Ashley L. Popa
Volant,PA
Summary
Bringing more than 17 years of diverse nursing experience, I have developed a strong foundation in clinical research, client/patient relationships and satisfaction. My career is highlighted by consistent achievement in meeting targets, performance metrics and identifying gaps in care. Committed to leveraging analytical and communication skills to drive process improvement initiatives by identifying targeted interventions.
Overview
18
18
years of professional experience
Work History
Nurse Case Manager Team Lead
Cigna
04.2021 - Current
- Established a documented patient centric case management plan involving all appropriate care team members, identified anticipated case results/outcomes, criteria for case closure, and promoted communication across interdisciplinary team.
HEDIS Abstraction Nurse
Cotiviti
01.2021 - Current
- Conducting medical reviews, facilitating peer reviews, and analyzing quality data to ensure best adherence to meet regulatory requirements. Assist with special projects and assists in coordination of studies performed within the quality assurance program.
Manager of Remote Triage and Telehealth Services
UPMC
02.2017 - Current
- Managing a team of remote registered nurses who provide triage services to patients, coordinating care, and guiding clinical decisions. Developing and implementing policies and procedures, ensuring compliance with healthcare regulations, and driving continuous improvement in service delivery.
Clinical Quality Data Analyst
Optum
01.2021 - 01.2025
- Abstract medical data using EMR data to develop reporting solutions to prepare for HEDIS audit and with quality team to help identify and resolve gaps in care. Assist with special projects during off season HEDIS.
Clinical Sales Lead Specialist
ZOLL
01.2021 - 04.2023
- Developed and implemented strategic plans to increase sales and market share. Built strong relationships with clients and key stakeholders. Established and maintained client accounts to maintain client satisfaction.
- Collaborated with marketing teams to align campaigns with sales objectives, maximizing reach and impact in target markets.
Supervisor of Case Management
Mercy Health System
02.2015 - 02.2017
- Provided clinical and administrative supervision for multidisciplinary staff, hiring, employee evaluations, and program development for the Department of Social Work and Case Management. Resource for problem solving, budgeting, performance improvement, policy implementation and staff issues. Responsibility for the interpretation of data related to social work and case management and delivery of interventions.
- Mentored nursing staff in best practices for case management, enhancing team performance and patient satisfaction.
ICU/ER RN
UPMC Jameson
05.2007 - 01.2015
- Assessed and triaged patients quickly to determine the severity of their condition. Administered immediate and appropriate medical interventions based on patient needs. Prioritized patient care based on the urgency and severity of conditions.
Flight Nurse
STAT MedEvac
05.2012 - 12.2013
- Provided direct patient care including advanced assessment, stabilization and intervention skills reflecting current EMT/Paramedic standards; maintenance of aircraft supplies and equipment; and support of other operational duties.
Education
BSN -
Slippery Rock University
01.2006
Skills
- Data Analysis and Quality Improvement, Healthcare Management
- Excellent interpersonal skills, organization, problem solving, analytic, strong analysis and communication skills
- Ability to work independently and handle multiple projects simultaneously
- Knowledge of URAC standards
- Interdisciplinary Team, Collaboration
- MS Office, EPIC user, Data management/entry software
- Performance Improvement, Leadership
- Resource Management Expertise
- CMS Guidelines, HEDIS/STARS/CAHPS measures
- Care coordination and interdisciplinary care coordination
Timeline
Nurse Case Manager Team Lead
Cigna
04.2021 - Current
Clinical Sales Lead Specialist
ZOLL
01.2021 - 04.2023
HEDIS Abstraction Nurse
Cotiviti
01.2021 - Current
Clinical Quality Data Analyst
Optum
01.2021 - 01.2025
Manager of Remote Triage and Telehealth Services
UPMC
02.2017 - Current
Supervisor of Case Management
Mercy Health System
02.2015 - 02.2017
Flight Nurse
STAT MedEvac
05.2012 - 12.2013
ICU/ER RN
UPMC Jameson
05.2007 - 01.2015
BSN -
Slippery Rock University
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