DENA SMITH
Gulf Breeze,FL
Summary
Co Lead Medical Director for One Florida Humana. People leader for eleven medical directors.
Overview
20
20
years of professional experience
Work History
Co-lead Medical Director for One Florida
Humana
Florida
03.2023 - Current
- Presented data-driven reports to senior leadership, influencing key decisions around resource allocation and business strategy.
- Managed high-performing teams, fostering a positive work environment that encouraged collaboration and innovation.
- Mentored newly hired employees and help train them in different case types (FERs, LTACHs, inpatient preauths, outpatient preauths, PDs, SNFs, IRFs)
Reviewing Medical Director for CNFL
Humana
Florida
01.2020 - 03.2023
Internal Medicine Hospitalist
Glutality
08.2020 - 10.2020
- Telemedicine to monitor patients with diabetes/at home glucose monitoring
Internal Medicine Hospitalist
HNI Hospitalist Group
03.2020 - 07.2020
Internal Medicine Hospitalist
Ascension Medical Hospitalist Group
05.2016 - 03.2020
- Hospitalist over observation floor
- I was responsible for running daily multidisciplinary meetings with charge nurse, physician advisor, PT/OT, and CM
Internal Medicine Hospitalist
Holston Medical Group
02.2007 - 04.2016
Internal Medicine Hospitalist
Dr. Quinn's Hospitalist Group
05.2005 - 02.2007
Internal Medicine Physician
Premier Medical Group
10.2003 - 04.2005
Education
Doctor of Osteopathy -
West Virginia School of Osteopathic Medicine
Lewisburg, WV05.1999
B.S. Chemistry -
Marshall University
Huntington, WV05.1995
Skills
- MCG Certified
- Co-Chair Credentialing Committee
- Trained in Grievance and Appeals reviews (MHK)
- One Florida trainer for new hire (outpatient preauthorizations)
- Board Certified by American Board of Internal Medicine
- Board Certified in Health Care Quality and Management
- Sub-specialty - Physician Advisor
- Certification in Patient Safety
- Currently working towards CPE
- Trained (MHK) for Humana Grievance and Appeals
- Prior journalist for One Florida Newsletter
- Schedule development
- Project Planning
- Team Management
Accomplishments
- Humana Silver Star Award 2022, 2023
- Humana Century Star Award 2023
- Supervised team of 10 Medical Directors
- Co-manager for a market specific and customized route assignment tool (RAT)
- Created training manual for RMDs for the market specific and customized route assignment tool
- Member of the Northeast Peer Review Committee
- Member of the Growth, Development and Advancement Committee (Humana Physician Collaborative)
- I am American Board of Quality Assurance and Utilization Review Physician's Diplomat
- Member of American College of Healthcare Executives
- Member of the Association for Physician Leadership
- Group collaboration within Humana to help fight food insecurity by donating to Feeding the Gulf Coast- Chef's Challenge for 2023
Custom Section
upon request
Publications
- Chinese Red Rice-Induced Myopathy
- Southern Medical Journal
- December 2003
Timeline
Co-lead Medical Director for One Florida
Humana
03.2023 - Current
Internal Medicine Hospitalist
Glutality
08.2020 - 10.2020
Internal Medicine Hospitalist
HNI Hospitalist Group
03.2020 - 07.2020
Reviewing Medical Director for CNFL
Humana
01.2020 - 03.2023
Internal Medicine Hospitalist
Ascension Medical Hospitalist Group
05.2016 - 03.2020
Internal Medicine Hospitalist
Holston Medical Group
02.2007 - 04.2016
Internal Medicine Hospitalist
Dr. Quinn's Hospitalist Group
05.2005 - 02.2007
Internal Medicine Physician
Premier Medical Group
10.2003 - 04.2005
Doctor of Osteopathy -
West Virginia School of Osteopathic Medicine
B.S. Chemistry -
Marshall University