Summary
Overview
Work History
Education
Skills
Timeline
Generic

Catherine Michels

St. Petersburg

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

24
24
years of professional experience

Work History

Clinical Nurse Manager/ Clinical Claims

LTCG/ Illumfin
07.2021 - 06.2023
  • Mentored new nursing and LCSW staff, fostering professional growth and development through comprehensive training programs.
  • Streamlined workflow for increased efficiency by optimizing scheduling and delegating tasks to the appropriate staff members.
  • Directed day-to-day nursing and operational functions for over 3000 field nurses conducting long term care assessments in the field and over 35 clinicians reviewing the assessments prior to submitting to multiple carriers
  • Conducted routine performance evaluations, providing constructive feedback to drive continuous improvement among nursing staff members.
  • Developed metrics and return on investments for in house staff
  • Interacted with Department of Insurance
  • Handled all calls to state department of aging for at risk elders
  • Managed budgets and resources, consistently meeting financial goals while maintaining high-quality patient care standards.

Co Lead Nurse

Zen Tech
01.2021 - 07.2021
  • Improved customer satisfaction ratings by addressing concerns promptly and implementing feedback-driven improvements.
  • Enhanced team productivity by streamlining processes and implementing time-saving strategies. Developed all protocols, changing often, for safe administration of vaccinations
  • Delivered exceptional customer service experiences by taking all consumer complaints. Responsible for daily report on adverse reactions to state database
  • Identified areas for improvement within the organization, spearheading change initiatives that had a lasting impact on operations. Supervised over 2000 nurses onsite, including scheduling
  • Coordinated disaster response with National Guard
  • Presented data-driven reports to senior leadership, influencing key decisions around resource allocation and business strategy.
  • Reduced operational costs through thorough analysis of expenditures and implementing cost-effective measures.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.

Senior Quality Consultant

StrategyGen
07.2014 - 08.2019
  • Implemented a continuous improvement culture within the organization by promoting best practices in lean manufacturing techniques.
  • Performed detailed data analysis to identify trends, uncovering opportunities for further enhancements in product quality or operational efficiencies.
  • Developed training programs to enhance employees'' understanding of quality standards and expectations.
  • Reduced waste in the production process through identification of root causes and implementation of effective solutions.
  • Worked with South Carolina Hospital Association to reduce readmissions throughout the state. Keynote speaker
  • Worked with Baylor Health system on reducing VTE
  • Assisted 36 hospitals in developing and executing a patient and family advisory council
  • Taught Team STEPPS to 12 Native American hospitals onsite
  • Assisted with Health Equity initiative with a participating hospital
  • Developed Surgical Site Infection checklists for use across the country


CEO

Developmental Specialists Of Southeastern IL, INC
01.1999 - 08.2019
  • Achieved company growth by implementing strategic plans and streamlining operations.
  • Managed partnerships and strategic business relationships by negotiating contract terms and handling conflicts.
  • Developed key operational initiatives to drive and maintain substantial business growth.
  • Enhanced brand reputation with effective marketing campaigns and public relations efforts.
  • Responsible for payroll, billing Medicare and Medicaid, Insurance carriers as well as ICD 9 codes
  • Pediatric home health, largest in state
  • Rehab agency employing in home PT, OT, Speech pathologists, nurses and case managers
  • Participated in developing state public policy for IEPs and IFSPs for at risk children
  • Vice president of Illinois Early Intervention Council in Springfield, IL

Illinois POD Owner

Humana
03.2011 - 06.2012
  • Managed day-to-day business operations, responsible for all Medicare advantage costs in Illinois
  • Developed and maintained strong relationships with clients, resulting in repeat business and referrals.
  • Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members including coders, documentation experts, and nurses
  • Met with primary care physicians to educate on HEDIS and STARS

Education

No Degree - Post Masters, Rehab Degree/ Life Care Planner

University of Illinois
Champaign IL
07.2001

Master of Science - Nursing And MBA

University of Phoenix
Phoenix, AZ
06.2000

Bachelor of Science - Nursing

Southern Illinois University Edwardsville
Edwardsville, IL
07.1996

Skills

  • Clinical Leadership
  • Nurse Leadership
  • Staff Education
  • Medication Administration
  • Care Planning
  • Care Coordination
  • Patient Advocacy
  • Team Development
  • Ethical Practice
  • Clinical Quality Improvement

Timeline

Clinical Nurse Manager/ Clinical Claims

LTCG/ Illumfin
07.2021 - 06.2023

Co Lead Nurse

Zen Tech
01.2021 - 07.2021

Senior Quality Consultant

StrategyGen
07.2014 - 08.2019

Illinois POD Owner

Humana
03.2011 - 06.2012

CEO

Developmental Specialists Of Southeastern IL, INC
01.1999 - 08.2019

No Degree - Post Masters, Rehab Degree/ Life Care Planner

University of Illinois

Master of Science - Nursing And MBA

University of Phoenix

Bachelor of Science - Nursing

Southern Illinois University Edwardsville

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