Summary
Overview
Work History
Education
Skills
Personal Information
Accomplishments
Timeline
Generic

DEVIN MACKEY

Columbus,OH

Summary

Clinical Team Lead and Registered Nurse specializing in healthcare quality and complex claims review. Guides teams through high-acuity clinical decisions while mentoring nurses and implementing process improvements that enhance compliance and compassion in care. Committed to fostering an inclusive, collaborative environment that supports members during critical moments.

Overview

6
6
years of professional experience

Work History

Clinical Team Lead

Aetna (CVS Health)
03.2023 - Current
  • Led clinical guidance for nursing staff, ensuring accurate and compliant decision-making.
  • Serve as subject matter expert for commercial and Voluntary Critical Illness claim reviews.
  • Conducted clinical education sessions and refresher presentations to improve consistency and quality.
  • Mentor and onboard new hires, supporting ongoing professional development and engagement.
  • Drove process improvements and fostered an inclusive, supportive team culture.

Quality Management Nurse Consultant

Aetna (CVS Health)
11.2019 - 03.2023
  • Reviewed high-dollar and complex claims, applying advanced clinical judgment to determine eligibility.
  • Performed medical necessity evaluations using evidence-based criteria, supporting informed decision-making.
  • Conducted clinical reviews for commercial and Medicare claims to ensure compliance and accuracy.
  • Provided expertise as subject matter expert for Voluntary Critical Illness reviews.

Education

Master of Science - Health Administration

Capella University
Minneapolis, MN
01-2026

Bachelor of Science - Nursing

Ohio University
Athens, OH
01-2012

Associate of Science - Nursing

Central Ohio Technical College
Newark, OH
01-2007

Skills

  • Healthcare quality and compliance
  • Clinical claims review
  • Critical illness assessments
  • Team leadership and mentorship
  • Process improvement
  • Policy interpretation
  • Stakeholder collaboration
  • Data analysis and organization
  • Clinical training and presentations

Personal Information

Title: MHA, BSN, RN

Accomplishments

  • 2019 - Excellence award for consistently providing accurate and outstanding documentation
  • 2025 - Aetna Clinical Solutions Excellence Award, Regonized for putting people first

Timeline

Clinical Team Lead

Aetna (CVS Health)
03.2023 - Current

Quality Management Nurse Consultant

Aetna (CVS Health)
11.2019 - 03.2023

Master of Science - Health Administration

Capella University

Bachelor of Science - Nursing

Ohio University

Associate of Science - Nursing

Central Ohio Technical College
DEVIN MACKEY