Shannon Monroe
Georgetown,KY
Summary
Results-driven and innovative nurse leader with a proven track record in developing and scaling home health utilization management program for large health plans. Skilled as clinically leading startup agencies, company integrations and acquisitions, driving seamless transitions, exceeding key performance indicators (KPIs), and achieving operational success. Adept at building and managing high-performing teams while balancing financial, metric, and regulatory expectations. Thrives in high-stress, rapidly changing environments, effectively leading teams through evolving challenges while maintaining focus on quality care and operational efficiency. Recognized for leading the highest-performing divisional team of the year (2024), excelling in productivity, turnaround times, and quality results. Achieving the highest employee satisfaction results in the division (2024) by fostering a culture of engagement, trust, development, and recognition. A dynamic motivator who inspires teams through strategic guidance, education, open communication, and engaging celebrations—including fun, remote quarterly regional meetings. Committed to delivering innovative solutions that enhance patient outcomes, operational efficiency, and team performance.
Overview
15
15
years of professional experience
Work History
Associate Director of Clinical Operations
Optum Home and Community
01.2019 - Current
- Company Overview: Post-acute care management services for Medicare Advantage plan
- Total Members: 300M, Budget: 29M, Employees: 164
- Spearheaded the development and expansion of a home health utilization management pilot, scaling operations from 1 to 37 states and growing the team from 13 to 334 FTEs within three years
- Designed and implemented leadership programs, including the Professional Excellence Committee and Endeavor Leadership Program, to strengthen leadership skills across the team and region
- Utilized reports to analyze data and drive business operations and implemented initiatives to achieve financial goals of 29% ROI in 2023
- Led daily multi-disciplinary communication across the division to optimize regional queue management and staffing direction
- Built and maintained key relationships with providers, serving as the primary point of contact for resolving complaints, addressing unresolved billing and claims issues, and managing member concerns
- Audited and investigated claims and billing errors, led health plan authorization rebuilds following migration to a new platform
- Applied Lean Six Sigma principles to streamline project delivery and enhance operational efficiency
- Designed and implemented a competency checklist and structured training program for Clinical Team Manager and Care Coordinator roles
- Served as the lead communicator for divisional performance updates
- Post-acute care management services for Medicare Advantage plan
- Total Members: 300M, Budget: 29M, Employees: 164
- Promotion Track: Clinical Team Manager-Home Health (07/2021-2/2023), Care Coordinator (02/2019-10/2021)
Area Director of Rehabilitation
LHC
10.2016 - 01.2019
- Company Overview: National provider of in-home care services
- Total Patients: 1250, Combined Budget: 2.3M, Employees: 245
- Spearheaded operations for 5 home health agencies, 20 direct reports and 225 indirect employees in all aspects of performance
- Exceeded financial goals by 8% through strategic clinician reassignment and implementation of incentive programs
- Minimized excessive travel costs by realigning agency team assignments across 19 counties
- Increased collaboration among sales teams by resolving inter-agency competition and aligning referral strategies
- Served as the clinical lead for all federal, state, and Joint Commission surveys
- National provider of in-home care services
- Total Patients: 1250, Combined Budget: 2.3M, Employees: 245
Director of Nursing
Cardinal Hill Skilled Rehabilitation Unit
10.2013 - 10.2016
- Company Overview: Skilled Rehab Unit for short term intensive therapy services
- Total Bed/Units- 74, Employees: 54
- Managed direct nursing reports for the largest skilled facility in Kentucky
- Maintained bed occupancy above 95% while exceeding financial budgetary expectations by 5–15% annually
- Established and implemented a Nursing Quality Council to enhance clinical education, training programs, and patient care quality
- Achieved five consecutive deficiency-free state surveys
- Developed and launched the Bravo Employee Recognition Program
- Skilled Rehab Unit for short term intensive therapy services
- Total Bed/Units- 74, Employees: 54
Regional Clinical Manager
Home Health and Hospice-CHS/CHI
10.2009 - 01.2013
- Company Overview: Clinical lead for Integrations and Acquisitions
- Agencies Integrated: 16, Time Span: 2 years
- Directed performance and fiscal management for newly integrated agencies
- Improved clinical outcomes by aligning staffing territories, optimizing team performance, and implementing targeted educational programs
- Recovered $350K in unbilled hospice claims by identifying revenue cycle inefficiencies
- Clinical lead for Integrations and Acquisitions
- Agencies Integrated: 16, Time Span: 2 years
Education
Master of Science - Health Administration
University of Phoenix
Master of Science - Nursing
University of Phoenix
Bachelor of Science - Nursing
University of Phoenix
Skills
- Workforce development and coaching
- Strategic planning and execution
- Communication skills
- Team Engagement Initiatives
- Cross-functional leadership
- Facilitative Leadership Approach
- Certified Six Sigma Black Belt
- Fiscal Resource Management
- Robust Program Design
- Distributed Team Oversight
- UM Program Design
- Multi-site & Remote Team Management
- Regulatory Compliance (Federal, State, Joint Commission, MA Plans)
- Innovation management
- Organizational development
- Mergers and acquisitions
- Operations management
- Process improvement
- Meeting facilitation
- Coaching and mentoring
- Presentation delivery
- Strategic Planning
- Health plan operations
- Provider relationship management
- Performance management
- Problem-solving abilities
- Strategic Planning
Professional Development
- Master of Science in Health Administration, University of Phoenix
- Master of Science in Nursing, University of Phoenix, Summa Cum Laude Award For MSN-MHA Program
- Bachelor of Science in Nursing, University of Phoenix
Timeline
Associate Director of Clinical Operations
Optum Home and Community
01.2019 - Current
Area Director of Rehabilitation
LHC
10.2016 - 01.2019
Director of Nursing
Cardinal Hill Skilled Rehabilitation Unit
10.2013 - 10.2016
Regional Clinical Manager
Home Health and Hospice-CHS/CHI
10.2009 - 01.2013
Master of Science - Health Administration
University of Phoenix
Master of Science - Nursing
University of Phoenix
Bachelor of Science - Nursing
University of Phoenix
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