Karin Broden
Vice President of Clinical Resource Management at ConcertoCare- Claim this Profile
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Bio
Credentials
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ANP-BC
AANP
Experience
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ConcertoCare
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United States
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Hospitals and Health Care
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100 - 200 Employee
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Vice President of Clinical Resource Management
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2021 - Present
After Perfect Health merged with Concertocare, I led the integration efforts and introduced our nationally recognized clinical services and model of care across 4 states. I drive expansion efforts to maximize our impact and service a larger population (homeless, adult foster care, poverty) by adapting care models and operational systems. I strategically transitioned our contract model from fee-for-service to value-based-care contract and developed our FY22 strategy. A few key accomplishments: ✓ Expanded patient population to include all disabled adults suffering from mental or physical disabilities. ✓ Created national medical loss ratio strategy and led implementation of new processes, operational paradigm, and systems in partnership with population health team. ✓ Reduced medical loss ratio within 4 months for MA DCE population. ✓ Served as change agent and trainer. Authored and conducted orientations across 3 states and served as advisor to executive leadership regarding transition from single-market organization to national enterprise.
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Perfect Health, Inc.
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United States
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Medical Practices
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1 - 100 Employee
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Director Clinical Operations
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2018 - 2021
This geriatric primary care startup grew from 240 home-bound patients to over 1,200 patients in 18 months. My business strategy and program design positioned the company as an attractive investment for a national healthcare leader, This geriatric primary care startup grew from 240 home-bound patients to over 1,200 patients in 18 months. My business strategy and program design positioned the company as an attractive investment for a national healthcare leader,
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Aging Services of North Central Massachusetts
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Assistant Director
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Oct 2016 - Aug 2018
Evolved long-term service and support model and electronic medical records systems to suit home-based care population needs. Strengthened documentation requirements to provide improved communication between physicians and at-home providers, improved risk and health assessments, and incorporated social history and other relevant information into Massachusetts State EMR system –improving patient care quality and outcomes. Defined and directed ‘Aging Services Access Point’ program and served as change agent, leading staff of over 50 through complex transitions within highly regulated industry working in nine community-based programs. Fostered strong working relationships with local providers and government agencies to continually improve services and patient access to resources.
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Beth Israel Deaconess Medical Center
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United States
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Hospitals and Health Care
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700 & Above Employee
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Independent Consultant - Program Development
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Sep 2015 - Dec 2016
As an independent consultant, I provided recommendations, strategies, and the operational infrastructure for a Boston ACO to design and launch a post-acute care program that simultaneously improved patient outcomes and risk contract performance. Together with the Chief Medical Officer, we built relationships/partnerships with 650 primary care providers across eastern Massachusetts and BIDCO. I was a key contributor to the following: ✓ Team building and education with existing BIDCO Care and Case Managers using the foundation of the Post-Acute Care Program to promote best in class patient transitional care. ✓ Developing dashboard for data analytics, reporting, and communicating performance measures within the network and to customers. ✓ Evaluate current processes and services for performance improvement opportunities ✓ Support BIDCO/APG Housecalls Program as NP Lead for team of four clinicians. ✓ Provide direction for staffing needs and clinician professional development
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UnitedHealth Group
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Hospitals and Health Care
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700 & Above Employee
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Director of Clinical Operations
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May 2013 - Jul 2015
I was promoted multiple times as the company grew and evolved. I was tapped as a subject-matter expert with the mandate to serve as a national resource and provide direction to provider staff regarding clinical management / processes governing for Medicare/Medicaid enrollees and programs. I analyzed areas of opportunity within clinical practices and market processes that supported outcome performance and delivered high-quality care to consumers. I also worked diligently to establish action plans with market leaders to ensure quality and cost effective services were delivered.I worked with and led cross functional teams to build, implement, and refine models of care after extensive program analysis, improving patient outcomes and quality of care. I was credited with several successes in the home health field, including:✓ Managed 27% of Optum Health Care Service markets, the largest caseload companywide. Consistently eclipsed targets to provide virtual and in-person clinical staff support.✓ Improved quality scores across client portfolio by training and educating interdisciplinary healthcare teams on best practices.✓ Cut costs up to 56% across 13 markets after leading national workgroup through comprehensive supply needs evaluation for community providers and optimized market-level inventories.
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Clinical Services Manager
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Oct 2006 - May 2013
I managed all clinical services provided by a team of Nurse Practitioners, Physician Assistants, and Registered Nurses. We served enrollees of I-SNP and SCO plans in long-term care settings.I conducted comprehensive quality, regulatory, and contractual medical record reviews for compliance with federal, state, and organizational requirements on: o High quality, evidenced based clinical care o Medical Utilization o HEDIS/STAR Risk Adjusted Reimbursement: Interpreted site and clinician based reporting using results to developed education for Nurse Practitioner/Physician Assistant staff to focus on key Geriatric diagnosis for increased specificity. Supported Corporate Health Care Economics initiatives. Coordinated integrated care for community membership living in 3 different rest homes using community services and NP oversight.Facilitated a customer relations management strategy with 30 skilled nursing facilities.
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Fallon Clinic
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Hospitals and Health Care
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100 - 200 Employee
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Nurse Practitioner, Adult and Adolescence Medicine
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2003 - 2006
Primary Care Practitioner Primary Care Practitioner
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Education
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University of California, San Francisco
Master of Science - MS, Nursing -
Capella University
Master of Business Administration - MBA, Health/Health Care Administration/Management -
St. Mary's College of California
Bachelor of Science in Nursing BSN, Nursing Science
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