Jaime Beckner

Registered Nurse with 12+ years of experience in managed care, oncology care management, quality improvement, clinical auditing, risk adjustment, HEDIS, and patient-centered care coordination. Proven leader recognized as a top performer with expertise in complex case management, staff education, provider collaboration, regulatory compliance, and operational excellence. Demonstrated success improving quality outcomes, driving clinical accuracy, and supporting interdisciplinary teams in achieving organizational goals.

Nurse Clinical Coordinator - Elevance Health - Las Vegas, NV

(2024-03)

• Manage complex oncology and REMS program members through comprehensive clinical assessments, care planning, and ongoing care management.
• Collaborate with physicians, pharmacists, providers, and interdisciplinary teams to coordinate care, address adverse events, and improve health outcomes.
• Develop, implement, monitor, and revise individualized care plans for members with chronic and complex medical conditions.
• Coordinate 10–20 specialty medication shipments daily while ensuring compliance with program requirements and continuity of care.
• Handle 40–60 daily interactions with patients and provider offices, resolving clinical and operational issues efficiently.
• Monitor care plan effectiveness, identify opportunities for intervention, and support quality improvement initiatives.
• Recognized as a Top Performer within a department of more than 100 employees for productivity, quality, and member service excellence.

Registered Nurse Abstractor - Complex Care Solutions - Bowie, MD

(2013-02 - 2023-06)

• Conducted comprehensive medical record reviews and clinical abstraction for HEDIS and Risk Adjustment programs.
• Maintained Inter-Rater Reliability (IRR) accuracy scores of 96% or greater while consistently meeting productivity and quality standards.
• Achieved 98% or higher on HEDIS and Risk Adjustment knowledge assessments.
• Performed clinical audits and documentation reviews to ensure coding accuracy, regulatory compliance, and quality measure performance.
• Educated clinical staff through presentations and training sessions focused on chronic condition documentation and coding improvement.
• Participated in disease management initiatives, providing patient education, care coordination, and clinical support.
• Collaborated with multidisciplinary teams to identify process improvement opportunities and support quality outcomes.

Home Health Nurse - MGA Home Healthcare - Scottsdale, AZ

(2012-08 - 2013-04)

• Delivered skilled nursing care, physical assessments, medication management, and chronic disease monitoring in home settings.
• Educated patients and families on disease management, medication safety, and self-care strategies.
• Coordinated services with healthcare providers and interdisciplinary teams to ensure continuity of care.
• Maintained accurate clinical documentation and achieved high patient satisfaction outcomes.

Bachelor of Science in Nursing - Nursing - Grand Canyon University

Associate Degree in Nursing - Nursing - Estrella Mountain Community College