Debbi Walton
RN Manager
St. Petersburg,FL
Summary
Collaborative leader with dedication to partnering with an interdisciplinary team and internal partners to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced healthcare settings.
Overview
15
15
years of professional experience
Work History
Manager of Care Services
Healthmap Solutions
04.2022 - Current
- Manager of Care Navigation program providing case management to chronic kidney disease patients for our clients
- Develop and lead a team of Care Navigators and Supervisors to ensure that the team is increasing member engagement, completing care coordination, meeting key performance indicators, and exceeding service level agreements to maintain contractual client obligations for the kidney health management population.
Statewide Manager, Medically Fragile Program
Children’s Medical Services, A Sunshine Health Plan
11.2021 - 04.2022
- As Manager, I had oversight of the statewide Medically Fragile Program
- Managed 12 regional supervisors and over 100 case managers
- Assisted with developing and implementing strategies to meet patient outcomes and provider objectives
- Partnered with leadership team to develop KPI’s that align with quality performance guidelines
- Provided leadership and supervision for Care Managers to ensure their individual metrics were met while maintaining effective collaborators of care for the member
- Ability to work independently and manage staff effectively with positivity and motivation
- Ability to work with attention to detail with little supervision needed to maintain productivity and successful goals for members and staff alike
- Provided education on a continuous basis for the staff to encourage independence and autonomy.
Pediatric Regional Supervisor
Children’s Medical Services, A Sunshine Health Plan
01.2019 - 01.2022
- Provided care management supervision for regions 5, 8 and 11 in Florida for medically fragile pediatric members in the Florida Medicaid specialty plan
- We managed approximately 95,000 members statewide
- Supervised 20 case managers to ensure that metrics, KPI’s and improved outcomes were accomplished
- Ensured that the Case Managers utilize the nursing process to provide advocacy, resources and education to recipients within the program.
Pediatric Medically Fragile Case Manager
Anthem, Amerigroup
04.2018 - 12.2018
- Provide Care Coordination for medically fragile pediatric patients in the Florida Medicaid Amerigroup MMA plan
- Utilization of the nursing process to provide advocacy, resources, and education to recipients within the program
- I collaborated with providers of the recipient to ensure quality and reliable care is available for the recipient with a goal of improved health outcomes
- Collaborative efforts to develop and manage a care plan for the recipient were done on a daily basis
- Ability to work independently and manage caseload successfully of recipients in an effective and efficient manner with attention to detail and organization to prioritize workload
- Provided education on a continuous basis for the families surrounding the recipient to encourage independence and autonomy.
Pediatric RN Care Coordinator
eQ Health Solutions
02.2015 - 03.2018
- Provide Care Coordination for medically fragile pediatric patients in the Florida Medicaid Program
- Utilization of the nursing process to provide advocacy, resources and education to recipients within the care coordination program
- I collaborated with providers of the recipient to ensure quality and reliable care is available for the recipient with a goal of improved health outcomes
- Collaborative efforts to develop and manage a plan of care for the recipient were done on a daily basis
- Ability to work independently and manage caseload of 40 plus recipients in an effective and efficient manner with attention to detail and organization to prioritize workload
- Provided education on a continuous basis for the families surrounding the recipient to encourage independence and autonomy
- Did Utilization Management reviews for ST, PT, OT and PPEC requests.
Administrator, RN, BSN
Pediatric Health Choice
05.2012 - 02.2015
- Directs and coordinates all administrative and clinical activities for Center based and therapy programs for PPEC
- Responsible for efficient, profitable operation of programs
- Coordinates the work of the Professional Advisory Committee, oversees the company’s quality assessment and improvement activities, manages the local human resources program pursuant to established corporate policies, directs the local marketing program, and generally administers patient care programs that ensure optimal delivery of care and nurtures professional relationships and a harmonious environment
- Ensured that AHCA guidelines were strictly adhered to.
Director of Nursing, RN, BSN
Pediatric Health Choice
01.2011 - 05.2012
- Provide leadership to nursing and support staff for a facility specializing in nursing care of special needs pediatric population
- Ensure that staff is providing skilled nursing care to patient with a focus on family interaction and communication to ensure the needs of the children are met in home setting as well.
Skills Lab RN, BSN
St. Petersburg College of Nursing
10.2010 - 01.2011
- Assist ADN nursing students in the scholastic setting with perfecting nursing skills necessary to successfully become a Registered Nurse
- Assist nursing professors with classroom set up on daily basis based on daily lecture.
RN
PSA (Pediatric Services of America)
07.2010 - 01.2011
- Provide nursing care for pediatric home health agency specializing in ventilator assisted patients
- Provide family focused care for the patient and their families.
RN
All Children’s Hospital ICU
07.2008 - 12.2008
- Completed 13 weeks of 22 week graduate nurse ICU training program
- Medical leave of absence did not permit completion of the program
- I cared for a variety of critically ill pediatric patients under the supervision of a preceptor.
Education
MSN Nursing Education -
Chamberlain University School of Nursing
01.2020
BSN degree -
St. Petersburg College
01.2010
ADN degree -
St. Petersburg College
01.2008
AA degree -
St. Petersburg College
01.2006
Skills
- Business Development
- Policy Implementation
- Strategic Planning
- Staff Development
- Performance Management
- Key Performance Indicators
- Team Leadership
- Project Management
Honors Awards
- Summa Cum Laude, 2006 and 2008
- Phi Theta Kappa
- The Dean’s Writing Award, 2010 BSN Graduation
Personal Information
Title: Florida RN License # RN9277712
Timeline
Manager of Care Services
Healthmap Solutions
04.2022 - Current
Statewide Manager, Medically Fragile Program
Children’s Medical Services, A Sunshine Health Plan
11.2021 - 04.2022
Pediatric Regional Supervisor
Children’s Medical Services, A Sunshine Health Plan
01.2019 - 01.2022
Pediatric Medically Fragile Case Manager
Anthem, Amerigroup
04.2018 - 12.2018
Pediatric RN Care Coordinator
eQ Health Solutions
02.2015 - 03.2018
Administrator, RN, BSN
Pediatric Health Choice
05.2012 - 02.2015
Director of Nursing, RN, BSN
Pediatric Health Choice
01.2011 - 05.2012
Skills Lab RN, BSN
St. Petersburg College of Nursing
10.2010 - 01.2011
RN
PSA (Pediatric Services of America)
07.2010 - 01.2011
RN
All Children’s Hospital ICU
07.2008 - 12.2008
MSN Nursing Education -
Chamberlain University School of Nursing
BSN degree -
St. Petersburg College
ADN degree -
St. Petersburg College
AA degree -
St. Petersburg College