Debra D’Antonio
*** * ******* ****** ********* Pa. 18103
Mobile: 570-***-**** • Email: ac4mi1@r.postjobfree.com
Areas of Strength
Staff Management • Regulatory Compliance • Patient-Centered Care • Program Implementation • Multitasking • Communication • Organization Skills • Clinical Support • MS Office, Adobe, Lotus, Career Planner, Med Decisions, Care One, Facets, Diamond & Cosmos
Professional Experience
Optum Health – United Health Care, Minnetonka, MN – 2005 to 2017
Case Management/HFS
Bolster efficiency, accuracy, and quality of busy health care organization by mentoring new hires/established employees, conducting evaluations, auditing processes for quality standards, and supporting nursing/support staff health care team.
Ensure strong employee performance by playing dual role that includes carefully scrutinizing operations to ensure alignment with objectives and supporting clinical staff through mentor ship and performance reviews.
Improve patient health and organizational operations by serving as prenatal educator and reviewing all OB-NICU practices.
Demonstrate strong quality, disease and project management by consistently overseeing long-term improvement plans for organization.
United Health Care 2005 - 2011
Case Manager Sr.
Ensured patients received quality care by conducting concurrent review of medicine for OB-NICU departments, assessing service level and quality while reviewing cases/discharge plans for error.
Demonstrated strong organizational skills by scheduling and representing team in plan meetings.
Propelled organization to operations success through clinical and administrative support.
Improved performance by evaluating employees and implementing evaluations/corrective plans.
AMERICHOICE, Newark, New Jersey - 1999 to 2005
Call Center Manager
Positioned call center for success by conducting utilization and case management and overseeing numerous staff members, ensuring strong performance and compliance.
Guaranteed effective organizational performance by conducting regular supervisory audits, pinpointing areas for improvement, and ensuring customer service effectiveness of after-hours staff.
Ensured compliance with state regulations by implementing plan and state regulatory policies/procedures, utilizing Inter Qual, Hedis Measures, ACOG, NCQA, and Mill man Roberts/Medicaid/Medicare Guidelines.
Cigna Health Care Rockaway, New Jersey - 1998 to 1999
Consultant
Quality Assurance for Health Care Facilities
Physician reviews on the current and new physicians in accordance to the guidelines
Established by Cigna.
Case review for quality assurance in accordance to Cigna's standards.
Center for Human Reproduction New York, New York – 1997 to 1998
Donor IVF Clinical Manager / Coordinator
Patient education pre / post procedures
Assist in the operative procedures for retrievals and transfers of Oocytes.
Telephone triage under physician's supervision.
Prepare and supply case management material to the insurance companies.
Manage a staff of 16, 1.e. (5) embryologists, (5) registered nurses, and (6) support staff personnel.
Dr. Thomas Kerenyi and Dr. Jonathan Scher New York, New York - 1995 to 1997
Registered Nurse / Practitioner / Midwife
Assist with the following procedures: Hysteroscopy, Laser Surgery, Leep and cryosurgery, Laminaria, and Perl-natal screenings.
Assist physicians with routine exams.
Conduct telephone triage and counsel patients prior to exams or procedures.
Patient education.
Prescribe medication under the physician’s supervision.
Handle the ordering of medical supplies and medical equipment.
Prepare and supply case management material to insurance companies.
Dr. William J. Sweeney 111 New York, New York – 1986 to 1995
Registered Nurse / Practitioner / Midwife
Assist with all in office procedures as well as operative procedures.
Conduct routine gynecological exams and minor procedures.
Conduct telephone triage and patient education
Prescribe medication under physician's supervision.
Manage the ordering of all medical supplies.
Dr. Gabriel Spergel Brooklyn, New York – 1984 to 1986
Registered Nurse
Patient education created pamphlets for educational purposes
Telephone triage, ordering of all medical supplies.
Assist physician with all exams and intravenous treatments.
Dr. Waxman and Ambinder New York, New York – 1982 to 1984
Registered Nurse / Oncology
Patient education, administration of chemotherapeutic drugs.
Facilitated clinical rounds with OB Team and Medical Director.
Possesses an additional 10+ years of clinical experience with specialist in Obstetrics as Registered Nurse, Clinical Manager, and in other clinical/administrative health care management roles.
Education
NEW YORK UNIVERSITY, NEW YORK, NEW YORK: Doctorate of Psychology & Master of Science, Nursing
HUNTER COLLEGE, NEW YORK, NEW YORK: Bachelor of Science, Nursing
PHILADELPHIA MEDICAL COLLEGE: Certified Midwife