CAROL MOREALI

• Managed a diverse portfolio of consulting engagements, consistently delivering high-quality results under tight deadlines.
• Conducted thorough data analysis to identify areas of improvement for healthcare systems, driving positive change initiatives.
• Lead cross-functional teams to successfully complete complex healthcare consulting projects on time and within budget.
• Leveraged deep industry knowledge to provide valuable insights into competitive landscapes, enabling informed decision-making for clients.
• Assisted healthcare organizations with regulatory compliance, reducing potential risks and penalties.
• Developed customized healthcare solutions for clients, resulting in enhanced operational efficiency.

Analysis of Inpatient Care Coordination and post-acute care systems.

Analysis of In patient Care Coordination Processes and Recommendations

• Created and implemented organizational policies and procedures.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
• Spearheaded and implemented new projects to expand scope of engagement.
• Streamlined communication between cross-functional teams, optimizing project efficiency and overall effectiveness.
• Designed strategic plans to drive organizational change initiatives, leading to enhanced performance metrics.
• Coached executive leadership on effective team-building practices that fostered an inclusive corporate culture focused on collaboration and continuous learning.
• Built strong relationships with key stakeholders, facilitating open dialogue and fostering long-term partnerships.
• Created and developed detailed work plans to meet business priorities and deadlines.
• Leveraged on-site observation and personal interviews to identify team and individual strengths.
• Restructured procedures through coordination with compliance director to create and execute projects.

• Responsible for Patient Care Coordinator and Social Services teams
• Assisted in the redesign of physician/RN case manager pairing model
• Redesigned RN Case Manager daily case reporting
• Reduced length of stay for patients with long stays by 50%
• Decreased readmission rate by 2.6%
• Enhanced Social Worker role with physician/RN case manager team
• Co-lead for No Cal Regional Peer Group (COCSD)
• Certified InterQual Criteria Instructor

• Liaison to Medicare/Medi-Cal and other health insurance entities
• Co-implemented new documentation/referral program for Case Management
• Redesigned survey preparation process resulting in successful TJC survey

• Responsible for overall administrative management and operations of program covering 7,500 members
• Designed and implemented a state-of the-art care/disease management program for self-insured employers
• Developed member follow-up method using severity levels
• Developed policies and procedures for care management and outreach program
• Lead team in the development of member wellness programs