Jennifer Brown
Shelocta,PA
Summary
Seasoned Registered Nurse with a strong background in assisting organizations to implement, maintain and improve quality management. Strong analytical skills coupled with proficiency in problem-solving and root cause analysis. Significant impact made in previous roles by improving operational efficiency through effective process enhancement strategies. Highly skilled at driving continuous improvement initiatives and fostering a culture of quality throughout organizations.
Overview
13
13
years of professional experience
Work History
Quality Management Consultant
Aetna, CVS Health
Work From Home, PA
06.2023 - Current
- Support internal compliance monitoring to ensure compliance with DSNP Model of Care Requirements.
- Review internal audit results, perform root cause analysis, and develop corrective action plans to address issues.
- Development of reporting and remediation needs for identified care management and documentation system gaps.
Training and Quality Clinician
Aetna, CVS Health
Work From Home, PA
02.2022 - 06.2023
- Completion of chart reviews to ensure meeting CMS and NCQA standards.
- Provided education and feedback to staff members on the implementation of workflows.
- Assisted in identifying trends in CMS and NCQA deficiencies.
Nurse Care Manager
Aetna, CVS Health
Work From Home, PA
12.2019 - 01.2022
- Monitored and evaluated member outcomes.
- Provided education to members on the self-management of chronic conditions.
- Developed and implemented individualized care plans.
Transitional Care Manager
Presbyterian Senior Living
Indiana, PA
10.2018 - 12.2021
- Coordinated discharge planning activities with multidisciplinary teams in order to provide seamless transitions of care.
- Established relationships with external organizations, including payor organizations, providing services necessary for successful transitions.
- Collaborated with healthcare professionals, families, and caregivers to ensure continuity of care during the transition process.
- Analyzed data trends related to Transitional Care Management programs in order to identify areas needing improvement or additional resources.
Registered Nurse Assessment Coordinator
Presbyterian Senior Living
Indiana, PA
11.2011 - 09.2018
- Conducted resident assessments to identify individual needs and develop care plans.
- Ensured that nursing documentation accurately reflects the plan of care for each resident/patient served by the facility.
- Developed best practices for appropriate Medicaid reimbursement.
- Coordinate assessment and care planning, utilizing the Resident Assessment Instrument, in accordance with state and federal regulations.
Education
Associate of Applied Science - Nursing
Butler County Community College
Butler, PA06-2009
Skills
- Prioritization of Tasks
- Effective Documentation Practices
- Strategic Issue Resolution
- Clear communication skills
- Freely embraces new challenges
- Issue identification and projection of risks
Timeline
Quality Management Consultant
Aetna, CVS Health
06.2023 - Current
Training and Quality Clinician
Aetna, CVS Health
02.2022 - 06.2023
Nurse Care Manager
Aetna, CVS Health
12.2019 - 01.2022
Transitional Care Manager
Presbyterian Senior Living
10.2018 - 12.2021
Registered Nurse Assessment Coordinator
Presbyterian Senior Living
11.2011 - 09.2018
Associate of Applied Science - Nursing
Butler County Community College