Karen Kennedy, RN, BA, CPHQ

Consulting Senior Manager, Data & Analytics Practice at The Chartis Group
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Contact Information
us****@****om
(386) 825-5501
Location
Eureka, Missouri, United States, US
Languages
  • English Native or bilingual proficiency

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Karen J. Green

I had the great privilege of working with Karen at St. Anthony's. Her dedication to excellence and bright, positive attitude inspire those around her, and her clinical expertise and outstanding leadership skills were a tremendous asset during EMR adoption.

Melanie (Lonni) Schicker

Karen is the most energetic, detail-oriented, customer-friendly professional I have ever had the pleasure to work with. She is a consummate professional who knows how to balance the needs of her employer and the needs of clients. Karen would be a great choice for any employer looking for the "best of the best".

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Credentials

  • Certified Professional in Healthcare Quality
    -
    Apr, 2013
    - Nov, 2024
  • Certification in Lean Six Sigma, Black Belt
    -
    Jun, 2012
    - Nov, 2024
  • Certification in Lean Six Sigma, Yellow Belt Trainer
    -
    Jul, 2011
    - Nov, 2024

Experience

    • United States
    • Business Consulting and Services
    • 400 - 500 Employee
    • Consulting Senior Manager, Data & Analytics Practice
      • Jun 2015 - Present

      2021 - Led a PRM (physician relationship management) data assessment, presenting the client with a 12-month roadmap to achieve clinical data transformation 2020 - Currently leading Operational Readiness program for a large NJ health system undergoing M&A IT integration 2019 - Performed a 3-month analytics assessment for a large academic health system in PA.; Performed a strategic analytics and implementation assessment for the largest healthcare system in NE Florida; Continued to update… Show more 2021 - Led a PRM (physician relationship management) data assessment, presenting the client with a 12-month roadmap to achieve clinical data transformation 2020 - Currently leading Operational Readiness program for a large NJ health system undergoing M&A IT integration 2019 - Performed a 3-month analytics assessment for a large academic health system in PA.; Performed a strategic analytics and implementation assessment for the largest healthcare system in NE Florida; Continued to update and develop the D&A and Pop Health methodologies. 2018 - Managed a 3-month ambulatory clinical performance improvement project for the largest academic health system in southern Michigan; Facilitated workflow improvement sessions reducing the cycle time of clinical trials for a top-awarded Consortium in the Pacific NW.; Provided clinical advisement for HIE strategy project for government client in Abu Dhabi; Continued developing the D&A practice methodology, rejuvenating the Population Health approach to include digital health. 2017 - Project managed a 3-month inpatient clinical variation management initiative for a safety net hospital in central California, improving clinical outcomes and patient safety related to Sepsis; Led the clinical Operational Readiness program for a NE client contracted with a multi-hospital health system to provide Epic Connect. Began implementation of the D&A Practice: on-boarded consultants; project managed and defined the development process for D&A analytics methodologies. 2016 - Led the Epic clinical Operational Readiness program for a large academic health system in Pennsylvania; Finalized implementation planning and began recruiting consultants to join the D&A practice. 2015 - Worked with Chartis Leadership to outline the structure and implementation plan for the new Data & Analytics (D&A) Practice.

    • Consulting Advisor, Informatics and Technology Practice
      • Nov 2013 - Jun 2015

      2016 - Led the Epic clinical Operational Readiness program for one of America's top five health systems specializing in the treatment of Orthopedics and Rheumatology located in New York City 2013-2015 - Directed an EHR Value Realization project for a struggling health system in the Midwest, resulting in a multi-year, multi-site clinical improvement program utilizing Agile & Sprint methodologies. This resulted in the health system gaining momentum, transforming and expanding its VBC programs.

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Clinical IT Director, Informatics, Education, Analytics, & PMO
      • Jun 2010 - Oct 2013

      Clinically directed EHR implementation, and managed Clinical Informatics, EHR Education, Analytics, and Project Management departments within the IT/ IS Division. Responsible for Meaningful Use attestation, Business Intelligence strategy, HiMSS Analytics Stage 6 achievement, and the Enterprise Data Warehouse implementation.

    • Director of Medicare Advantage, Physician Compliance
      • Feb 2009 - Jun 2010

      Developed a Medicare Advantage Department for the second largest provider network in St. Louis, MO., St. Anthony's Physician Organization. Designed and implemented a governance structure to ensure pre-encounter testing, preventive patient care, accurate documentation, coding specificity, and risk-adjusted payment were performed within the boundaries of program compliance. Achieved highest rank in United Healthcare's RAF scoring for the two years working w/providers, prior to moving to the… Show more Developed a Medicare Advantage Department for the second largest provider network in St. Louis, MO., St. Anthony's Physician Organization. Designed and implemented a governance structure to ensure pre-encounter testing, preventive patient care, accurate documentation, coding specificity, and risk-adjusted payment were performed within the boundaries of program compliance. Achieved highest rank in United Healthcare's RAF scoring for the two years working w/providers, prior to moving to the medical center as the Clinical IT Director.

    • United States
    • Hospitals and Health Care
    • 100 - 200 Employee
    • Director of Medical Management
      • Oct 2006 - Jan 2009

      Responsible for acute and complex case management functions for the largest managed care physician network in St. Louis, MO., Esse Health, and in three markets across the United States ensuring the compliance of CMS’ Conditions of Participation. Directed a call center responsible for pre-authorizations and provider referrals. Designed and created a patient care referral process via TriZetto's Facets application, streamlining the referral process, increasing customer satisfaction, and improving… Show more Responsible for acute and complex case management functions for the largest managed care physician network in St. Louis, MO., Esse Health, and in three markets across the United States ensuring the compliance of CMS’ Conditions of Participation. Directed a call center responsible for pre-authorizations and provider referrals. Designed and created a patient care referral process via TriZetto's Facets application, streamlining the referral process, increasing customer satisfaction, and improving turn-around times for medical management decision making. Reported to the Chief Operating Officer with a dotted line to the Medical Director. Show less Responsible for acute and complex case management functions for the largest managed care physician network in St. Louis, MO., Esse Health, and in three markets across the United States ensuring the compliance of CMS’ Conditions of Participation. Directed a call center responsible for pre-authorizations and provider referrals. Designed and created a patient care referral process via TriZetto's Facets application, streamlining the referral process, increasing customer satisfaction, and improving… Show more Responsible for acute and complex case management functions for the largest managed care physician network in St. Louis, MO., Esse Health, and in three markets across the United States ensuring the compliance of CMS’ Conditions of Participation. Directed a call center responsible for pre-authorizations and provider referrals. Designed and created a patient care referral process via TriZetto's Facets application, streamlining the referral process, increasing customer satisfaction, and improving turn-around times for medical management decision making. Reported to the Chief Operating Officer with a dotted line to the Medical Director. Show less

    • Director of Case Management
      • Mar 2002 - Sep 2006

      Responsible for the medical management outcomes for two Long Term Acute Care Hospitals in St. Louis; managed RN Case Managers and LCSW staff, assisted family and patients through end of life care, was accountable for the clinical outcomes of each patient. A certified InterQual trainer, managed the pilot of Care Enhance software, and assisted CM staff with system issues. Reported to the Regional Director of Case Management with a dotted line to the CFO. Analyzed the Missouri market for… Show more Responsible for the medical management outcomes for two Long Term Acute Care Hospitals in St. Louis; managed RN Case Managers and LCSW staff, assisted family and patients through end of life care, was accountable for the clinical outcomes of each patient. A certified InterQual trainer, managed the pilot of Care Enhance software, and assisted CM staff with system issues. Reported to the Regional Director of Case Management with a dotted line to the CFO. Analyzed the Missouri market for Select Specialty Hospital, performing presentations to hospitals in Missouri and Illinois, conducting patient assessments using InterQual criteria, improving workflow processes, and reporting to the Chief Medical Director. This position required energy, flexibility, and exceptional organizational and communication skills. Show less Responsible for the medical management outcomes for two Long Term Acute Care Hospitals in St. Louis; managed RN Case Managers and LCSW staff, assisted family and patients through end of life care, was accountable for the clinical outcomes of each patient. A certified InterQual trainer, managed the pilot of Care Enhance software, and assisted CM staff with system issues. Reported to the Regional Director of Case Management with a dotted line to the CFO. Analyzed the Missouri market for… Show more Responsible for the medical management outcomes for two Long Term Acute Care Hospitals in St. Louis; managed RN Case Managers and LCSW staff, assisted family and patients through end of life care, was accountable for the clinical outcomes of each patient. A certified InterQual trainer, managed the pilot of Care Enhance software, and assisted CM staff with system issues. Reported to the Regional Director of Case Management with a dotted line to the CFO. Analyzed the Missouri market for Select Specialty Hospital, performing presentations to hospitals in Missouri and Illinois, conducting patient assessments using InterQual criteria, improving workflow processes, and reporting to the Chief Medical Director. This position required energy, flexibility, and exceptional organizational and communication skills. Show less

    • Clinical Program Manager, Managed Care Division
      • Sep 1995 - Feb 2002

      This newly-created position allowed for development and implementation of highly-customized Disease Management programs designed specifically to meet the needs of 3,000,000 self-insured lives. Reported to the VP of Managed Care. Success was measured by the ability to develop relationships with external customers while coordinating with internal leadership, sales, marketing, IT, analytics, medical management, and legal departments. This program required dedication and a keen sense of market… Show more This newly-created position allowed for development and implementation of highly-customized Disease Management programs designed specifically to meet the needs of 3,000,000 self-insured lives. Reported to the VP of Managed Care. Success was measured by the ability to develop relationships with external customers while coordinating with internal leadership, sales, marketing, IT, analytics, medical management, and legal departments. This program required dedication and a keen sense of market strategy. Show less This newly-created position allowed for development and implementation of highly-customized Disease Management programs designed specifically to meet the needs of 3,000,000 self-insured lives. Reported to the VP of Managed Care. Success was measured by the ability to develop relationships with external customers while coordinating with internal leadership, sales, marketing, IT, analytics, medical management, and legal departments. This program required dedication and a keen sense of market… Show more This newly-created position allowed for development and implementation of highly-customized Disease Management programs designed specifically to meet the needs of 3,000,000 self-insured lives. Reported to the VP of Managed Care. Success was measured by the ability to develop relationships with external customers while coordinating with internal leadership, sales, marketing, IT, analytics, medical management, and legal departments. This program required dedication and a keen sense of market strategy. Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Associate Head Nurse
      • Jun 1988 - Sep 1995

      This position required the ability to handle multiple priorities at one time while managing daily business for this very busy 46-bed acute step-down ICU unit. This position required the ability to handle multiple priorities at one time while managing daily business for this very busy 46-bed acute step-down ICU unit.

Education

  • Webster University
    B.A, Business Management
    2000 - 2004

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