Gina Phipps
Broomfield,CO
Summary
Experienced management professional seeking career growth in Managed Care, while actively being involved in this ever-changing dynamic health care system. Quality Manager with 15 years of documented quality control success. Develops specific and measurable goals, improvements, and standards to continuously and consistently improve quality and reduce and eliminate errors. Successfully audits and maintains product accuracy and timely delivery resulting in customer satisfaction. Initiates quality-related SOP training and enforces procedural adherence.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Quality Manager
Sagility Care Management (aka AxisPoint Health)
01.2009 - 01.2024
- Manage the Policy and Guideline process and committee
- Manage the Quality Improvement Program Description and provide analysis for the Case Management Program
- Support quality projects/initiatives for clients
- Call quality analysis
- Quality outcomes analysis
- Support NCQA and URAC accreditations and client audits
- Support new product development and new client launches
- Expertise in condition management and Nurse Advice Line platforms
- Support the operation's team in standardizing process
- Collaborate with our quality team, operations and training departments on improvement initiatives.
- Mentored and encouraged employees to strive for excellence while fostering professional growth.
- Evaluated quality problems and performed assessments to identify and resolve issues.
- Followed quality standards and procedures to minimize errors and maximize customer satisfaction.
- Coordinated and oversaw periodic audits to evaluate product quality and safety and address non-conformances.
- Wrote and implemented new rework procedures to standardize processes and streamline workflow.
Care Management Nurse/Preceptor
McKesson (aka AxisPoint Health)
01.2002 - 01.2009
- Trained in both Enrollment, Assessments and monitoring of Asthma, Diabetes, Heart Failure and Full Coronary Artery Disease and COPD
- Provide disease management to an array of patients of all ages to help them effectively manage their health needs
- Deliver telephonic education, counseling and monitoring to promote the members understanding and compliance with their treatment plan
- Resource nurse for the work at home program
- Alert approval and call evaluations process
- Monitor calls and provide feedback for an external vendor
- Certification in telephone nursing practice.
- Created and executed care management training program for staff and patients to achieve clinical care goals.
Telephonic Triage Nurse
Mckesson
01.2000 - 01.2002
- Assessment of patients using excellent communication skills over the phone to a safe level of care
- Provide general health information and empower patients to make appropriate decisions
- Able to multi-task between phone and computer applications communicating effectively with people from a variety of backgrounds.
Staff RN
Allegheny General Hospital
01.1995 - 01.1999
- Family Health Care Unit Pediatrics
- Staff RN on a 21 bed Pediatric unit, caring for patients ranging in age from newborn through 21 years of age
- Cared for patients with orthopedic, general medical and surgical problems (spina bifida center for the region)
- NICU float for the step-down unit
- Performed IV therapy and other nursing skills.
Education
Bachelor of Science in Nursing -
University of Colorado Health Science Center
12.1992
Skills
- NCQA
- Auditing
- Issue Resolution
- Team Training
- Performance Monitoring
- Operational Improvements
- Quality Processes & Improvements
Certification
- Registered Nurse, State of Colorado
- Registered Nurse, State of California
- Registered Nurse, State of Oregon
- Certification in Telephone Nursing Practice 2002-2011
References
available upon request
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Opportunities Don't happen.You create them.
Chris Grosser
Timeline
Quality Manager
Sagility Care Management (aka AxisPoint Health)
01.2009 - 01.2024
Care Management Nurse/Preceptor
McKesson (aka AxisPoint Health)
01.2002 - 01.2009
Telephonic Triage Nurse
Mckesson
01.2000 - 01.2002
Staff RN
Allegheny General Hospital
01.1995 - 01.1999
Bachelor of Science in Nursing -
University of Colorado Health Science Center
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