2016 Resume Denise W-1

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16450 W. Van Buren St. Apt 1066Goodyear, AZ 85338Cell 317-260-8074

Elizabeth Denise Smith ObjectiveAs 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.


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 Aetnas 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) RNResponsible 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.

19921994 Marquette Manor Indianapolis, INLicensed Practical Nurse (Evening Shift Nurse Supervisor) Managed a 30 bed Alzheimers secured unit. Supervised all CNAs. Assisted with administration of medication and wound care. In charge of daily task schedules and work schedules.

Education19961998 Marian College Indianapolis, IN Associate Degree of Science in Nursing.1991-1992 Ivy Tech State College Terre Haute, IN Technical Certificate of Practical Nursing.