Case Management Nurse Team Lead

• Aug 2023 - Present

Oversight of Managed Care Companies fraud waste and abuse programs and non-emergency transportation vendor fraud waste and abuse program Oversight of Managed Care Companies fraud waste and abuse programs and non-emergency transportation vendor fraud waste and abuse program

Vice President

• Apr 2017 - Mar 2023

VP of Quality for SilverSummit Health Plan ensuring Medicaid recipients receive quality health care, access to care , ensure health plan achieves NCQA certification.

Vice President Medical Management

• May 2016 - Apr 2017

Oversee clinical staff for five RegionalCare Organizations (managed care) that provide health care,care management services to Alabama Medicaid recipients.

Nurse Administrator Quality Director

• May 2015 - Apr 2016

Quality Director for all related clinical and non-clinical aspects for Division of Medicaid Managed Care programs-MississippiCAN and Mississippi CHIP program, Magnolia Health Plan and UnitedHealthcare Community Plan MS. Work directly with health services offices with Medicaid and other offices to ensure Medicaid beneficiaries receive quality of care and services and ensure Medicaid practitioners are providing quality health care. Responsive for the contract oversight of the managed care external review organization, reviewing HEDIS results CAHPS results, program evaluations. Responsible for entering quality measures into CARTS CMS quality database for Medicaid and CHIP. Graduate Division of Medicaid Leadership Training Series Dec 2015. Chosen as a speaker for graduation ceremonies. Awarded CMS grant Sept 2015 related to improving maternal and Infant health outcomes after submitting grant proposal. Show less

Nurse Administrator

• Aug 2006 - May 2015

Quality Director for Mississippi Medicaid Coordinated Care Organizations-Magnolia Health and UnitedHealthcare Community Plan and Mississippi CHIP program. Quality Director for Mississippi Medicaid Coordinated Care Organizations-Magnolia Health and UnitedHealthcare Community Plan and Mississippi CHIP program.

Medicaid Program Nurse

• Sep 1999 - Aug 2006

PRTF Supervisor

• Apr 1997 - Sep 1999

Director of Nursing

• Apr 1996 - Apr 1997

Home Health Nurse

• Mar 1991 - Apr 1996

Assistant Nurse Manager

• May 1983 - Apr 1991