Senior Vice President Population Health & Care Management

• Aug 2023 - Present

Senior Director of Population Health

• Oct 2022 - Aug 2023

Director Of Case Management

• Aug 2018 - Oct 2022

Lead care management in a population health driven accountable care organization Evaluated new case management software system for internal migration Defined and standardized case management processes to improve workflows Collaborated with Health Center Directors to improve efficiencies of a centralized case management department Developed and implemented a transitions of care program to reduce readmissions Conceptualization, design, and implementation of a tele-monitoring… Show more Lead care management in a population health driven accountable care organization Evaluated new case management software system for internal migration Defined and standardized case management processes to improve workflows Collaborated with Health Center Directors to improve efficiencies of a centralized case management department Developed and implemented a transitions of care program to reduce readmissions Conceptualization, design, and implementation of a tele-monitoring program to prevent inpatient stays and emergency room utilization Defined metrics, enhanced EMR processes to support reporting, identify and utilize data to better monitor staff performance Assist with the infectious disease clinic operations Track utilization trends to determine staffing needs Hire and onboard new staff Show less Lead care management in a population health driven accountable care organization Evaluated new case management software system for internal migration Defined and standardized case management processes to improve workflows Collaborated with Health Center Directors to improve efficiencies of a centralized case management department Developed and implemented a transitions of care program to reduce readmissions Conceptualization, design, and implementation of a tele-monitoring… Show more Lead care management in a population health driven accountable care organization Evaluated new case management software system for internal migration Defined and standardized case management processes to improve workflows Collaborated with Health Center Directors to improve efficiencies of a centralized case management department Developed and implemented a transitions of care program to reduce readmissions Conceptualization, design, and implementation of a tele-monitoring program to prevent inpatient stays and emergency room utilization Defined metrics, enhanced EMR processes to support reporting, identify and utilize data to better monitor staff performance Assist with the infectious disease clinic operations Track utilization trends to determine staffing needs Hire and onboard new staff Show less

Manager of Care Management

• May 2008 - Aug 2018

 Manage Medicaid Care Management Programs that include, but are not limited to: HIV care management, Health Risk Assessments strategic plan, ER diversion, integrated pain management, integrated behavioral health care management interventions, nurse advice line, programs to support care management of social determinants impacting health and transitions of care programs  Development, implementation and oversight of delegated entities vendor contracts  Manage individuals that include… Show more  Manage Medicaid Care Management Programs that include, but are not limited to: HIV care management, Health Risk Assessments strategic plan, ER diversion, integrated pain management, integrated behavioral health care management interventions, nurse advice line, programs to support care management of social determinants impacting health and transitions of care programs  Development, implementation and oversight of delegated entities vendor contracts  Manage individuals that include roles of Project Specialists, Program Coordinators, Care Managers, Community Outreach Specialists, Health & Wellness Specialist  Successful in implementing and maintaining NCQA accreditation standards  Responsible to assure all Medicaid Care Management contractual and regulatory obligations, as well as partial responsibility for Care Management obligations related to the Plan’s dual eligible Medicaid-Medicare demonstration project contract, are met  Responsible for Member Care Management Correspondences/ Communications; including implementation of a multi-channel communication vendor relationship  Create and maintain policies and procedures related to program operations and other documentation related to program interventions  Streamline program processes to increase productivity Show less  Manage Medicaid Care Management Programs that include, but are not limited to: HIV care management, Health Risk Assessments strategic plan, ER diversion, integrated pain management, integrated behavioral health care management interventions, nurse advice line, programs to support care management of social determinants impacting health and transitions of care programs  Development, implementation and oversight of delegated entities vendor contracts  Manage individuals that include… Show more  Manage Medicaid Care Management Programs that include, but are not limited to: HIV care management, Health Risk Assessments strategic plan, ER diversion, integrated pain management, integrated behavioral health care management interventions, nurse advice line, programs to support care management of social determinants impacting health and transitions of care programs  Development, implementation and oversight of delegated entities vendor contracts  Manage individuals that include roles of Project Specialists, Program Coordinators, Care Managers, Community Outreach Specialists, Health & Wellness Specialist  Successful in implementing and maintaining NCQA accreditation standards  Responsible to assure all Medicaid Care Management contractual and regulatory obligations, as well as partial responsibility for Care Management obligations related to the Plan’s dual eligible Medicaid-Medicare demonstration project contract, are met  Responsible for Member Care Management Correspondences/ Communications; including implementation of a multi-channel communication vendor relationship  Create and maintain policies and procedures related to program operations and other documentation related to program interventions  Streamline program processes to increase productivity Show less

RN-ICU

• Mar 2006 - May 2008

 Worked with an interdisciplinary team to provide quality care to critically ill patients  Effectively functioned as charge nurse and preceptor, supporting safe and efficient patient care  Worked with an interdisciplinary team to provide quality care to critically ill patients  Effectively functioned as charge nurse and preceptor, supporting safe and efficient patient care

RN- Travel Med-Surg

• Sep 2003 - Mar 2006

 Provided patient centered care in various hospital care settings across the United States  Advocating for and assuring safe patient care with minimal orientation  Quickly and efficiently adapted to hospital specific policies and procedures  Provided patient centered care in various hospital care settings across the United States  Advocating for and assuring safe patient care with minimal orientation  Quickly and efficiently adapted to hospital specific policies and procedures

RN- Med-Surg

• Dec 2001 - Sep 2003

 Provided patient centered care on a medical- surgical unit  Effectively functioned as charge nurse, supporting safe and efficient patient care  Preceptor for new staff and Staff trainer for implementation of electronic records  Provided patient centered care on a medical- surgical unit  Effectively functioned as charge nurse, supporting safe and efficient patient care  Preceptor for new staff and Staff trainer for implementation of electronic records