Experience

Versant Health

• United States
• Insurance
• 300 - 400 Employee

• Director

  • Dec 2020 - Present

  Provides leadership and oversight of the Utilization Management, Benefit Review Management and Clinical Outreach programs serving Medicare, Medicaid, and Commercial health plan clients nationwide. Accountable for adherence to timeliness, quality, and policy requirements. Provides leadership and oversight of the Utilization Management, Benefit Review Management and Clinical Outreach programs serving Medicare, Medicaid, and Commercial health plan clients nationwide. Accountable for adherence to timeliness, quality, and policy requirements.



Kaiser Permanente

• United States
• Hospitals and Health Care
• 700 & Above Employee

• • Mar 2019 - Nov 2020

  Provides regional leadership and oversight of the utilization/resource management work throughout the Mid-Atlantic Region. Responsible for development, planning, management, and integration of the Mid-Atlantic's utilization strategies across the full continuum of care to ensure all members efficiently receive the care that that they need in the right setting at the right time. Ensure compliance with NCQA, state, federal and other regulatory accreditation standards.

• • Jan 2017 - Mar 2019

  Provide leadership, direction, and oversight of all inpatient continuing care activities across 13 core hospitals with an average daily census of 600 members. Responsible for establishing efficient and organized processes to support excellent quality and service, and timely and smooth transitions of care from the inpatient setting. Ensure compliance with with NCQA, state, federal and other regulatory accreditation standards.



Inova Health System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• • 2007 - 2016

  24 /7 responsibility for 108-bed NICU, 200 FTEs including finance, quality, safety, regulatory, and customer relations. Used evidence-based practices and implemented measures that improved patient satisfaction, quality outcomes, patient safety, and cost effectiveness. First NICU in the nation to achieve The Joint Commission Gold Seal for Care of the Premature Infant. Fist ever ranking for Neonatology, US News & World Report Best Hospitals.

• • 1995 - 2007

  Developed, implemented, and evaluated educational programs and resources focused on nursing staff performance and professional development. Data coordinator for Vermont Oxford Neonatal Network Database. National Lead Facilitator for the Vermont Oxford Quality Collaborative Care of the Surgical Neonate.



Suburban Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director, Cardiology Services

  • 1994 - 1995



National Hospital for Orthopedics & Rehabilitation

• Arlington, VA

• Nursing Director, ICU & PCU

  • 1991 - 1994



Children's National Hospital

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Assistant Director, Educator, ECMO Specialist, Staff RN

  • 1983 - 1991