Nancy Shields Email and Phone Number
Nancy Shields work email
- Valid
- Valid
Nancy Shields personal email
Nancy Shields phone numbers
Highly accomplished and results-focused registered nurse with over 30 years’ practical experience in inpatient and outpatient settings, surgical care, case management, health care IT, prior authorization, clinical quality reporting and process improvement. Special expertise in working with internal teams to help define processes, identify opportunities for improvement and education needs.
Blue Cross And Blue Shield Of Kansas City
View-
Clinical Review Nurse Utilization ManagementBlue Cross And Blue Shield Of Kansas City Aug 2020 - PresentKansas City, Mo, UsLeverages a multidisciplinary approach in all aspects of Utilization Management reviews using evidence-based clinical guidelines, minimally necessary information and a thorough understanding of member certificates and benefits, Provider networks and Contracts, as well as established protocols. Conducts medical necessity reviews to determine appropriateness of requested healthcare services. Acts as an empathetic advocate for members to ensure delivery of cost-effective high-quality care and an elevated member and provider experience. Duties include management responsibilities for the prior authorization team for Medicare Advantage, Commercial and Affordable Care Act lines of business, and vendor management for third-party vendor.
-
Care Guide, RnBlue Cross And Blue Shield Of Kansas City Oct 2017 - Oct 2020Kansas City, Mo, UsSpira Care is an advanced primary care healthcare offering in the Kansas City market designed by Blue Cross and Blue Shield of Kansas City. At Spira Care, the experience is designed to provide members with an integrated healthcare experience. The Care Guide, RN is an integral role within the Care Team who fulfill key member-experience responsibilities by managing member interactions at Spira Care and assisting members with navigating through the complexities of healthcare to make the experience simple, personal and transparent. They will effectively leverage a myriad of skill sets to provide the member a seamless healthcare experience, blending administrative, educational and care coordination functions. Care Guide RNs work with members primarily in face to face settings but also on the phone; creating connections and care along the way.
-
Registered Nurse Hospice HouseSaint Luke'S Health System Jan 2017 - Oct 2017Kansas City, Mo, UsResponsible for performing patient care delegating patient care tasks and for supervision of other patient care staff. Responsible for coordinating the plan of care for a group of assigned patients and consulting with other members of the health care team when indicated to ensure optimal patient outcomes. -
Sr.Clinical Consultant Quality ReportingCerner Corporation Mar 2016 - Dec 2016Kansas City, Missouri, UsSr.Clinical Consulting for Quality Reporting servoces, with primary responsibilities as the knowledge lead for both eligible providers and eligible hospital consulting teams. Established a consulting framework for leverage across the quality reporting group and created a central repository for documentation that ultimately helps drive consistency across all of our consulting implementation projects. -
Sr. Solution DesignerCerner Corporation Dec 2011 - Dec 2016Kansas City, Missouri, UsDesign and development of content and functional requirements for clinical quality measure, to enhance patient safety and improve clinical outcomes and help clients meet regulatory compliance and financial incentives for eligible professionals and hospitals. Other activities include: supporting the consulting processes including demo support, collaborating with clients on enhancements to our current solutions, and writing and reviewing supporting collateral.
-
Clinical DesignerCerner Corporation Jan 2005 - Dec 2011Kansas City, Missouri, UsDevelopment of test plans and testing medical software content and define and execute test plans as required by organizational needs. Develop supporting knowledge framework to manage ongoing clinical content development, dissemination, and updates of knowledge content and utilizes knowledge of various clinical settings to organize content as appropriate to the workflow needs.
Nancy Shields Skills
Nancy Shields Education Details
-
St. Lukes Hospital School Of Nursing Kc, MoRegistered Nursing/Registered Nurse -
Kansas State University
Frequently Asked Questions about Nancy Shields
What company does Nancy Shields work for?
Nancy Shields works for Blue Cross And Blue Shield Of Kansas City
What is Nancy Shields's role at the current company?
Nancy Shields's current role is Clinical Review Nurse at Blue Cross and Blue Shield of Kansas City.
What is Nancy Shields's email address?
Nancy Shields's email address is na****@****ner.com
What is Nancy Shields's direct phone number?
Nancy Shields's direct phone number is +191392*****
What schools did Nancy Shields attend?
Nancy Shields attended St. Lukes Hospital School Of Nursing Kc, Mo, Kansas State University.
What skills is Nancy Shields known for?
Nancy Shields has skills like Healthcare Information Technology, Healthcare, Hospitals, Electronic Medical Record, Cerner, Leadership, Informatics.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial