Clinical Advisor Resume
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116 Edsel Road
Alhambra, CA 91801
(333)-741-1536
k.perez@emailaddress.com
Job Objective: To enhance my skills as a Clinical Advisor by joining forces with a growing establishment seeking qualified applicants.
Work Experience:
Clinical Advisor, August 2005 - Present
Humana, Alhambra, CA
Provided recommendations to the services for Humana Plan members using care alternatives available within the community and nationally.
Recognized the potentially unnecessary services and care delivery settings and recommended alternatives if suitable by analyzing clinical protocols.
Reviewed clinical programs information to identify members for specific case management and disease management activities.
Reviewed patient permit and discharge scheduling.
Clinical Advisor, May 2000 – July 2005
Value Options, Alhambra, CA
Promoted the physician relationships, improved quality and completed new provider education and orientations.
Facilitated the required audits to meet all accreditation and regulatory requirements and implemented corrective action plans.
Assisted survey preparation and participated with survey process as needed.
Contributed to the successful implementation of the Quality Nurse Program in assigned duties.
Summary of Qualifications:
Vast experience with health care training in healthcare settings
Skilled at utilization management, discharge planning and home health
Good understanding of clinical program design, implementation, management/ and monitoring
Wide knowledge of clinical regulations applicable to hospitals and ambulatory environment
Proficient with Microsoft Word and PowerPoint
Excellent oral and written communication skills
Exceptional ability to conduct internet searches for information
Strong ability to work effectively in a team-based structure
Profound ability to be licensed in multiple states without restrictions
Education:
Bachelor's Degree in Nursing, Murray State University, Murray, KY
