Lani Roussell, LMSW, MPH
Adjunct Instructor at Southern University and Agricultural and Mechanical College at Baton Rouge- Claim this Profile
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Bio
Experience
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Southern University and Agricultural and Mechanical College at Baton Rouge
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Higher Education
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100 - 200 Employee
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Adjunct Instructor
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Aug 2017 - Present
Teach undergraduate Research Methods Course. Teach undergraduate Research Methods Course.
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Anthem Blue Cross and Blue Shield
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United States
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Insurance
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700 & Above Employee
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Clinical Quality Director
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Dec 2016 - Present
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Quality Management Director
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Apr 2015 - Dec 2016
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Aetna, a CVS Health Company
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United States
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Wellness and Fitness Services
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700 & Above Employee
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Regional Quality Manager
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Jul 2013 - Apr 2014
Responsible for compliance with State and Federal quality regulations. Ensures all quality improvement activities are conducted according to regulatory guidelines and principles. Oversees the maintenance of accurate documentation of all quality improvement activities, i.e., surveys, audits, peer reviews). Develops new quality improvement activities within the assigned business to improve the quality of care and service in the most efficient manner. Oversees the annual Medical Record Documentation and Preventive Services clinical study. Ensures all departments including credentialing, provider relations, health services, and customer service collect and report quality improvement information to the Quality Improvement Committee, including the monitoring and evaluation of indicators. Directs data collection for Healthcare Effectiveness Data and Information Set (HEDIS) measures. Identifies opportunities for improvement based on HEDIS results. Recruits, develops, and motivates staff. Initiates and communicates a variety of personnel actions including employment, termination, performance reviews, salary reviews, and disciplinary actions. Show less
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AmeriHealth Caritas
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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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Quality Management Director
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Aug 2011 - Jul 2013
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Education
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Southern University and Agricultural and Mechanical College at Baton Rouge
Doctor of Philosophy - PhD, Public Policy -
Southern University and Agricultural and Mechanical College at Baton Rouge
Bachelor of Science - BS, Social Work -
Tulane University School of Public Health and Tropical Medicine
Master of Public Health - MPH, Maternal and Child Health -
Tulane University School of Social Work
Master of Social Work - MSW, Clinical Social Work