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Skills

Healthcare delivery
Certification program management
Mortality reduction strategies
Data-driven decision making
Patient access improvement strategies
Clinical outcome optimization
Cross-functional collaboration with payers
Implementation of care pathways
Care transitions enhancement
Insurance provider collaboration

Work Experiences

Oversaw daily operations at a facility that cared for more than 2 people.
Was in charge of creating and maintaining facility documents and records, ensuring accuracy while handling sensitive information.
Applied lean methodologies to reduce administrative bottlenecks.
Worked with a multidisciplinary team to improve patient care and response times overall.
Achieved a Outstanding Service Award for Innovations in Care Delivery by fostering collaborative, patient-focused care models.
Reviewed and assessed staff processes in order to reduce the risks to residents and staff while also ensuring regulatory compliance.
Achieved a 58% improvement in care outcomes.
Attended 18 months meetings with department heads to discuss census data, admissions, and resident discharges.
Pushed for improvements in process, efficiency, and quality, which resulted in a 13% increase in patient discharge times.
Achieved a 22% productivity increase.

Summaries

Multilingual and fluent in Portuguese and Mandarin, with a strong grasp of cultural differences.
Individual who is enthusiastic and capable of working in both a team and independently.
Director of Care Management with project management and vendor management abilities.
Motivated team builder and supervisor who is dedicated to fostering teamwork.
Active leader with excellent communication and collaboration skills.
Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
Strong technical skills and experience in data analysis.
Motivating leader who has built and managed system teams in the past.
Polished, hardworking, and willing to go above and beyond to complete any task.
Looking forward to taking on a new challenge with a successful team.

Accomplishments

Led a multi-department initiative to integrate social work services into care management activities, increasing support for high-risk populations by 15% over 18 months.
Developed a comprehensive care management program that improved CMS audit preparedness, resulting in no major audit findings in 2019.
Introduced data-driven care oversight tools, which realigned patient management practices and decreased avoidable readmissions by 42%.
Led specialized training sessions for 17 newly onboarded case managers, improving staff compliance knowledge and reducing documentation errors by 44%.
Expanded partnerships with community organizations to broaden patient access to post-discharge services and reduce care gaps for underserved populations by 78%.
Leveraged healthcare analytics to refine care pathways, resulting in a 85% reduction in patient complications and higher recovery rates.
Directed cost-savings initiatives by improving discharge and transition procedures, cutting care management overhead costs by 50% while improving patient satisfaction scores.
Designed and implemented comprehensive workflows for implementing patient-centric care models, improving overall care outcomes indicators by 36%.
Developed and launched a performance-based staff development program that led to the certification of 13 staff members in OSHA, increasing team retention by 26%.
Enhanced telehealth care management services usage, expanding patient accessibility by 43% and reducing missed appointments over two years.

Affiliations

Speaker, Annual Care Management Expo, on best practices for negotiating with payers, 2024
Member, American Organization for Nursing Leadership (AONL), contributing to leadership development programs since 2022
Participant, Strategic Healthcare Leadership Summit, sponsored by Vantage, 2023
Honoree, Leadership Track in Behavioral Health Case Management, awarded by Vantage in 2021
Member, The Healthcare Management Academy, participating since 2015
Certified Fellow, Academy of Certified Case Managers (CCM), conferred in 2018
Member, America's Physician Groups (APG), working towards value-based care reforms, method
Member, Association for Healthcare Resource & Materials Management (AHRMM), focused on cost-saving initiatives, 2022
Facilitator, Women's Leadership in Healthcare Management Initiative, 2015-present
Contributor, CMS Case Management Committee, related to compliance and best practices, from 2022-2021

Certifications

Certified Clinical Documentation Specialist (CCDS)
SHRM Senior Certified Professional (SHRM-SCP)
Certified Patient Experience Professional (CPXP)
CompTIA Security+
Certified Healthcare Financial Professional (CHFP)
American Academy of Financial Management (AAFM)
Fellow of the American College of Healthcare Executives (FACHE)
Microsoft Office Specialist (MOS)
Certified Managed Care Nurse (CMCN)
Certified Clinical Nurse Leader (CNL)

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