Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angie Bouse

Cuba,MT

Summary

Knowledgeable Senior Learning & Development Specialist with solid foundation in designing and implementing comprehensive learning programs that align with organizational goals. Adept at enhancing employee performance through targeted training initiatives and curriculum development. Demonstrated ability to utilize innovative instructional strategies and adult learning principles to drive engagement, enhance learning experiences, employee growth and retention. Strong understanding of adult learning principles and effective communication techniques.

Overview

14
14
years of professional experience

Work History

Senior Learning & Development Specialist

Centene
Clayton, MO
03.2021 - Current
  • Facilitate in-person and virtual clinical onboarding and ad hoc trainings.
  • Establish strong relationships with internal & external partners to source relevant industry-specific trainings on a regular basis.
  • Customize training materials for diverse learning styles, enhancing comprehension and application of concepts.
  • Increase employee retention rates by developing engaging onboarding and orientation processes.
  • Streamline training process for new hires, accelerating time to productivity.
  • Standardize evaluation criteria across all courses allowing for consistent measurement of participant feedback for ongoing improvement efforts.
  • Align training programs with organizational goals, ensuring that learning initiatives directly supported overarching business objectives.
  • Champion a culture of continuous learning by regularly sharing resources, articles, webinars, and thought leadership pieces with colleagues.
  • Conduct regular needs analysis surveys to gauge areas where additional support was required promoting continuous improvement in staff skills, knowledge, and abilities.
  • Improve learning outcomes with integration of multimedia and interactive content into traditional training materials.

Manager Utilization Management-Medicaid

Centene - Home State Health Plan
05.2020 - 03.2021
  • Reviewed analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.
  • Promoted compliance with federal and state regulations and contractual agreements including NCQA.
  • Developed, implemented and maintained compliance, policies and procedures regarding medical utilization management functions.
  • Developed, implemented, and maintained utilization management programs to facilitate the use of appropriate medical resources and decrease the business unit’s financial exposure.
  • Compiled and reviewed multiple reports on work function activities for statistical and financial tracking purposes to identify utilization trends and make recommendations to management.
  • Facilitated on-going communication between utilization management staff and contracted providers.
  • Developed staff skills and competencies through training and experience. Available to non-clinical staff as a resource for clinical questions for 17 direct reports.

Supervisor – Medicaid Concurrent Review

Centene - Home State Health Plan
12.2017 - 05.2020
  • Oversaw the daily operations of the UM staff department overseeing 10 direct reports and being a point of contact for remaining CCR staff who report to remote supervisor.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
  • Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
  • Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
  • Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
  • Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
  • Ensured appropriate usage of resources in order to facilitate the UM process while ensuring compliance within applicable state program guidelines.
  • Evaluated compliance policies and procedures and analyzed/recommended enhancements when needed.
  • Assisted with ensuring consistent data collection from UM staff that is used to assist the company in achieving corporate goals, to improve monitoring and reporting in order to meet external requirements.
  • Assisted the UM Manager and Director with coordinating and facilitating system processes with providers, partners, vendors, and subcontractors as necessary.

Concurrent Review Nurse I

Centene - Home State Health Plan
Chesterfield, MO
05.2017 - 12.2017
  • Conducted comprehensive chart reviews to assess medical necessity, ensuring optimal reimbursement levels for services rendered.
  • Increased compliance with regulatory standards through meticulous documentation of clinical decisions and interventions.
  • Enhanced interdisciplinary collaboration by participating in daily rounds, discussing patient cases, and providing clinical input.
  • Implemented quality improvement initiatives within the concurrent review process, leading to more accurate and efficient decision making.
  • Supported effective care transitions by collaborating with healthcare providers, patients, and families to develop individualized discharge plans.
  • Reduced hospital readmission rates with timely assessments and effective discharge planning.

Telephonic Nurse Case Manager I

Centene - Envolve People Care
Chesterfield, MO
03.2016 - 05.2017
  • Conducted adherence assessments and provide interventions based on My Adherence Program guidelines for a caseload of 500 members.
  • Collected and inputted case data in managed care system and timely and accurately generated required correspondence and review notification for management.
  • Provided empathetic emotional support for patients facing challenging health concerns, fostering trust and open communication.
  • Performed case management duties by networking patients with their providers, pharmacies, Makena Care Connection and insurance companies to help overcome obstacles to medication adherence.
  • Managed caseloads efficiently while prioritizing urgent cases requiring immediate intervention.
  • Educated patients on medication use, administration and side effects based on pharmacy provided information.
  • Collaborated with health care providers to promote and report adherence to medication by patients.

Registered Nurse

St. Elizabeth’s Hospital
Belleville, IL
10.2011 - 06.2016
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary for a caseload of 3-4 patients nightly.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs.
  • Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
  • Served as a preceptor for 1-2 nursing students per semester during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
  • Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
  • Skillfully managed challenging patient situations using de-escalation techniques, crisis intervention strategies, and therapeutic communication skills.
  • Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
  • Charge nurse on overnight shifts as needed

Education

Bachelor of Science - Nursing

Southern Illinois University Edwardsville
Edwardsville, IL
12.2009

Bachelor of Science - Business Administration

Eastern Illinois University
Charleston, IL
05.1997

Associate of Arts/Associate of Science -

Southwestern Illinois College
Belleville, IL
05.1995

Skills

  • Continuous improvement initiatives
  • Facilitation techniques
  • Onboarding programs
  • Blended learning
  • Training development & delivery
  • Needs assessment
  • Attention to detail
  • Relationship building
  • Skilled in organizing information with Microsoft OneNote
  • Proficient in Microsoft Suite of Applications, including Teams

Timeline

Senior Learning & Development Specialist

Centene
03.2021 - Current

Manager Utilization Management-Medicaid

Centene - Home State Health Plan
05.2020 - 03.2021

Supervisor – Medicaid Concurrent Review

Centene - Home State Health Plan
12.2017 - 05.2020

Concurrent Review Nurse I

Centene - Home State Health Plan
05.2017 - 12.2017

Telephonic Nurse Case Manager I

Centene - Envolve People Care
03.2016 - 05.2017

Registered Nurse

St. Elizabeth’s Hospital
10.2011 - 06.2016

Bachelor of Science - Nursing

Southern Illinois University Edwardsville

Bachelor of Science - Business Administration

Eastern Illinois University

Associate of Arts/Associate of Science -

Southwestern Illinois College

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