Dedicated Nursing professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
24
24
years of professional experience
Work History
Clinical Service Manager
Prospero Health Partners Florida Inc
Memphis, TN
08.2021 - Current
Function as the day to day lead for the field clinicians.
Responsible for 12 NPs and 2 RNs and 2 Social Workers for their assigned territories and work load management.
Established CSM role and facilitation of onboarding and training of other CSMs in the Southwest Region.
Improved relationships within a matrix organizational structure to proactively resolve issues, drive efficiencies and champion enhanced patient care.
Conduct regular agenda-driven meeting with regional and local leadership to address issues, concerns, and to communicate corporate and market specific changes.
Strategize with senior staff regarding program expansion, business development, and clinical model evaluation.
Act as a Regional Champion Liaison between care team and IT team to implement a new clinical platform, establishing system updates, coordinating enhancements and monitoring production issues.
Work collaboratively with reporting and analytics team to implement and monitor quality reporting metrics and audits.
Oversee integrity of clinical documentation to ensure consistency and integrity.
Director of Clinical and Quality Operations
Longevity Health Plan
Palm Beach Gardens, FL
09.2019 - 06.2021
Responsible for achieving clinical and quality goals outlined by Longevity Health Plan Quality, Annual Clinical Performance Plans, and Market Based Targets.
Daily oversight of 2 NP Managers, 12 NPs in Long Term Care facilities across state of Oklahoma. Monitoring of Model of Care elements/metrics, clinical performance metrics and quality metrics to ensure clinical program quality excellence and contract compliance.
Recruited, hired and coached employees to offer high-quality, cost-effective care to all Longevity Health Plan members.
Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
Implemented ISNP in 21 nursing facilities through professionalism, quality of care, mentorship and patient satisfaction during height of COVID-19 Pandemic.
Improved performance of Oklahoma market-HEDIS/STARS rating, Admits/1000, Documentation and Coding accuracy, MTM review rates.
Conducted nursing home readiness evaluations and made recommendations to Market President and CCO for implementation.
Active participation in Quality Improvement Committee Meetings and CCIP program. Drove market based and national quality improvement initiatives.
Palliative Care Coordinator
Integris Medical Group
Oklahoma City , OK
05.2017 - 09.2019
Established, built, lead, coordinated. and executed palliative care initiatives through education and program development in largest hospital system in Oklahoma.
Decreased ICU LOS by facilitating patient/family-based decision making in coordination with attending physician with focused discussions surrounding goals of care.
Facilitation of change through building collaborative relationships with ICU physicians, Nursing Staff, Case Management, and specialist groups (primarily Cardiovascular, Oncology, and Neurology).
High level evaluation of need regarding Advanced Care planning, and implementation of strategic relationship with Clinical Ethics to formulate hospital wide strategy for prioritization.
Completion and submission of business plan to extend Palliative care services to outpatient setting in collaboration with outpatient Hospice medical director and staff.
Facilitation of system CAPC membership and integration to staff in order to optimize resources for professional growth and expertise.
Senior Nurse Practitioner, West Division
Heartland Care Partners
Toledo , OH
07.2015 - 05.2017
Integration of Palliative Care services into LTC and SNF to improve Quality of Life of residents and families.
Implementation of program to support and collaborate with Primary Care Physicians.
Program development and integration with facility leadership, staff and physicians.
Clinical oversight, training, performance assessments and daily in person mentorship of NPs.
Managed individual case load of patients in conjunction with leadership role.
Assessed patients to determine individual needs and develop care plans in coordination with multidisciplinary healthcare professionals.
Appropriately diagnosed and treated variety of diseases and injuries through careful questioning and assessment of patient symptoms.
Family Nurse Practitioner
OU Physicians
Oklahoma City , OK
07.2011 - 07.2015
Practicing NP in Hematology/Oncology managing patients and families effected with bleeding disorders.
Participant in interdisciplinary team to optimize family education, support and living with chronic illness.
Transitioned to Stephenson Cancer Center as Palliative Care NP.
Obtained direct mentorship and practice hours in order to sit for Palliative Care Certification.
Facilitated utilization of Palliative Care specialty services/supportive care clinic embedded into Cancer Center.
Education
Master of Science - Family Practice Nurse Practitioner
The University of Texas At Arlington
Arlington, TX
12.2003
Bachelor of Science - Nursing
University of Central Oklahoma
Edmond, OK
12.2000
Associate of Science - Nursing
Oklahoma State University - Oklahoma City
Oklahoma City, OK
05.1998
Skills
Critical Thinking
Information Systems Development
Data Analysis
Risk Management
Process Implementation
Utilization Management
Risk Mitigation
Team Building
Accomplishments
Training, Professional Development and Mentoring of numerous Advanced Practice Nurses and Registered Nurses. This included Quality care, communication skills, symptom management and value based care models.
President, Oklahoma Hospice and Palliative Nurse Association
End of Life Nursing Education Consortium, Train-the trainer. Core Curriculum and APRN Curriculum
Development Chair, Agape Road Social Model Hospice; OKC, OK
Hospice and Palliative Nurse Association- Approved Educator
Affiliations
Oklahoma Hospice and Palliative Nurse Association
National Hospice and Palliative Care Association
End of Life Nursing Education Consortium
Oklahoma Nurse Practitioner Association
American Academy of Pain Management
Oklahoma Medical Reserves Core
Agape Road Social Model Hospice- OKC, OK
INTEGRIS Systems Clinical Ethics Committee
Central Oklahoma Bioethics and Palliative Care Consortium
INTEGRIS Palliative Care Clinical Transformation Team
INTEGRIS Critical Care Committee
Living the Purpose Committee, LHP
Clinical Platform Advisory Committee, LHP
Salesforce platform Champion, Longevity Health Plan
Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Clinical Service Manager
Prospero Health Partners Florida Inc
08.2021 - Current
Director of Clinical and Quality Operations
Longevity Health Plan
09.2019 - 06.2021
Palliative Care Coordinator
Integris Medical Group
05.2017 - 09.2019
Senior Nurse Practitioner, West Division
Heartland Care Partners
07.2015 - 05.2017
Family Nurse Practitioner
OU Physicians
07.2011 - 07.2015
Master of Science - Family Practice Nurse Practitioner
The University of Texas At Arlington
Bachelor of Science - Nursing
University of Central Oklahoma
Associate of Science - Nursing
Oklahoma State University - Oklahoma City
Similar Profiles
CHRISTINA CRESPOCHRISTINA CRESPO
Patient Access Representative at Women's Care Florida, Partners In Women's HealthPatient Access Representative at Women's Care Florida, Partners In Women's Health