Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Manager Medical Clinical Ops IN/KS
Optum Home and Community Care
01.2023 - Current
Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery resulting in a 40% overall reduction of complaint volume
Achieved departmental goals by developing and executing strategic plans with a 10% decrease in hospital readmissions
Conducted quarterly and annual performance evaluations to identify areas for employee growth.
Built high-performing teams through effective recruitment, onboarding, and talent development initiatives.
Facilitated bi-weekly regional market educational sessions that led to innovative solutions for long-standing operational challenges.
Coordinated with IT department to upgrade technology infrastructure, enhancing operational efficiency and data security.
Monthly chart/quality audits resulting in a 15% increase in overall team scores
On-site and virtual meetings and collaboration with internal/external stakeholders
Enterprise wide MDS task force utilizing Lean Processes
Project Management Task Force for, “Member Engagement Experience and Performance Survey,”
Clinical Team Manager
Navihealth
02.2020 - 01.2023
Optimized operational workflows by conducting regular process evaluations and identifying potential bottlenecks or inefficiencies.
Interviewer and hiring manager for 29 newly added Clinical Lead positions
Inspire Mentoring Program - Mentor2023
Utilization management of OOS BCBSM, HUM, UHG, OCN and BPCI plans
Collaboration with OCN Health Care Practitioners and Case Management staff for Complex Care Rounds
Successful management of programming pilots for nh access, IVR satisfaction surveys, and AAA referrals for UHG and OCN DSNP members
Facilitated seamless transitions of care for patients by establishing strong relationships with external healthcare providers.
Development and Implementation of Quality Chart Series/bi-weekly education opportunities for IN market
Enterprise wide MDS task force utilizing Lean Processes
Skilled Inpatient Care Coordinator
Navihealth
05.2019 - 02.2020
Top market performer with 90% Upheld rate for all appealed cases
Dual management of MA and VBC members
Implemented innovative strategies to overcome challenges in patient engagement.
Engaged patients in discussions to tailor treatment options to individual preferences.
Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
Area Director of Rehab
Exceptional Rehab
01.2009 - 01.2019
Management of 4 skilled nursing facilities and 38 direct reports
Successful launches of 2 new inpatient rehab departments including hiring and orientation of rehab staff, purchasing equipment, implementation of P&P and coordination of community marketing events
Participation in Medical Advisory Board comprised of local hospital administrators and leaders with a focus on decreasing hospital readmissions
Guest speaker for local area Chamber of Commerce, “Breakfast before business”
Supervision of 4 clinical fellows
10 years of deficiency free rehab surveys from the State Board of Health’s annual reviews
Implementation of 2 new Outpatient Rehabilitation programs with a 40% increase in revenue from Q1 to Q4
Responsible for overall quality, integrity and financial viability of rehabilitation programs
Director of Speech Pathology Program/ SLP
Nightingale Home Healthcare
01.2007 - 01.2009
Development and implementation of Policy & Procedures for SLP program
Monthly staff education for SLP staff
Development of oral motor exercise program for utilization via Telehealth
Clinical fellow mentoring and supervision
Interpretation of prescription, evaluation and establishment of treatment plans
Speech-Language Pathologist
Lavie Rehabilitation
01.2005 - 01.2007
Speech-Language Pathologist
Ball Memorial Hospital
01.2003 - 01.2005
Speech-Language Pathologist
Hancock Memorial Hospital
01.2000 - 01.2003
Speech-Language Pathologist
Wheeling Hospital
01.1997 - 01.2000
Education
Master of Arts - Speech Language Pathology & Communications
Ohio University
Athens, OH
Bachelor of Science - Speech Pathology & Audiology/ Communications
West Virginia University
Morgantown, WV
Skills
Project/Program Management Experience
Lean & Agile Proficiency
Microsoft Office proficient
Regulatory Compliance and Standards
Organization Leadership and Team Building
Experienced Public Speaker
Chart/Quality Audits/documentation and reporting
Business Development
Relationship building with external stakeholders
Operations Management/KPIs
Strong communication skills
Coaching and mentoring
Certification
ASHA/ CCC-SLP (09114851) May1997
Indiana SLP License (22005802A) July2000
Indiana Speech and Hearing Assoc. July2000
ASHA ACE Award for Education Dec2013
Publications
Completion of Master’s Thesis and publication (Apraxia)
Timeline
Manager Medical Clinical Ops IN/KS
Optum Home and Community Care
01.2023 - Current
Clinical Team Manager
Navihealth
02.2020 - 01.2023
Skilled Inpatient Care Coordinator
Navihealth
05.2019 - 02.2020
Area Director of Rehab
Exceptional Rehab
01.2009 - 01.2019
Director of Speech Pathology Program/ SLP
Nightingale Home Healthcare
01.2007 - 01.2009
Speech-Language Pathologist
Lavie Rehabilitation
01.2005 - 01.2007
Speech-Language Pathologist
Ball Memorial Hospital
01.2003 - 01.2005
Speech-Language Pathologist
Hancock Memorial Hospital
01.2000 - 01.2003
Speech-Language Pathologist
Wheeling Hospital
01.1997 - 01.2000
Master of Arts - Speech Language Pathology & Communications
Ohio University
Bachelor of Science - Speech Pathology & Audiology/ Communications
Director of Clinical Operations, West Division at Optum Home and Community Care TransitionsDirector of Clinical Operations, West Division at Optum Home and Community Care Transitions
Medical Manager of Clinical Operations at Optum Home and Community Care TransitionsMedical Manager of Clinical Operations at Optum Home and Community Care Transitions