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Humana - Clinical Director Resume Example

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Lkley Esfftuor
XXXX XX XXXX XXXXX, Coral Springs, FL 33071 | (H) XXXXXXXXXXXX | XXXXXXXXXXXXXXXXXXXXXXXXX
Summary

Accomplished and energetic Clinical Director with a solid history of achievement in Long Term Care and Case Management. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include Implementing, and Coordination, Judgment and Decision Making, as well as Management of Financial Resources and responsibility

Skills
  • Administration and Management
  • Critical Thinking
  • Complex Problem Solving
  • Speaking
  • Coordination
  • Judgment and Decision Making
  • Management of Financial Resources
  • Operations Analysis
  • Computers and Electronics
Experience
Clinical Director, Long Term Care 12/2014 to Current
Humana Miramar, FL
  • Conduct and administer fiscal operations, including accounting, planning budgets, authorizing expenditures, establishing rates for services, and coordinating financial reporting.
  • Direct, supervise and evaluate work activities of  LTC management staff
  • Lead medical, nursing, technical, clerical,  and other personnel.
  • Maintain communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning.
  • Plan, implement and administer programs and services in a health care or medical facility, including personnel administration, training, and coordination of medical, nursing and physical plant staff.
  • Develop and implement organizational policies and procedures for the LTC program
  • Lead successful integration of Humana Comfort Choice and American Elder Care
  • Involved in the development of LTC Platform
  • Develop and Mentor LTC staff
  • Attest to AHCA monthly, quarterly and annual reporting requirements
  • Review and implement quarterly contract amendments
  • Maintain compliance of all contract requirements
Regional Manager for Long Term Care 04/2014 to 12/2014
Humana Miramar, FL
  • Provide leadership and guidance to other nurses and social workers
  • Ensure that staff is properly trained
  • Address any personnel issues to promote a productive and supportive work environment
  • Monitor member services for quality and compliance
  • Collaborate with top management, interdisciplinary teams and other stakeholders in order to develop, implement and evaluate programs and services
  • Participate in State required Audit
  • Review required ACHA monthly and quarterly reports
Front Line Leader 01/2013 to 04/2014
Humana Miramar, Florida
  • l Processed monthly reports for department performance.
  • l Increased team productivity.
  • l Demonstrated ability to lead and motivate outstanding healthcare teams.
  • l Contributed substantially to successful department NCQA audit.
  • l Ensured HIPAA compliance.
  • l Strong leader for direct reports assigned.
  • l Oversaw and managed number clinical and support staff in member care activities while maintaining a high level of staff morale and professionalism.
  • l Implemented new processes including SCM center based assignments.
  • l Provide support for Senior Bridge Transitions with daily calls to ensure positive outcomes.
Case Manager 11/2011 to 01/2013
Humana Miramar, FL
  • l Developed treatments and casework programs for an average of 60 patients each month.
  • l Processed monthly reports for department performance.
  • l Managed care for post-discharge members.
  • l Ensured HIPAA compliance.
  • l Coordinated care with interdisciplinary team.
  • l Trained new staff.
Registered Nurse 10/2008 to 04/2011
Broward Health Coral Springs, Florida
  • l Primary care, assessment and evaluation of neonatal and adult patients.
  • l Counseled and educated patients about health issues and wellness.
  • l Self-directed with astute judgment skills.
  • High level of personal accountability.
  • l Performed lab tests and communicated results.
  • l Contributed substantially to successful department JCAHO accreditation.
  • l Ensured HIPAA compliance.
  • l Developed patient care plans, including assessments, evaluations and nursing diagnoses.
Server 05/1998 to 07/2007
Runyons, Inc Coral Springs, Fl
  • l Assisted in maintaining preparation and service areas in a sanitary condition l Greeted each customer with friendly eye contact l Performed all transactions in a cordial, efficient and professional manner l Spoke with patrons to ensure satisfaction with food and service l Trained new employees l Ensured perfect service provided for the Prefect consumer experience.
Internal Auditor/Sales Associate 04/1996 to 06/1998
HVAC, Inc Pompano Beach, Fl
  • l Supervised a sales force of sales associates.
  • l Supported the sales team in writing proposals and closing contracts.
  • l Developed a comprehensive training program for new sales associates.
  • l Built relationships with customers and the community to establish long-term business growth.
  • l Analyzed and reviewed cost reports.
  • l Articulated audit findings, risks and detailed recommendations to upper management.
Manager 01/1993 to 12/1995
Jimmy's Italian Restaurant Coral Springs, FL
  • l Carefully interviewed, selected,trained and supervised staff.
  • l Clearly and promptly communicated pertinent information to staff, such as large reservations or last minute menu changes.
  • l Interacted positively with customers while promoting services.
  • l Carefully developed a lucrative annual food and beverage marketing plan and strict budget to maximize profits.
  • l Actively participated in ongoing customer service programs to build sales and rapport in the community.
  • l Led and directed team members on effective methods, operations and procedures.
  • l Promoted a positive atmosphere and went above and beyond to guarantee each customer received exceptional food and service.
  • l Maintained a safe working and guest environment to reduce the risk of injury and accidents.
Server/Bookkeeper/General Manager 11/1989 to 12/1995
Jimmy's Italian Restaurant Coral Springs, FL
  • l Maintained integrity of general ledger, including the chart of accounts.
  • l Analyzed monthly balance sheet accounts for corporate reporting.
  • l Generated financial statements and facilitated account closing procedures each month.
  • l Consistently stayed under monthly controllable expense budget.
  • l Provided excellent customer service.
Education
Associate of Science: Nursing Broward College - Nursing Coconut Creek, Fl 2008l Recipient of Broward Health Scholarship
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Resume Details

This is a real resume for a Clinical Director in Coral Springs, Florida with experience working for such companies as Humana, Broward Health, Runyons Inc. This is one of the hundreds of Clinical Director resumes available on our site for free. Use these resumes as templates to get help creating the best Clinical Director resume.

Previous Companies:

  • Humana
  • Broward Health
  • Runyons Inc

Previous Job Positions:

  • Clinical Director
  • Case Manager
  • Registered Nurse
  • Server
  • Internal Auditor

Schools:

  • Broward College

Level of Education:

  • Associate of Science

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