Ashleigh Nance
Summary
Hard-working Supervisor with exceptional experience leading teams, delivering results and exceeding expectations. Creative and motivated leader adept at utilizing exceptional design and planning strengths to accomplish complex projects. Skilled in teaching new concepts and best practice strategies.
Overview
8
8
years of professional experience
Work History
Long Term Care Supervisor
Mercy Care/CVS Caremark
02.2023 - Current
- Supervise a team of 14 case managers with the goal of meeting the needs of our Medicaid members
- Support the daily function of the team and provide guidance to work through difficult situations
- Manage multiple projects while adhering to specific timelines and due dates
- Complete frequent chart audits to ensure HEDIS measures, CMS procedures, and NCQA guidelines are being met
- Facilitate twice monthly team meetings to ensure updates are received in a timely manner
- Encourage an environment with open communication and relationship building.
Case Management Analyst
Mercy Care/CVS Caremark
04.2019 - 02.2023
- Volunteered as the Mercy Paws Co-Coordinator to manage the fostering of pets while members sought out necessary medical care since 2019
- Participated in the Mentor Program to train new case management staff since 2021
- Maintain a strong relationship with providers within the Medicaid network
- Adhere to and work diligently to meet the HEDIS metrics determined by the state of Arizona
- Collaborate with healthcare providers to ensure the quick receipt of medically necessary equipment and supplies
- Evaluate the ongoing health and well-being of current members and makes changes to services on an as needed basis
- Supervised discharge planning with hospital staff to ensure a successful transition and to prevent rapid readmission
- Utilize multiple databases on a daily basis to collect and analyze medical data
Clinical Coordinator
Lifewell Behavioral Wellness
03.2018 - 04.2019
- Supervisor to a team of 30 case managers whose goal is to assist members of the mentally ill population
- Investigate quality concerns to ensure member rights are being upheld
- Manage projects pertaining to hospital utilization, court ordered treatment, annual assessments and service plans, appointment adherence, and health risk assessments
- Collaborate with behavioral health providers, nurses, and clinical directors to ensure the proper level of care is being achieved for the member
- Delegate tasks among the team and monitor daily progress to ensure timely completion
- Facilitate daily meetings with the team to discuss pertinent member information
- Conduct chart audits to ensure quality assurance is maintained
Case Manager
Lifewell Behavioral Wellness
05.2016 - 03.2018
- Provide treatment and resources to ensure the well-being of those in a vulnerable population
- Complete home visits to ensure safe conditions are being maintained
- Prepare comprehensive documentation in a timely manner
- Train and educate new team members as they assume their mew role as case manager
- Collaborate with a team as well as work independently as the task deemed necessary
Education
Bachelor of Arts - Psychology
Arizona State University
Tempe, AZ05.2016
Associate of Arts - Psychology
Glendale Community College
Glendale, AZ05.2014
Skills
- Training and mentoring
- Goal-Oriented
- Employee Motivation
- Project Management
Timeline
Long Term Care Supervisor
Mercy Care/CVS Caremark
02.2023 - Current
Case Management Analyst
Mercy Care/CVS Caremark
04.2019 - 02.2023
Clinical Coordinator
Lifewell Behavioral Wellness
03.2018 - 04.2019
Case Manager
Lifewell Behavioral Wellness
05.2016 - 03.2018
Bachelor of Arts - Psychology
Arizona State University
Associate of Arts - Psychology
Glendale Community College