Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Affiliations
Publications
Timeline

Doreen Salek

Danville,PA

Summary

Experienced Registered Nurse Clinical Leader with extensive knowledge of health care operations and over 23 years of progressive management experience with measurable outcomes. Clinical Product management professional with strong background in developing and launching innovative products. Skilled in market analysis, project management, and cross-functional team leadership. Known for adaptability, effective communication, and driving results in fast-paced environments. Proven ability to align team efforts with organizational goals, ensuring successful product lifecycle management and customer satisfaction.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Chief Clinical Product Officer

AMC Health
01.2019 - Current
  • Company Overview: AMC Health is a company that specializes in virtual ambulatory care solutions, aiming to deliver high-quality, patient-centered clinical care and interventions to patients remotely
  • Reporting directly to AMC Health CEO, overseeing the Clinical Operations, Clinical Product Solutions and Customer Service and Engagement Operations for the Veterans Administration and Commercial business, Clinical and Service Operations Quality Assurance Program, Customer Implementation Department as well as Clinical and Service Operations Training, Education and Onboarding Programs (100+ FTE)
  • Oversee the telehealth remote patient monitoring care management program serving thousands of high-risk patients living with chronic conditions with the goal of increased quality of life and decreased to exacerbation and complications
  • Responsible for Clinical Product Solution P & L
  • Responsible for Clinical Product Solutions and Telehealth Care Management Program Growth and Revenue as well as Clinical Program COGS.
  • Lead interdisciplinary teams to deliver high-quality, patient-centered care in a fast-paced clinical environment.
  • Establish and maintain strong relationships with customers, vendors and strategic partners.
  • Develop innovative sales and marketing strategies to facilitate business expansion.

Senior Director, Clinical Outreach and Patient Engagement

Geneia
01.2017 - 01.2019
  • Company Overview: Geneia was a wholly owned subsidiary of Capital Blue Cross from 2012 to 2021 providing health care analytic solutions and clinical service operations
  • Provided Senior leadership to the Capital Blue Cross clinical population health case management program, remotely overseeing a department of ninety-five FTE, supporting chronic condition care management, transitions of care, telemonitoring, and quality care initiatives
  • Medical claims coding validation and audit for the Theon platform, to ensure accuracy related to clinical referral and claims data logic and readmission review
  • Consulting clinical services related to the Theon analytics, insights, and care management platform, clinical referral management, NCQA Population Health Standards, Utilization Management and HEDIS

Sr. Director Inpatient Care and Utilization Management

Geisinger Health System
03.2016 - 04.2017
  • Team of 58 FTE in inpatient care management and utilization management
  • Responsible for operations, metrics, and advancement of Geisinger’s system wide Care Management/Utilization Management service for 4 campuses – Geisinger Medical Center, Geisinger Bloomsburg, Geisinger Shamokin, Geisinger Lewistown. The goal of the service is to ensure that the right care, right service level, and transitions are provided for all patients in the right place, at the right time, meeting patient/member needs.
  • Ensuref development and engagement of the population health service line staff and leadership team, and aligned staff, technology and operational processes with the organization’s broader mission and values.
  • Partnered with medical directors, clinical and operational leadership of the hospital entities and health plan to analyze value and impact medical trajectory trends and support the Triple Aim-better outcomes, optimal experience, and affordable care, including Quality based payment programs Keystone Accountable Care Organization (KACO), Bundled Payments for Care Improvement (BPCI) and ProvenHealth Navigator (Medical Home) initiatives.
  • Responsible for providing innovative leadership and direction to the design, implementation, integration, and execution of goals for inpatient care management, care navigation, care transitions, and utilization management across assigned Geisinger and non-Geisinger entities including Hospital, Clinic, Post-Acute Care and Health Plan care trajectory services
  • Assisted in the development and deployment of new technology and analytics/informatics to support a system and population wide approach to care trajectory/utilization management. Worked with Geisinger Health System Revenue Cycle and Geisinger Health Plan teams to plan and drive technology driven care trajectory/utilization management solutions that are value-based, cost effective and lead in their market.

Various Roles

Geisinger Health System and Geisinger Health Plan
01.1998 - 01.2017
  • Company Overview: Geisinger Health System is a comprehensive healthcare provider and payer based in Danville, Pennsylvania serving over three million patients across 45 counties in Pennsylvania
  • Services include primary care, specialty medicine, hospital, and health plan care
  • Began at Geisinger as an Adult Intensive Care RN and advanced to various leadership roles within Geisinger Health System
  • Experience includes Inpatient Utilization and Case Management, Population Health Care Management, Clinical Innovations, Medical Billing and Coding, Revenue Management, HEDIS, HCC Risk Adjustment, Medical Claims Payment and Claims Editing (XTen), and EPIC Nursing Informatics

Education

MBA-HC - Business Administration – Health Care

American Sentinel University, Waterbury

Bachelor's Degree - Human Resource Sciences

Colorado State University, Fort Collins, CO

Nursing Diploma -

Geisinger School of Nursing, Danville, PA

Salutatorian, Geisinger School of Nursing, Class of 1998

Skills

  • Microsoft Suite of Products
  • EPIC EHR
  • ClaimsXTen
  • Interqual
  • 3M CDI
  • HIE (KeyHIE)
  • Clinical leadership
  • Patient safety
  • Healthcare management
  • Quality improvement
  • Innovation management
  • Leadership and people development
  • Operational efficiency
  • Strategic planning and execution

Certification

  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Certified Professional Coder- Payer (CPC-P)
  • Certified Clinical Documentation Specialist (CCDS)

Accomplishments

  • Golden Key International Honor Society
  • Salutatorian, Geisinger School of Nursing, Class of 1998
  • President, Geisinger School of Nursing Class of 1998

Affiliations

  • AHIMA – American Health Information Management Association
  • AAPC - American Academy of Professional Coders
  • NAHQ - National Association for Healthcare Quality
  • ACDIS – Association of Clinical Documentation Improvement Specialists

Publications

Publications:

Tomcavage, J., Littlewood, D., Salek, D., Sciandra, J. (2011). The Power of the Care Transition in the Nursing Home. Case in Point, 20-21.

Graham, J., Tomcavage, J., Salek, D., Sciandra, J., Davis, D., Stewart, W. (2012). Post-Discharge Monitoring Using IVR Reduces 30-Day Readmissions in Case-Managed Medicare Population. Medical Care, 50(1):50-57

Tomcavage, J., Littlewood, D., Salek, D., Sciandra, J. (2012). Advancing the Role of Nursing in the Medical Home Model.  Nursing Administration Quarterly July-Sept. (3) 194-202.

Carayon, P., Hoonakker, P.L.T., Tomcavage, J., Salek, D., Hassol, A., Cartmill, R., Hundt, A.S., Ladd, I., Yule, C., Younkin, J., Chaundy, K., & Walker J.M. (2012) Case managers’ acceptance of health IT applications. Presented at American Medical Informatics Association meeting November 3-7th.

Kianfar, S., Carayon, P., Hundt, A. S., Hoonakker, P., Alyousef, B., Tomcavage, J., Salek, D., Petrucci, J., Hassol, A., Walker, James (2013). Care providers’ perception of care coordination team members. HFES (Human Factors and Ergonomic Society) Health Care Symposium, Baltimore, March 11 – 13th.

Hoonakker, P., Carayon, P., Cartmill, R.S., Kern, L., Hundt, A.S., Salek, D., Petrucci, J., Tomcavage, J., Topper, J., Hassol, A., and Walker, J. (2013) “Inside the Black Box: What do inpatient care managers do? The first results.” Presented at the Human Factors and Ergonomics Society Symposium on Health Care, Baltimore, MD March 11-13th.

Carayon, P., Kianfar, S., Hundt, A.S., Tomcavage, J., Salek, D., Petrucci, J., Hoonakker, P.L.T., Alyousef, B., Walker, J.W. (2013). Health IT-related obstacles and facilitators in coordinating care for patients with chronic illness: A longitudinal study. Accepted for presentation at the 11th International Conference on Naturalistic Decision Making (NDM 2013), Marseille, France, May 22-24.

J. Tomcavage, J. Sciandra, D. Salek, D. Griffith, D. Maeng, A. Starr. (2014). Can Tele-Monitoring Reduce Hospitalization and Cost of Care? A Health Plan’s Experience in Managing Patients with Heart Failure.  Population Health Management, 17(6), 340-344

Carayon, P., Hundt, A.S., P. Hoonaker, P.L., Kianfar, S., Alyousef, B., Salek, D., Cartmill, R., Walker, J.M., Tomcavage, J. (2015) Perceived Impact of Care Managers’ Work on Patient and Clinician Outcomes.  European Journal for Person Centered Healthcare, Vol 3 Issue 2 pp 158-167

Carayon, P., Cartmill, R., Hoonakker, P., Hundt, A.S., Salek, D., Walker, J. and Tomcavage, J. (2016). Collaborative processes of care managers in the detection and recovery of medication errors, Proceedings of the Healthcare Systems Ergonomics and Patient Safety Conference. Toulouse, France.

Publications Submitted and Pending Approval:

McCammon, J.M., Bandhakavi, S., Salek, D., Liu, Z., Ni, X., Benner, N., Rogers, R., Yoder, H., Riser, S., Rahmanian, F. Use of machine learning to predict hypertension-related complication outcomes of varying severity.

Timeline

Chief Clinical Product Officer - AMC Health
01.2019 - Current
Senior Director, Clinical Outreach and Patient Engagement - Geneia
01.2017 - 01.2019
Sr. Director Inpatient Care and Utilization Management - Geisinger Health System
03.2016 - 04.2017
Various Roles - Geisinger Health System and Geisinger Health Plan
01.1998 - 01.2017
American Sentinel University - MBA-HC, Business Administration – Health Care
Colorado State University - Bachelor's Degree, Human Resource Sciences
Geisinger School of Nursing - Nursing Diploma,