Anna Clymer
Peoria
Summary
Dynamic healthcare professional with extensive experience at Health Choice AZ, excelling in leadership and team building. Proven track record in enhancing clinical compliance and quality assurance. Bilingual in English and Russian, I effectively communicate and build rapport with diverse populations, ensuring optimal patient care and regulatory adherence.
Overview
15
15
years of professional experience
Work History
Health Risk Assessment- Supervisor
Health Choice AZ/ Blue Cross Blue Shield of AZ
Phoenix
01.2021 - Current
- Supervised daily operations of health risk assessment programs, ensuring compliance with clinical guidelines and organizational standards aligned with NCQA standards
- Mentored team of health assessors through training, coaching, and performance evaluations to enhance team capabilities
- Collaborated with quality teams to support NCQA accreditation and re-accreditation process
- Developed and implemented training programs to improve team competency and consistency
- Conducted audits of health assessments to ensure adherence to regulatory standards and maintain quality assurance
- Maintain documentation and reporting standards in alignment with healthcare regulations
Maternal Child/ EPSDT Integrated Care Manager
Health Choice AZ/ Blue Cross Blue Shield of AZ
Phoenix
01.2021 - Current
- Developed and updated Integrated Care Management Plans for members based on individual progress and health outcomes
- Conducted outreach to pregnant members following notification of pregnancy, hospital admissions, and delivery
- Transitioned members between levels of care to ensure continuity and appropriateness of services
- Coordinated care for members with serious mental health issues, ensuring comprehensive support and resources
- Coordinate care with health homes, doctors offices and other healthcare professionals
- Participated in interdisciplinary care team and medical management clinical rounds.
- Established connections with treatment providers in Northern Arizona to enhance collaboration
Clinical Coordinator/Registered Nurse. Couplet Care/Newborn Nursery/NICU/ GYN
Abrazo Health Care Arrowhead Hospital
Glendale
01.2013 - 01.2021
- Charge nurse/Manage on unit
- Provide direct care, evaluate all outcomes, and monitor the medical condition of obstetric patients and neonates post delivery
- Administered therapeutics and ensured quality and comfort services in providing nursing care to newborns and new mothers
- Utilize judgment to closely monitor both maternal and fetal well-being; alert physicians, hospitalist, and/or supervisor related to potential complications
- Demonstrated expert clinical skills in pain assessment and management, knowledge of alternative pain control methods
- Served as a role model to foster a positive work environment and enhance team collaboration
- Validated RN competencies annually and conducted staff evaluations to ensure high standards of care
- Coordinated unit scheduling to optimize staffing levels and maintain effective patient care
Registered Nurse, Pediatric Intensive Care Unit/ Pulmonary Med-Surg
Phoenix Childrens Hospital
Phoenix
01.2013 - 01.2014
- Trained in highly technical critical care treatments including management of multiple medications and infusions, continuous renal replacement therapy, high-frequency oscillatory ventilation, care of the child with a tracheostomy, enteral feedings and long-term ventilator support
- Completed comprehensive nursing assessments of patients' conditions, considering physical, psychological, social, developmental, and educational factors, to establish initial compliance with treatment plan per policy and unit guidelines
- Performs ongoing patient and family assessments and identifies variations from diagnoses
- Contributed to team by executing activities within established parameters, ensuring compliance with medication and documentation standards.
- Taught various topics for continuing education in collaboration with professional education team, enhancing knowledge and skills among nursing staff
Registered Nurse
MD Home Health
Phoenix
01.2012 - 01.2014
- Coordinated care for patients across all age groups, addressing diverse diagnoses and ensuring comprehensive treatment
- Developed patient care plans, including assessments, evaluations, and nursing diagnoses
- Documented nursing assessments, treatments, medications, discharge instructions, and follow-up care to ensure continuity and quality of patient care
- Managed case management for clients by developing care plans and collaborating with health care providers, including physicians, therapists, and social workers
- Perform independent health assessments of individuals and families by evaluating their physical, mental and social and environmental health status; and provide nursing intervention based on assessment of need
- Provided health education and consultation services to community members and families during home visits.
Registered Nurse
Focus Care of AZ
Phoenix
01.2011 - 01.2012
- Identified and addressed discharge plan needs to ensure patient readiness before discharge
- Managed patient cases effectively
- Administered treatments and medications, which were prescribed by the physicians
- Evaluated, designed and implemented care plans along with making revisions according to the patient needs and status
- Provided complete history of previous and current illness and completed physical assessment
- Cared for patients that ranged from newborns to geriatric ages
- Provided personalized education to patients and families on home care instructions to enhance post-discharge recovery
- Worked diligently with physicians and other staff to inform status of patient at all times
Education
Bachelors of Science - Nursing
Grand Canyon University
Phoenix, AZ01-2015
Associates of Science - Nursing
Apollo College
Phoenix, AZ01-2010
Skills
- Health communication
- Clinical compliance
- Regulatory standards adherence
- Data analysis
- Spreadsheet knowledge
- Database knowledge
- Quality assurance
- Budget management
- Monitoring productivity
- Leadership
- Management
- Supervisory skills
- Team building
- Teamwork
- Effective communication
- Rapport building
- Cultural awareness
- Problem solving
- Adaptability
- Organizational skills
- Self-motivation
- Fast learner
- Responsibility
- Regulatory standards adherence
Licensure And Certification
- Registered Nurse, Arizona, RN171234, 01/01/11
- Basic Life Support/ First Aid (BLS), current
- Neonatal Resuscitation Program (NRP), current
- Pediatric Advanced Cardiac Life Support (PALS), current
Timeline
Health Risk Assessment- Supervisor
Health Choice AZ/ Blue Cross Blue Shield of AZ
01.2021 - Current
Maternal Child/ EPSDT Integrated Care Manager
Health Choice AZ/ Blue Cross Blue Shield of AZ
01.2021 - Current
Clinical Coordinator/Registered Nurse. Couplet Care/Newborn Nursery/NICU/ GYN
Abrazo Health Care Arrowhead Hospital
01.2013 - 01.2021
Registered Nurse, Pediatric Intensive Care Unit/ Pulmonary Med-Surg
Phoenix Childrens Hospital
01.2013 - 01.2014
Registered Nurse
MD Home Health
01.2012 - 01.2014
Registered Nurse
Focus Care of AZ
01.2011 - 01.2012
Bachelors of Science - Nursing
Grand Canyon University
Associates of Science - Nursing
Apollo College