16450 W. Van Buren St.Apt 1066Goodyear, AZ 85338

Cell 317-260-8074

Elizabeth Denise Smith

Objective As a Registered Nurse, my professional objective is to utilize my educational and work experiences to educate and be an advocate and serve all people in all capacities of healthcare.

Experience Nov 2015- Nov 2016 Present United Health Group (Optum360™) Phoenix, AZ Phoenix Service Area Administrative Consultant Manager

· Responsible for oversight and development of the clinical documentation improvement (CDI) program at 4 Optum360™ client hospitals in the state of Arizona

· Assisted in constructing multiple enterprise wide policies and procedures and set up workflow processes

· Formulated and interpreted analytical detailed statistical data to present monthly to regional CFOs

· Building positive transparent relationships with Optum360™ clients

2009-2015 Mercy Care Plan an Aetna Company Phoenix, AZ Clinical Health Services Supervisor

· Manage a team of 14 direct reports.· Developed a resource Nursing Prior Authorization (PA) manual for

incoming and New PA Nurses.· Facilitated leadership training for ancillary teams throughout

health plan (HP).· Created audit tool for R610 report for reconciliation nursing

inaccuracies.· Co-lead and facilitated the implementation of the GMH/SA

transition to the HP. Clinical Nurse Educator

· Developed core clinical curriculum for training for Aetna’s Medicaid Plans specific to clinicians.

· Conducted and facilitated trainings to clinical staff.Informal Appeals Nurse

· Re-reviewing medical claims that are in dispute of payment with health care providers.

UM Nurse Consultant· Responsible for concurrent and retro-reviews for Mercy Care

Plan.· Initiating, planning, and executing the best discharges for Mercy

Care members to prevent and or reduce readmission.· Informing hospital constituents of current changes with policy

and procedures with Mercy Care Plan.

2000-2008 Eli Lilly & Company Indianapolis, INClinical Research Nurse (Protocol Lead/Supv.) RN

· Oversight delegate of assigned Clinical Trials.· Planned, implemented, and executed over 50 Phase I clinical study trials· Created and utilized new processes for collecting and cleaning

study data with the Alpha Das System (Exclusive to the Lilly Clinic).

· Developed an educational training program for all new Nurse Associates.

· Assisted with editing and writing study protocols in conjunction with sponsor CRAs.

1998-2000 Wishard Memorial Hospital Indianapolis, INSurgical Intensive Care Unit (Staff Nurse I) RN

Responsible for the care of trauma surgery patients.Proficient in IV insertions and maintaining all lines, CVVH, SWAN, arterial, and PICC lines.Other responsibilities included shift charge nurse and schedule coordinator.

1994-1997 Select Specialty Hospital Indianapolis, INLicensed Practical Nurse

· Performed nursing task under direct supervision of shift RN.· Responsible for tracheotomy care, wound care, GI care, central

line care, and Foley catheter care.

1992–1994 Marquette Manor Indianapolis, INLicensed Practical Nurse (Evening Shift Nurse Supervisor)

· Managed a 30 bed Alzheimer’s secured unit.· Supervised all CNAs.· Assisted with administration of medication and wound care.· In charge of daily task schedules and work schedules.

Education 1996–1998 Marian College Indianapolis, IN· Associate Degree of Science in Nursing.

1991-1992 Ivy Tech State College Terre Haute, IN· Technical Certificate of Practical Nursing.