Experience

Orchard Medical Consulting

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• RN Medical Case Manager

  • Jul 2013 - Present

  •Performs initial and ongoing clinical assessment of the injured employee•Provides updates to employer, physician and attorney as indicated; assessment of the situation will include psychosocial needs, cultural implications and support systems in place.•Creates a case management plan based on the assessment with measurable goals and objectives utilizing evidenced-based criteria; monitors ongoing progress toward these goals and objectives; implements plan through case management interventions and communication with all parties to reach desired goals and objectives.•Evaluates need for alternative treatment.•Negotiates and coordinates a prompt return-to-work with employer.•Communicates effectively with handling claims examiner, client, claimant, attorney and supervisor.•Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.



Reed Group

• United States
• Real Estate
• 1 - 100 Employee

• RN Clinical Quality/Training Manager

  • Aug 2011 - Apr 2013

  Developed, implemented, and monitored training and quality programs • Supervised clinical training and quality staff• Created quality and training materials• Developed training visual aids and presentations• Created testing and evaluation processes• Evaluated needs of company and plan training and quality programs accordingly• Delivered, evaluation, process measurements• Developed of strategic plans for the quality and training programs• Identified training and development deficiencies in conjunction with department heads and training managers • Developed and conducted general and specific training programs to help employees maintain or improve job skills



Health Dialog

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• RN Training and Quality Liason

  • Feb 2008 - Aug 2011

  •Promoted quality measures throughout organization. Conduct quality audits; develop trainings to support meeting client HEDIS and NCQA measures.•Conducted all ongoing trainings designed to support and meet client goals; HIPAA, security, Shared Decision Making, Coaching Members Through Healthcare Transitions, HEDIS measures, etc.•Subject matter expert. Reviewed and revised current guidelines including scripts for calls, HIPAA, PHI, Effective Care, NCQA and HEDIS guidelines, which are resources to support coaching staff members.•Mentored call listeners to identify quality markers when listening to recorded calls and techniques to provide constructive feedback to improve Health Coaches communication skills with members.•Responsible for the achievement of center quality and effectiveness goals. Identify method to improve quality in Denver Center; trainings, emails, bulletin boards, newsletters.•Supported Center Director, Community Leaders, and Coaches in the evaluation and all aspects of coaching related to quality, proficiency, and effectiveness of the coaching model at the, center, community, and individual coach levels. • Point TEL for the team responsible for the development of new competencies and facilitate meetings and progress in reporting to Director and Manager.

• RN Team Manager

  • May 2006 - 2008



Swedish Ambulatory Surgery Center

• United States
• Hospitals and Health Care

• OR and PACU RN

  • Jun 1991 - Oct 1996