Summary
Overview
Work History
Education
Skills
Certification
Recognition
Historical Professional Associations
Timeline
Generic

Jennifer Edgson BSN, RN, CCM

Sarasota,FL

Summary

Forward-thinking and quality driven Healthcare Consultant with over 20 years experience working within managed care to coordinate services for children and young adults with complex medical issues and/or who are part of Florida's dependency system. Dedicated to implementing innovative solutions for program development and growth. Proficient in numerous skills that would be an asset to any position in healthcare management.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Healthcare Consultant

Community Based Care Integrated Health, Inc.
01.2016 - Current
  • Provided consultation and expertise to Integrated Health (IH) staff and Nurse Care Coordinators (NCCs) from 19 Community Based Care agencies with regards to health plan benefits, performance measures and quality improvement.
  • Trained IH staff and NCCs on physical health topics as they related to compliance with contract requirements, best practices, Medicaid regulations and Florida statutes.
  • Assisted with creation and implementation of IH policies and procedures, and workflows.
  • Instrumental in development of documentation standards and reviews for quality improvement.
  • Created and maintained online NCC Job Aid and Pregnancy Resource Guide.
  • Prepared comprehensive post-partum case reviews and facilitated monthly Birth Outcomes staffing calls.

Nursing Supervisor, Nurse Case Manager

Westcoast Access To Children's Health, Inc.
12.2003 - 01.2016
  • Effectively supervised Registered Nurses and Social Worker for Medical Home, Out-of-Home, and Medical Foster Care Nurse Case Management programs in Sarasota, Manatee, and Desoto counties (including those working in alternative working arrangements).
  • Provided new employee orientation.
  • Routinely reviewed employee performance standards and completed evaluations.
  • Created and maintained program website which linked families and caregivers with local resources.
  • Performed quality improvement and monitoring of performance measures.
  • Developed workflows and processes.
  • Collaborated with multidisciplinary teams to ensure comprehensive approaches to patient care.
  • Worked within managed care to coordinate care and services for pediatric patients with chronic health care needs. This included comprehensive assessment, development, monitoring, and evaluation of care plans to reach outcomes in specific time frames.

Registered Nurse, Float Pool

Community Hospitals
08.1997 - 12.2003
  • Maintained flexibility while providing excellent excellent patient care in numerous clinical settings, including Medical/Surgical, Mother/Baby, Pediatrics, Cardiac step-down, ICU step-down, Telemetry, Oncology, and outpatient surgery/post-op.
  • Provided coordination between patients and physicians to ensure patient comprehension of treatment plans.
  • Effectively counseled patients and families in health maintenance and disease management.
  • Instructed patients and family members on proper discharge care.

August 2001 - December 2003

Sarasota Memorial Hospital, Sarasota, FL

August 1998 - August 2001

TravCorps Corporation, Ft. Lauderdale, FL

Anne Arundel Medical Center, Annapolis, MD

Phoenix Memorial Hospital, Phoenix, AZ

UCLA Medical Center, Los Angeles, CA

Carolina Medical Center, Charlotte, NC

Sarasota Memorial Hospital

August 1997 - August 1998

Bristol Hospital, Bristol, CT

Education

Bachelor of Science - Nursing

Southern Connecticut State University
New Haven, CT
06.1997

Skills

  • Data analysis and data integration
  • Knowledge of Medicaid guidelines
  • Staff management
  • Critical Thinking
  • Quality Improvement/HEDIS performance Measures
  • Policy and Procedures/Workflow development
  • Microsoft Excel, Outlook, Word, SharePoint, and PowerPoint
  • Resource development
  • Training
  • Meeting facilitation

Certification

Certified Case Manager

DOH MFC Train the Trainer (2014)

Recognition

2022 Embrace Families Employee's Choice Award

Historical Professional Associations

DOH Children's Medical Services - 

Local and Statewide QI Committee

DOH Children's Medical Services - 

Regional Best Practices Committee

Healthy Start Sarasota - 

Substance Exposed Newborns Committee

Safe Children Coalition - 

Permanency Round Table, Master Practitioner 

Timeline

Healthcare Consultant

Community Based Care Integrated Health, Inc.
01.2016 - Current

Nursing Supervisor, Nurse Case Manager

Westcoast Access To Children's Health, Inc.
12.2003 - 01.2016

Registered Nurse, Float Pool

Community Hospitals
08.1997 - 12.2003

Bachelor of Science - Nursing

Southern Connecticut State University

Certified Case Manager

DOH MFC Train the Trainer (2014)

Jennifer Edgson BSN, RN, CCM