In 2020, I began my professional development at Evolent as a RN, Care Advisor, within the first year I was promoted to Manager of Case Management, leading a group of 15 clinical professionals including clinical and non-clinical staff. Exceeded 2022 OKR-KPI metrics, with a performance rating of 5 by leading a team that exceeded productivity, performance and quality measures, most notably quality improvement by increasing the yearly average in 2021 of 33% to 99% in 2022. Oversee high quality in CM processes and documentation that met NCQA standards helping to obtain multiyear re-accreditation— frequently demonstrating partnership with Quality and Training to assist the team in maintaining passing audit scores of 95% or higher. In addition exceeding client expectations of more than Through my servant leadership approach, I achieved a 5.0 Employee Engagement Score in 2022, by fostering an environment of inclusion, transparency, talent development, and mentorship. I participate in collaborations, including CM/BH, Employee Engagement and NCQA Workgroups, Clinnovation, Commitment to Climb, Mentorship, and The Women of Evolent BRG.Demonstrated partnerships: I've succeeded in building client partnerships through collaboration and attending meetings that have expanded Evolent brand awareness with the successful reach/quality of our CM efforts. In addition, my strong interpersonal and communication skills help me quickly identify the best approach to take with clients, colleagues, and company partners. My ability to present ideas and solutions, as well as listen to my team members with ease and fluidity, greatly helps me solve challenges.
I'm aware of my strengths and weaknesses, which enables me to deal with emotions more easily. In addition, I make an effort to understand everyone's perspectives. I have proven to be an adaptable leader; I am effective at incorporating alterations at the last minute, whether for internal work or client presentations. In addition, I have the patience to revise deliverables like presentations or internal processes swiftly.
I'm a proficient problem-solver because I can separate the symptoms of the issue from its underlying cause. In addition, I'm resourceful at addressing complicated or enduring issues since I can carefully consider or anticipate potential barriers and dissect hurdles into their component elements.
I operate incredibly well in teams when I need to be swift in my function. I can be a motivator for others around me. I'm a confident leader who is at ease taking the lead in making decisions or expressing thoughts, and I'm also at ease sitting back and giving my team members emotional support when it's called for. Since working for Evolent, I have continuously demonstrated commitment and consistently met deadlines and goal
- Reviewed and developed intake and discharge planning strategies to encourage client engagement and retention.
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers.
- Streamlined, standardized and implemented case management processes and techniques to maximize revenue cycle.
- Structured standardized case management processes to comply with regulatory agency statutes and NCQA standards.
- Provided leadership, guidance and support to staff members.
- Collaborated with community members to develop and implement service initiatives.
- Established and maintained relationships with key stakeholders.
- Developed and implemented training programs for staff.
- Assessed community needs and identified resources for social and community service programs.
- Monitored program performance and outcomes for successful delivery of services.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients.
- Leveraged case management tools and conflict management techniques to help interdisciplinary teams achieve optimal outcomes.
- Coached nursing employees and supported positive behavior and interactions with patients and colleagues.
- Developed, implemented, revised, and evaluated policies and procedures.
- Monitored, analyzed, and corrected staff performance and worked with nurse manager to raise standards of practice.
- Developed and implemented strategic plans enabling facility to meet budgetary and quality assurance goals.
- Interviewed and hired highly talented individuals bringing great skills and passion to daily jobs.
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Facilitate hiring of qualified Case Management personnel by interview applicants and making recommendations for employment.
- Implemented new policies and educated staff on changes.
- Worked with nurse manager to develop nursing staff through education, evaluation, performance management, and competency improvement.
- Developed and adjusted work schedules for [Type] staff.
- Identified nurses' and staff training needs and devised training programs to close gaps.
- Implemented ongoing learning strategies such as tutorials, instructional modules, and supervised hands-on sessions to help nurses and staff improve understanding of medical equipment and care best practices.
- Participated in nursing research and evidence-based clinical audits and leveraged data to improve research-based methodologies within clinical areas.
- Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions.
- Interacted effectively with clinical staff and patients by using active listening and interpersonal skills.
- Established and maintained contacts at various management levels regarding clinical operations department and specific projects.
- Passionate about learning and committed to continual improvement.
- Excellent communication skills, both verbal and written.
- Proved successful working within tight deadlines and a fast-paced environment.
- Organized and detail-oriented with a strong work ethic.
- Strengthened communication skills through regular interactions with others.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Self-motivated, with a strong sense of personal responsibility.
- Skilled at working independently and collaboratively in a team environment.
- Guided and supervised [Type] programs to promote social work and case management principles.