Experience

BABYLON HEALTHCARE SERVICES LIMITED

• United Kingdom
• Wellness and Fitness Services
• 1 - 100 Employee

• National Director of Care Management

  • Feb 2022 - Present

  Lead the creation implement and scale of care management programs to support a telehealth, tech enabled value based care model for the underserved population. Lead the creation implement and scale of care management programs to support a telehealth, tech enabled value based care model for the underserved population.



Academic Insights

• Hospitals and Health Care

• President and CEO

  • Mar 2017 - Present

  Academic Insights is a higher learning academy that specializes in certification review courses and training for population health professionals. We currently offer CCM and CCCTM certification review classes across the United States. In addition we offer custom built training programs to support the needs of your team. This includes a gap analysis and follow up support for your team. Academic Insights is a higher learning academy that specializes in certification review courses and training for population health professionals. We currently offer CCM and CCCTM certification review classes across the United States. In addition we offer custom built training programs to support the needs of your team. This includes a gap analysis and follow up support for your team.



Monarch

• United States
• Online Audio and Video Media
• 1 - 100 Employee

• Vice President of Integrated Care CCBHC

  • Jan 2018 - Feb 2022



Sona Dermatology & MedSpa

• Chief Nursing Officer

  • Nov 2017 - Oct 2018

  • Served as a medical advocate on the senior leadership team • Primary Liaison for all medical professionals within the organization• Developed and managed provider training curriculum and process• Managed all test pilots for new technology• Developed and implemented clinical technology protocols• Created and implemented a combined practice model for dermatology and cosmetic Medspa• Facilitated and implemented the design and delivery of patient care standards• Developed practice roles responsibilities job descriptions• Developed practice reporting and KPI’s for performance management• Created goals and bonus structures for Clinical staff and Practice managers• Lead EHR conversion for cosmetic and dermatology • Lead practice operations policy development• Supervised Nurse Practitioner’s, Physician’s Assistants and Practice Managers• Lead Physician on boarding and orientation• Served as the companies OSHA Officer• Created standard training and competencies for medical assistant staff• Coordinated standard communication for Medical Directors • Managed vendor relationships



Carolinas HealthCare System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Director of Proactive Health and Design

  • Mar 2016 - Mar 2017

  •Responsible for conducting groundwork to inform the vision, strategy, and initial planning for Carolina Healthcare’s first value based primary care practice •Collaborated with Innovation team to test and design a pathway for a new emergent path for the system•Developed operational and clinical workflow for team based model of care including assessments, policies and procedures•Developed quality metrics, KPI’s and program evaluation metrics•Created new staff orientation, training and competencies•Developed QA tool and procedure to support operational excellence•Created job descriptions to support new model of care•Lead development of Value based Physician Contracting•Facilitated and monitored practice growth •Coordinated collaboration with employer based health programs •Facilitated relationships with potential partner organizations •Identified opportunities to elevate the use of technology to support skill optimization•Managed the full spectrum of operations including hiring, training coaching counseling, quality & safety audits, strategic planning P&L oversight

• Director of Ambulatory Care Management (18 Direct Reports, 27 FTE's)

  • Mar 2014 - Mar 2016

  Program implemented across 50 Medical Group Practice Program Actively Managed 5000 Patients Program outcomes- Average A1C decrease by 1.68%• Designed and implemented a multi-disciplinary care management program from concept to reality for the Primary care setting. • Developed Ambulatory Care Management algorithms/processes for Carolinas Health Care System Rising Risk Diabetic and Complex Chronic populations.• Educated Physician leader groups, in addition to practice level providers on care management program• Facilitated Implementation of Care Management program in across primary care and endocrinology ambulatory clinics.• Designed a short term Documentation tool to capture program engagement funnel Team productivity and assist multidisciplinary care management teams with daily task management. • • Designed the configuration for the standard work for Ambulatory care management program in new documentation system.• Managed department budget • Managed Departmental payroll, scheduling expense approval and supply ordering.• Hired Trained and deployed 8 regional teams, .• Fostered team work shared decision making and coordination using PDSA process to improve program operational process designs.• Facilitated departmental Training and staff development• Coordinated with various care management programs • Worked with the quality team to collaborate and impact the outcomes of the physicians measured quality metrics.• Created standard work and implemented transitional care processes across the various care management program within the system. • Built relationships and coordinated with clinical system resources such as home health and inpatient case management to identify program referrals.• Coordinated all program marketing strategies and creation of marketing tools



CareFirst BlueCross BlueShield

• United States
• Insurance
• 700 & Above Employee

• Regional Care Director (13 Direct Reports, Supported 230 Physician Practices)

  • May 2011 - Mar 2014

  • Managed overall Operations of the Patient Centered Medical Home program with in a designated Region. • Assisted with the Development of program SOP’s • Implemented growth of a new program with local primary care physician with in my region, 50 % increased engagement over first year.• Responsible for assisting physicians change practice to help bend the cost curve.• Responsible for physician engagement as well as management of 12 nurse care coordinators and a program consultant• Strategized territory development and alignment as well as maintaining even distribution of care plans amongst my team• Responsible for Quality review of care coordination care plans• Interviewing and field training• Regional productivity management • Management of regional Budget• Annual evaluations, performance improvement planning Hiring and terminations



Maxim Healthcare Services

• United States
• Hospital & Health Care
• 1 - 100 Employee

• Director of Clinical Services ( Direct Reports, 213 FTE's, Managed 80 Private Duty Clients)

  • May 2010 - May 2011

  • Organized and directed the clinical operations of the office• Enforced and demonstrated compliance with all state, federal, local and accreditation standards and company policy.• Identified clinical program deficiencies• Developed action plans to assist in correcting program deficiencies• Ensured supervision of all homecare personnel• Managed communication to assist implementation of each patient’s plan of care and ensured appropriate utilization and coordination of necessary services.• Performed competencies and annual performance appraisals for all clinical employee• Completed nurse and aid orientation• Created and implemented educational in-services to all clinical staff• Reviewed all clinical documentation• Assisted with marketing efforts to grow business profits• Manages and directs Nursing Supervisors in the clinical oversight of their patient caseloads to ensure optimal clinical outcomes for all patients



Kinetic Concepts

• United States
• Defense and Space Manufacturing
• 1 - 100 Employee

• Clinical Account Manager

  • Nov 2009 - May 2010

  • Responsible for driving VAC adoption/usage in SNFs and HHAs Providing Clinical support and training for all customers in SNFs and HHAs • Identifying potential VAC patients in SNFs and HHAs • Patient base and facilitating therapy initiation• Providing clinical support to patient’s home as required• Achieving financial and strategic territory goals for assigned territory • Responsible for driving VAC adoption/usage in SNFs and HHAs Providing Clinical support and training for all customers in SNFs and HHAs • Identifying potential VAC patients in SNFs and HHAs • Patient base and facilitating therapy initiation• Providing clinical support to patient’s home as required• Achieving financial and strategic territory goals for assigned territory



BAYADA Home Health Care

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Clinical Liaison

  • Jul 2007 - Nov 2009

  • Develop relationships, in accordance with the Bayada Way, with referral sources, physicians and other healthcare professionals.• Market and sell services by clearly articulating the features benefits of Bayada Nurses.• Demonstrate mastery of clinical and regulatory home care eligibility criteria.• Review all medical documentation and work with physicians to make clinical judgments about clients’ eligibility for home care services • Coordinate with the service office to set up the services ordered by the physician.• Complete weekly referral log.• Participate in orientation of field staff, as needed.• Cross train office staff that will cover absences, as needed.• Participate in community and marketing activities; provide luncheons to physicians and potential referral sources.• Conduct in-services and lectures for referral sources