliance with all FMS risk management initiatives.
Provides opportunities for professional growth, and training to ensure clinical competence and the ability for licensed staff to assume Team Leader responsibilities.
Responsible for overseeing performance of all licensed personnel, direct patient care staff, reporting indirect patient care personnel as assigned, and when necessary, technical staff. Provides employee education and guidance, and feedback related to performance.
Maintains current knowledge regarding benefits, Human Resources policies, procedures, and processes, and acts as a resource to facility staff.
Provides counseling for all clinical staff members at regular intervals offering support and encouraging professional growth.
Completes timely employee evaluations and establishes annual goals for staff.
Provides written documentation of all disciplinary conferences in accordance with the established personnel policies and confers with the Director and Human Resources regarding the nature of the disciplinary decisions.
Directs information gathering as required supporting billing and collection activities.
Responsible for efficient utilization of medication, laboratory, inventory, supplies, and equipment to achieve supply cost goals following all guidelines.
Staff Nurse
Providence Hospital
Columbia
07.2004 - 10.2006
Administered medications and treatments as prescribed by physicians.
Monitored patient vital signs and reported changes to the healthcare team.
Collaborated with multidisciplinary teams to develop patient care plans.
Staff Nurse
East Cooper Medical Center
Mount Pleasant
03.2002 - 06.2003
Administered medications and treatments as prescribed by physicians.
Monitored patient vital signs and reported changes to the healthcare team.
Collaborated with multidisciplinary teams to develop patient care plans.
Assisted in coordinating daily nursing activities and patient flow.
Provided emotional support to patients and families during difficult times.
Maintained accurate medical records in compliance with hospital policies.
Provided direct patient care including wound dressing, administering medication and IV therapy.
Patient Care Technician
Dialysis Clinic Inc.
Charleston
07.1998 - 12.1999
Monitored vital signs and reported changes to nursing staff.
Assisted patients with dialysis treatments and ensured comfort during procedures.
Prepared treatment areas by setting up equipment and sanitizing surfaces.
Maintained accurate patient records and documented treatment sessions daily.
Education
Bachelor of Science - Nursing
Medical University of South Carolina
Charleston, SC
Bachelor of Science - Biology
Winthrop University
Rock Hill, SC
Skills
Care coordination
EMR documentation
Staff training
Clinical supervision
Patient education
Interdisciplinary collaboration
Conflict resolution
Performance evaluation
Team management
Staff guidance
Recruitment and retention
Employee engagement
Patient health education
Patient care management
Staff development
Supervisory experience
Organizing staff schedules
Continuous improvement
Staff scheduling
Quality control
Patient care
Clinical safety
HIPAA
Patient care and education
Clinical quality improvement
Team meetings
Addressing questions and concerns
Employee issue resolution
Hobbies and Interests
Comfortable with advancing to new positions to expand clinical knowledge base and skills.
Appreciation of taking control of a situation, tackling challenging issues, and overcoming hurdles to provide superior care for patients.
A passion for efficiency and delivering the best possible care to patients.
Values institutional ethics and the ethical treatment of others.
Comfortable with learning new medical technology, whether it’s hardware or software, and the implementation of the new technology.