Angelie M. Owens
Kansas City
Summary
A Registered Nurse who performs dynamically as a Clinical Program Professional with advanced expertise in clinical program development, product management, and utilization review within major healthcare organizations. Proven track record in managing the full product lifecycle, designing clinical workflows, and implementing evidence-based strategies to improve health outcomes and ensure compliance. Skilled in data analysis, Agile methodologies, and cross-functional leadership, with a strong foundation in direct patient care and pharmacy benefit management. Highly adaptable, detail-oriented, and committed to driving innovation and quality in healthcare delivery.
Overview
20
20
years of professional experience
Work History
Clinical Program Consultant
UMR
01.2023 - Current
- Serve as a subject matter expert in clinical operations and program development for a leading health insurance organization, leveraging clinical expertise and strategic insight to design and implement programs that improve health outcomes, ensure regulatory compliance, and align with organizational objectives. Create, optimize, and maintain clinical workflows, guidelines, and digital tools that support care management and enhance efficiency. Combine clinical knowledge with design thinking and data-driven strategies to deliver user-friendly, compliant solutions that meet evolving healthcare needs.
Registered Nurse—Clinical Nurse Reviewer Part-Time
Acentra/Kepro
01.2022 - 01.2023
- Review and interpret patient medical records to assess medical necessity, appropriateness of care, and adherence to timely care plans, ensuring documentation supports quality standards. Determine approvals or initiate physician consultant referrals, accurately processing decisions and providing detailed rationale for denials. Abstract and record review-related data promptly using appropriate tools, while ensuring timely submission of all administrative and clinical documentation. Foster positive relationships and act as a liaison between internal teams and external partners to facilitate effective communication and streamline the review process. Maintain strict confidentiality of medical records in compliance with HIPAA policies, and demonstrate professionalism through proper communication practices across verbal, written, and electronic channels.
Product Manager/Strategy 2 ProdDev—Content Designer
Oracle Cerner
01.2020 - 01.2023
- Collaborate with healthcare providers and payers to enhance care quality, close gaps, address social determinants of health, and advance value-based care initiatives. Skilled in analyzing KPIs and user feedback to inform strategic decisions and optimize outcomes. Experienced in managing the full product lifecycle—from research and development through design, launch, and maintenance—while defining and tracking product metrics to measure success. Adept at leading sprint planning sessions with cross-functional teams, creating detailed product requirement documents, and validating design decisions prior to implementation. Proven ability to facilitate communication between internal teams and external partners, establish continuous improvement processes, evaluate policies for accuracy and effectiveness, and partner with stakeholders to identify opportunities and implement innovative solutions.
Registered Nurse—Acute Dialysis Charge Nurse/Clinical Coordinator
Dialysis Clinic Inc.
01.2017 - 01.2023
- Direct dialysis patient care while collaborating with administrators to optimize staffing and ensure compliance with organizational, national standards, and regulatory guidelines. Serve as a subject matter expert and resource for clinical staff, working closely with educators to support training and development. Assist in managing expenses within budget guidelines and partner with hospital staff, physicians, patients, and families to deliver high-quality, patient-centered care.
Registered Nurse—Utilization Review
Saint Lukes - Plaza
01.2017 - 01.2019
- Responsible for ensuring high-quality, cost-effective medical outcomes through utilization review for inpatient and outpatient preauthorization. Monitor patient charts and healthcare service utilization to confirm medical necessity and appropriateness of care, while verifying timely adherence to care plans. Collaborate with Care Coordinators, Social Workers, and multidisciplinary teams to ensure appropriate services and patient statuses. Accurately abstract review-related data, process physician consultant decisions with detailed documentation, and maintain timely submission of all administrative materials. Uphold HIPAA compliance and confidentiality standards while fostering positive relationships and effective communication with internal and external stakeholders to support a seamless review process.
Registered Nurse—Chronic & Acute Dialysis
DaVita Dialysis
01.2015 - 01.2017
- Supervise all aspects of dialysis treatment, assuming full responsibility for assigned patients’ in-center or inpatient care. Monitor treatment progress, lab results, patient tolerance, and the progression of acute and chronic conditions while administering medications and promoting physical and emotional well-being. Provide direct patient care through both hemodialysis and peritoneal dialysis, ensuring safe, effective, and compassionate treatment delivery.
Registered Nurse—Surgical Ortho/Med-Surg
Centerpoint/HCA Midwest
01.2015 - 01.2015
- Coordinate and deliver comprehensive patient care, assuming full responsibility and accountability for nursing services. Administer medications and perform related procedures to promote physical and emotional health, ensuring comfort and well-being for assigned patients. Skilled in providing individualized care that aligns with clinical standards and patient needs.
Principle Pharmacy Benefit Analyst
Argus Health Systems/DST Systems
01.2006 - 01.2015
- Provide comprehensive pharmacy benefit analysis and support for national healthcare programs to optimize pharmacy member benefits. Partner with leadership to drive project and case management initiatives, develop policies and procedures, and deliver department-specific training. Skilled in guiding teams toward success through effective collaboration, strategic planning, and execution of program objectives.
Education
Masters Science of Nursing Leadership and Management -
Western Governors University
Salt Lake City, Utah01.2020
Bachelor Science of Nursing - undefined
University of Missouri-Kansas City
Kansas City, Missouri01.2017
Associate Degree of Nursing - undefined
Penn Valley Community College
Kansas City, Missouri01.2013
Skills
- Electronic Health Records (EHR) HIPAA Compliance HEDIS Measures
- Utilization Management Medical Case Management Evidence-Based Medicine
- Social Determinants of Health Healthcare Quality Improvement
- Data Analysis & Reporting (Power BI, Microsoft 365) Agile Methodologies
- Project Management Process Development Expense Management
- Process mapping, workflow analysis, optimization and automation strategies
- Ability to translate abstract ideas into functional solutions
- Skilled in gap analysis, impact assessment, and requirement prioritization
Timeline
Clinical Program Consultant
UMR
01.2023 - Current
Registered Nurse—Clinical Nurse Reviewer Part-Time
Acentra/Kepro
01.2022 - 01.2023
Product Manager/Strategy 2 ProdDev—Content Designer
Oracle Cerner
01.2020 - 01.2023
Registered Nurse—Acute Dialysis Charge Nurse/Clinical Coordinator
Dialysis Clinic Inc.
01.2017 - 01.2023
Registered Nurse—Utilization Review
Saint Lukes - Plaza
01.2017 - 01.2019
Registered Nurse—Chronic & Acute Dialysis
DaVita Dialysis
01.2015 - 01.2017
Registered Nurse—Surgical Ortho/Med-Surg
Centerpoint/HCA Midwest
01.2015 - 01.2015
Principle Pharmacy Benefit Analyst
Argus Health Systems/DST Systems
01.2006 - 01.2015
Bachelor Science of Nursing - undefined
University of Missouri-Kansas City
Associate Degree of Nursing - undefined
Penn Valley Community College
Masters Science of Nursing Leadership and Management -
Western Governors University