21568 Audette

Dearborn, MI 48124
Phone: H (313) 562-1680
C (313) 806-0940
e-mail: jemg@wowway.com
Janice M Gaynor, RN
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Objective Seeking a position that allows me to diversify my background, expand my

knowledge and apply my skills.

Summary of Qualifications
 Twenty eight years of experience in a variety of healthcare settings.
 Over fifteen years in a leadership role.
 Experience with budget, scheduling, system design, writing policy & procedures.
 Participated in Disney Leadership Institute and Wayne State University
Leadership Course
 Outstanding interpersonal, communication, supervisory and teaching skills.

Work Experience December 2008 - March 2010 Oakwood Rehab & Skilled Nursing Center
Unit Manager
 Oversee day to day operations of a 58 bed rehab unit
 Manage a staff consisting of RN's, LPN's and CENA's
 Participate in weekly interdisciplinary conferences on all residents
 Handle all family, physician and resident issues
 Maintain unit in a continuous 'state ready' environment

May 2002 - December 2008 Blue Cross Blue Shield of Michigan

Manager, Precertification Services
 Oversee day to day (call center & written appeals) operations in Precertification
Services department with 40 employees
 Manage budget of $3.8 million/year
 Develop policies and procedures to ensure URAC accreditation and compliance
with DOL/ERISA
 Optimize available resources to ensure achievement of divisional goals
 Handle customer inquiries associated with precertification issues
 Instrumental in re-organizing department, implementing precertification
changes, restructuring SNF and Rehabilitation processes
 Continuous quality improvement of utilization management process to
maximize referrals to other care management programs

October 1999 - May 2002 Blue Cross Blue Shield of Michigan

Team Leader, Acute Care Unit
 Supervisor of telephone precertification unit
 Developed phone standards and nurse review standards
 Scheduling, annual reviews and coaching and development of 22 staff members
 June 1998 - October 1999 Blue Cross Blue Shield of Michigan
Nurse Reviewer
 Assess the medical appropriateness of inpatient admissions by applying
InterQual criteria

March 1992 - March 1998 Various Travel Agencies

Registered Nurse
 Positions included staff and charge nurse roles in a wide variety of Intensive
Care settings

Education Henry Ford Community College Dearborn, MI

Associate Degree in Nursing

Cleveland Clinic Foundation Cleveland, OH

Critical Care Certification

University of New Mexico Albuquerque, NM

Paralegal Certification

May 2000 Siena Heights University Adrian, MI

Bachelors of Applied Science

August 2001 Wayne State University Detroit, MI

Excellence in Leadership Program

References Available upon request