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Skills

  • Quality improvement initiatives
  • Budgeting and cost reduction analysis
  • Healthcare delivery
  • Operational efficiency improvements
  • Goal setting and achievement tracking
  • Community engagement and partnerships
  • Policies and procedures
  • Performance metrics
  • High-risk population management
  • Records management

Work Experiences

  • Implemented new hire training to help employees improve their skills and start conversations about task prioritization.
  • Added services like framework, program, and procedure to diversify the facility's offerings.
  • Boosted Care Quality Indicators by 46% points.
  • Achieved a 22% productivity increase.
  • Achieved results across 15 care settings.
  • Increased bed occupancy by 15% in 18 months.
  • Aligned policies with state reimbursement guidelines.
  • Was in charge of a team of pharmacy technicians, interns, and support personnel.
  • Achieved certification in Scrum Master.
  • Created policies to align procedures with nursing home strategic initiatives and ensured that I followed all statutory, regulatory, state, and federal regulations.

Summaries

  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Design and implement policies and procedures with ease.
  • Pursuing a position in a fast-paced organization that values focus and dedication.
  • Strategic thinker with expertise in vendor management.
  • Team player who speaks 18 languages fluently.
  • Provide a positive patient experience by providing high-quality care.
  • OSHA certified
  • Strategic planning in category settings and quality assurance in stakeholder engagement settings.
  • With 17 years of progressive experience managing busy healthcare facilities, Director of Care Management is an insightful Director of Care Management.
  • Ability to recognize procedure issues and integrate standard solutions to achieve category.

Accomplishments

  • Standardized care coordination processes, ensuring compliance with method standards, which led to a reduction in penalties by 70%, improving reimbursement rates.
  • Implemented real-time feedback systems for post-discharge care, enhancing patient experience scores on SAP by 32% points in 2022.
  • Expanded partnerships with community organizations to broaden patient access to post-discharge services and reduce care gaps for underserved populations by 78%.
  • Led specialized training sessions for 17 newly onboarded case managers, improving staff compliance knowledge and reducing documentation errors by 44%.
  • Leveraged healthcare analytics to refine care pathways, resulting in a 85% reduction in patient complications and higher recovery rates.
  • Successfully guided the integration of value-based care models that slashed inpatient readmission rates by 34% and boosted revenue by $158,000 in 18 months.
  • Partnered with finance and clinical teams to streamline healthcare reimbursement processes, achieving a 6% increase in revenue cycle efficiency.
  • Developed and enforced new care governance policies, increasing compliance with process standards and reducing readmission penalties by 24%.
  • Enhanced telehealth care management services usage, expanding patient accessibility by 43% and reducing missed appointments over two years.
  • Developed a comprehensive care management program that improved CMS audit preparedness, resulting in no major audit findings in 2019.

Affiliations

  • Honoree, Leadership Track in Behavioral Health Case Management, awarded by Vantage in 2021
  • Member, The Healthcare Management Academy, participating since 2015
  • Participant, Strategic Healthcare Leadership Summit, sponsored by Vantage, 2023
  • Speaker, Annual Care Management Expo, on best practices for negotiating with payers, 2024
  • Participant, Institute for Healthcare Improvement (IHI) Collaborative, focused on patient care optimization, Raleigh, 2018
  • Certified Lean Healthcare Professional by Vantage, certified in 2023
  • Attendee, National Conference on Care Coordination and Population Health, 2016
  • Panelist, Innovations in Chronic Care Management Webinar Series, hosted by Ironclad Systems, 2019
  • Frequent Attendee, Healthcare Information and Management Systems Society (HIMSS) Annual Conference, 2019
  • Coordination Lead, Partnerships in Population Health Conference, Chicago, 2020

Certifications

  • Certified Case Manager (CCM)
  • Certified Specialist in Managed Care Nursing (CRRN)
  • Certified Healthcare Financial Professional (CHFP)
  • Salesforce
  • Healthcare Leadership Certificate Program
  • ServSafe
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Integrated Care Management (ICM) Certification
  • Accredited Health Care Fraud Investigator (AHFI)
  • American Academy of Financial Management (AAFM)

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