1. Alison Hurst, BSN, RN, CCM
4573 Highway 64 West
Conway, AR 72034
501-428-0019
medicrnali@gmail.com
Objective
To obtain a challenging position that encourages continued utilization of my strong clinical knowledge,
managerial and leadership skills and spirit of collaboration with an emphasis on providing holistic patient-
centric care within the healthcare continuum. My desire is to promote healthy outcomes through excellence
in holistic patient care, demonstrated by advocacy and having a detailed approach to customer service. I am
a creative problem solver and leader, adept at managing projects and people while effectively delegating,
providing support,promoting a cohesive team environment to ensure that everyone understands and
identifies with the organization’s mission and core values. I am successfulin implementing changes that
have resulted in significant improvements in efficiencies and reduction of costs while managing the day-to-
day functions of the national case management teams in accordance with established policies, procedure
and practices.
Academic Preparation
Chamberlain College of Nursing
Bachelor of Science in Nursing
Graduated: 2016 Honor Graduate
Excelsior College of Nursing
Associatesin Science, Nursing
Graduated: 1999 Honor Graduate
University of ArkansasMedical SciencesCampus
Associatesin Science, Emergency Medical Services
Graduated: 1987
University of ArkansasMedical Sciences Campus
Paramedic
Graduated: 1985
Conway High School
Business Emphasis
Graduated: 1980
Professional Memberships/Certifications
Certified Case Manager, Commission for Case Manager Certification
Certified Legal Nurse Consultant,AALNC
Sigma Theta Tau International Honor Society of Nursing
American Nurses Association
Arkansas Nurses Association
Arkansas EMT Association

2. Professional Experience
ArkansasBlue Cross Blue Shield,Little Rock,AR (2014 to Present)
Manager, National Accounts Medical Affairs
This role includes collaboration with a multi-disciplinary team of Medical Directors, Nursing, Pharmacist
and Social Workers while overseeing,developing and directing all medical affairs programs to provide case
management assistance for national employer groups.This role also requires clinical expertise in order to
serve as a resource of clinical knowledge to the client, marketing representative and support to the clinical
team of nurses. Additional responsibilities include the ability develop, coordinate and oversee all programs
for the Care Management teams while insuring quality Improvement (QI) programs for Case Management.
 Coordinate all functions of the case management team including reporting to the Medical
Directors and the Group Administrators.
 Collaborated with human resources to develop a plan to address the high attrition rate,
which resulted in a reduced in turn over from 48.9% to 4.4%.
 Effectively lead and developed the National Accounts care management team including
performing employee coaching,counseling, evaluations and maintaining a high level of
accountability.
 Monitored and reported all QI results of the team and made recommendation to assist in
the development of programs to address UR issues identified by reports.
 Participates in inter-departmental medical management activities, including but not
limited to Case Management, Best Practices Standards,Critical/Clinical Pathways,
Outcome Measurements and Disease Management.
 Developed and refined policies, procedures and workflows to support a holistic approach
to patient care and improve efficiencies.
 Responsible for developing and overseeing all Medical Affairs Programs, while having
the overall accountabilities to manage all staff within the area and being involved in all
day-to-day activities.
 Evaluated individual performance of team members, which included Written Annual
Performance Appraisals and Performance Improvement Plans
 Successfully implemented programs and committees that increased customer and
employee satisfaction.
 Managed and collaborated with other Blue Cross plans to initiate and develop specialty
center of excellence programs such as renal, diabetes and cancer for national accounts.
 Developed and monitored budgets and resource allocations while identifying strategies to
reduce costs and improve quality of care and service. ($2.5M annually)
 Conducted regular medical records review, telephone and case audits to assure quality
 Researched, developed and implemented Video Case Management program for national
accounts clients.
 Researched, developed and implemented “Blue Tube Health” video project for educating
chronic disease patients
ArkansasBlue Cross Blue Shield,Little Rock,AR (2012 to 2014)
Supervisor, Case Management
 Developed initial training, ongoing training and the day-to-day operations for national
Case Management teams.
 Responsible for researching cases and reports to provide information and analysis on
special projects as identified by the clients and management.
 Participated in all aspects of departmental operation as part of the succession plan
directed by the Managerof Medical Affairs.
 Facilitated appropriate cost effective and cost containment measures
 Monitored effective claims adjudication based on guideline for contracted services at the

3. request of the client.
 Participated with the multidisciplinary teams in Grand Rounds to review for appropriate
transitions of care.
 Monitored contracted and case by case negotiations with providers for quality of care
issues,cost effectiveness,accessibility and levels of services provided.
ArkansasBlue Cross Blue Shield,Little Rock,AR (2011 to 2012)
Regional Case Management Coordinator,National Accounts
 Provided patient/family education on disease processes,prevention,management and
maintenance of health concerns.
 Improved transitions of care by holistically supporting the member and their family to
ensure health care goals were achieved.
 Monitored member’s progression while they were in facilities through collaborating with
the facility case manger/UR Nurse to maximize benefits.
VP Medical Consulting,Benton,AR (2007-2011)
Case Manager, Workers Compensation & Legal Nurse Consultant
 Workers Compensation case management
 Legal nursing chart audits and reviews
 Collaborated with physicians and otherhealth care providers to establish, implement, and
maintain quality patient care and services.
McKesson Health Solutions,Westminster, CO (2007-2010)
Telehealth Triage RN, Disease Management RN, Nursing Supervisor
 Telehealth 24 hour Nurse Advice Line
 Telephonic Disease Management nurse
 Nursing Supervisor
Golden Living Center, North Little Rock,AR (2007)
Assistant Director of Nursing
 ADON in 120 bed skilled nursing facility
 Reports to and compliments DON in planning, developing and supervising activities of
licensed and non-licensed personnelwho provide nursing and health care to residents.
 Assists the DON in the design, implementation and evaluation of nursing systems that ensure
consistent delivery of care, maintains and promotes resident rights.
 Assists the DON in the development, implementation and evaluation of facility policies,
procedures and guidelines on an annual and on-going basis.
 Collaboration with physicians,pharmacists and other multi-disciplinary health professionals
related to health care of residents.
 Assists the DON in ensuring nursing staff awareness and compliance with Federal and State
regulations.
Methodist Behavioral Hospital,Maumelle, AR (2003-2007)
RN, Charge Nurse, PRN Nursing Supervisor
 Collaboration with psychiatrists,primary care physician, pharmacists, social workers and
other members of multi-disciplinary treatment team.
 Provide professionalnursing care to emotionally disturbed and/or mentally ill children
under the age of 18 for behavioral health services.
 Assessed,monitored, documented and developed care plans for patients.
 Participated in Grand Rounds

4.  Administered and monitored medications
 Charge nurse full time
 Hospital supervisorprn
Rebsamen Regional Medical Center, Jacksonville,AR (2003-2004)
RN, CEN, Nationally Registered Paramedic Emergency Department
Northwest Medical Center, Springdale,AR (2000-2002)
RN, CEN, Charge Nurse, Nationally Registered Paramedic Emergency Department, Shift Supervisor
Baptist Health Medical Center, Little Rock, AR (1999-2000)
RN, Nationally Registered Paramedic Emergency Department
University of ArkansasMedical SciencesCampus (1999-2000)
RN, Nationally Registered Paramedic Emergency Department (prn)
Metropolitan Emergency Medical Services, Little Rock,AR (1984-2000)
Nationally Registered Paramedic, System Status Manager, Station Supervisor, Training Officer,
Nationally Registered Emergency Medical Dispatcher
Air Med Flight Service, Little Rock,AR (1988-1990)
Flight Paramedic
Central Ambulance Service, North Little Rock, AR (1983-1984)
EMT-A
During my tenoras a Paramedic, I was a CPR Instructor, ACLS Instructor and EMT Instructor for the
American Heart Association and UAMS
Leadership Training
Leading through Emotional Intelligence 2013 & 2015
Executive Presentations 2015
Crucial Conversations 2015
Coaching Mentoring 2014
Service Mentoring 2014
Motivational Interviewing 2014
Superior Customer Service 2014
Achieving Global Leadership Series 2014
Creating and Maintaining a Positive Work Environment 2014
Effective Meeting Presentations 2014
Employee Relations: Understanding Employment Laws 2014
Performance Management Workshop 2015
Disciplinary Processes and Termination 2014
Security Awareness-Fraud, Waste and Abuse 2016
Security Awareness-Preventing Phishing 2016
Supervisor Assessment Center 2012
Supervisory Series on Leadership 2013
Targeted Selection Interviewing 2014
URAC 101 2012
Workplace Conflict: Recognizing and Responding to Conflict 2014
References and recommendationsavailable upon request.