Led cross-functional teams to improve operational efficiency and achieve project milestones.
Implemented process improvements that streamlined workflows and reduced turnaround times.
Spearheaded strategic planning sessions to align departmental goals with organizational vision and priorities.
Enhanced team productivity by implementing efficient task delegation and time management strategies.
Developed a high-performing team by recruiting top talent, providing ongoing training, and fostering a positive work environment.
Championed process improvements within the department by identifying inefficiencies, proposing solutions, and leading change initiatives.
Facilitated HRPM & Post-discharge inter-disciplinary team meetings to foster collaborative work environment, leading to innovative solutions to improve patient outcome.
Care Facilitation Manager
Humana PCO - Conviva
Broward, Miami Dade & Tampa Markets, Florida
06.2018 - 11.2020
Supervised daily operations, ensuring compliance with quality standards and service protocols.
Mentored team members, fostering professional development and enhancing team performance.
Implemented process improvements that streamlined workflow efficiency and enhanced patient care delivery.
Coordinated cross-functional communication to address operational challenges and optimize resource allocation.
Developed training materials to enhance staff onboarding and ongoing education programs.
Collaborated with upper management to establish performance goals for the team and develop strategies for achieving them.
Care Unit & Referral Team Supervisor
Humana PCO - Continucare
Broward, Miami Dade & Tampa Markets, Florida
01.2008 - 06.2018
Led team strategy to align team objectives with organizational goals, driving overall success.
Managed a diverse group of employees to ensure timely completion of projects while maintaining high-quality standards.
Audited clinical team use of appropriate HCPC, CPT, ICD9 & ICD10 referral codes, use of CMS and Health Plan guidelines for Part B referrals.
Case Management Nurse
Continucare
Miami, FL
01.2006 - 2008
HEDIS Nurse Quality Analyst
Blue Cross Blue Shield of Florida
Doral, FL
2001 - 2006
Analyzed HEDIS measures to ensure compliance with quality standards and regulations.
Conducted comprehensive data validation to enhance accuracy of healthcare quality metrics.
Reviewed clinical documentation for adherence to HEDIS guidelines, ensuring thoroughness and precision.
Wound Care Nurse
Health South Inpatient Acute Rehab
Cutler Bay, FL
1999 - 2002
Short Term Disability Review Nurse
Kemper Insurance
Plantation, FL
2001 - 2001
Inpatient Nurse- Oncology & Oncology Special Care
Baptist Hospital of Miami
Miami, Florida
1990 - 1999
Education
Nursing
Miami Dade College
Miami, FL
No Degree - License Practical Nurse
Robert Morgan VTI
Miami, FL
Skills
Operational excellence
Networking, Relationship building & Team collaboration
Stakeholder management Outcomes driven
Disease Management Education
Patient motivation, problem solving & goal setting
Computer Savvy, Microsoft programs, SalesForce, Athena, eCW, EPIC, Cerner, Meditech