Casey Griffiths
Tampa,FL
Summary
Ambitious Executive adept at operating in diverse capacities to achieve business goals. Proficient in a wide range of areas, including financial administration, revenue generation and strategic planning. Hardworking and proactive leader with a disciplined execution. Proven success at setting policies, improving performance and updating processes.
Overview
28
28
years of professional experience
Work History
Director, Value Advisory Executive
Oracle Health
08.2022 - Current
Lead Health Network Strategy Executive
Cerner Corporation
09.2017 - 08.2022
- Worked as an executive consultant responsible for business strategy and value attainment for customers including domestic and international work
- Focus included client relations management; identifying value opportunities for new sales, initiating sales conversations including ROI and contracting; supporting current projects to help create value propositions and support value achievement
- The responsibility involved expertise in a large portfolio of Health Network and cloud-based offerings used to expand the data footprint and support customer strategies for developing a network.
Senior Clinical Consultant and Manager
Cerner Corporation
04.2014 - 09.2017
- Served as a Clinical liaison during the implementation of a variety of Population Health solutions
- Helped to identify clinical workflows that might be impacted and drive value ensuring the provider needs were addressed during the build and execution of the solutions
- Worked collaboratively with large health systems to identify issues and provide strategic guidance that could impact the outcomes of a project
- Lead as a manager of Clinical Consultants within the Population Health Organization.
Clinical Resource Coordinator/Senior Utilization Review Specialist/RAC Reviewer
Baycare Health System
Clearwater, FL
03.2013 - 04.2014
- Assumed multiple concurrent responsibilities within three departments
- Responsible for determining appropriateness of hospital admission, UR and medical necessity for continued stay
- Helping to facilitate timely discharge, and assuring medical documentation accurately reflects the patient’s severity of illness
- Work with EQHealth for online submissions of concurrent and retro reviews
- Helping to prepare RAC appeals.
Documentation Specialist (Additional/concurrent responsibility at Keck)
Keck Hospital of the University of Southern California
Los Angeles, CA
09.2011 - 10.2012
- Managed the process for appropriate documentation and billing for all patients admitted to the hospital
- Regulatory expertise with responsibility for education of staff, including nursing, case management, physician and resident staff
- Responsibility for daily audits and intervention of all new Medicare patients, to assess for appropriate status orders, documentation and billing
- Working closely with Physician Advisor and Director to develop concurrent and retrospective chart auditing processes to promote cost effective outcomes
- Assisted in the RAC process, including chart reviews and appeals letters to CMS.
Case Management Supervisor
Keck Hospital of the University of Southern California
Los Angeles, CA
05.2011 - 10.2012
- Supervised 26 employees in the case management and intake departments
- Provided administrative and operational support to the departments
- Helped to integrate the functions of case management, care coordination, utilization management, and discharge planning assessment
- Leader of the Utilization Review committee.
Clinical Liaison
Barlow Respiratory Hospital
Los Angeles, CA
02.2008 - 05.2011
- Working with targeted hospitals and physicians in the coordination of admissions
- Utilizing knowledge of healthcare regulations, InterQual criteria and a variety of reimbursement systems to ensure appropriate admissions and adequate payment
- Worked with CMS as the lead representative for Barlow Respiratory Hospital for the CARE study, which included retrospective chart auditing and data collection
- InterQual expertise with responsibility for education of my peers and clients within the community to increase understanding and appropriate transfers
- Responsible for constructing letters of agreement with insurance companies
- Responsible for growing new business opportunities.
ICU Registered Nurse
St. Mary’s Hospital
Long Beach, CA
08.2007 - 02.2008
- Working as a staff nurse in a 24 bed Intensive Care Unit.
Registry Nurse
PRN and Secure Registries
Los Angeles, CA
04.2007 - 08.2007
- Working as an Intensive Care Nurse in a variety of hospitals.
Travel Nurse
Centinela Hospital
Inglewood, California
01.2007 - 04.2007
- Working as a travel nurse with Access Nursing, assigned to a 32 bed ICU/IMCU.
Registered Nurse
University Medical Center Tucson
Tucson, Arizona
01.2006 - 12.2006
- Working on an active cardiac step-down unit
- Responsible for care of a variety of patient’s with cardiac and pulmonary illnesses, including heart and lung transplant patients.
Pharmaceutical Representative
Pfizer/Wyeth Pharmaceutical
St. Petersburg, Florida
04.1999 - 06.2005
- Assuming personal responsibility and commitment to meet and exceed all business objectives and an effective use of selling skills to benefit clinical practices and patient outcomes
- Responsible for developing sales strategies for a defined territory which targeted new, high volume clients, as well as maintaining, and increasing existing customers
- Organizing and leading monthly meetings to encourage consistency in strategies and increase communication across territories
- Responsible for managing a monthly budget.
Home Care Pediatric Nurse
Pediatric Services of America and Maxim Health Care
St. Petersburg, Florida
01.1997 - 01.1999
- Patient advocate and liaison for family and patient care teams.
Per Diem Nursing
Suncoast Hospital
Largo, Florida
01.1997 - 01.1999
- Working telemetry and medical/surgical
- Focusing on elderly population, assisting with recovery and ensuring proper medical treatment during hospitalization.
Registered Nurse
All Children’s Hospital
St. Petersburg, Florida
01.1996 - 01.1997
- This experience included 500 hours of training in the neonatal intensive care and oncology units.
Education
Masters in the Science of Nursing -
Cedarville University
01.2025
Bachelor in the Science of Nursing -
Cedarville University
Skills
- Partnerships and Alliances
- Corporate Social Responsibility
- Business Development
- Project Management
- Staff Management
- Contract Management
- Project Coordination
- Contract Negotiation
- Operations Management
- Logistics Management
License
Florida, R.N. 9353382, active
Professional Highlights
- Nearly 30 years of experience in healthcare
- Over 10 years of service at Oracle Health/Cerner.
- 11 years of direct patient care experiences as a registered nurse.
- 7 years of sales experience with Pfizer/Wyeth Pharmaceutical.
Personal Information
Title: R.N., B.S.N.
Awards
- Selected to participate in Cerner’s Leadership Development Program
- Twice nominated for a Daisy Award
- Received 2 Eagle Awards
Timeline
Director, Value Advisory Executive
Oracle Health
08.2022 - Current
Lead Health Network Strategy Executive
Cerner Corporation
09.2017 - 08.2022
Senior Clinical Consultant and Manager
Cerner Corporation
04.2014 - 09.2017
Clinical Resource Coordinator/Senior Utilization Review Specialist/RAC Reviewer
Baycare Health System
03.2013 - 04.2014
Documentation Specialist (Additional/concurrent responsibility at Keck)
Keck Hospital of the University of Southern California
09.2011 - 10.2012
Case Management Supervisor
Keck Hospital of the University of Southern California
05.2011 - 10.2012
Clinical Liaison
Barlow Respiratory Hospital
02.2008 - 05.2011
ICU Registered Nurse
St. Mary’s Hospital
08.2007 - 02.2008
Registry Nurse
PRN and Secure Registries
04.2007 - 08.2007
Travel Nurse
Centinela Hospital
01.2007 - 04.2007
Registered Nurse
University Medical Center Tucson
01.2006 - 12.2006
Pharmaceutical Representative
Pfizer/Wyeth Pharmaceutical
04.1999 - 06.2005
Home Care Pediatric Nurse
Pediatric Services of America and Maxim Health Care
01.1997 - 01.1999
Per Diem Nursing
Suncoast Hospital
01.1997 - 01.1999
Registered Nurse
All Children’s Hospital
01.1996 - 01.1997
Masters in the Science of Nursing -
Cedarville University
Bachelor in the Science of Nursing -
Cedarville University
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