Jennifer Suzanne Coarr MBA, BSN, RN, CCM
York,SC
Summary
Professional leader with executive experience ready to drive impactful change. Proven ability to implement strategic initiatives and enhance operational performance. Valued for collaborative team leadership and adaptability to evolving business needs.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Vice President Medical Management
Accarent Health
02.2018 - Current
- Created and lead clinical processes and operations, ensuring high-quality patient care for over 300 bundled medical procedures
- Process all new patient referrals within 24 hours, obtain medical records within one week, redirect center of excellence within two weeks
- Collaborate with top national medical centers procedures totaling $4.5 million in billed services
- Select, interview, and lead new clinical staff
- Educate and train staff in medical underwriting skills to evaluate medical claims for 5 employer groups, identifying cost-saving measures
- Complete analysis on current and future potential medical treatments with projected costs for each procedure between $200,000 and $1,000,000
- Guide 20 patients per month on treatment plans, explaining details and expected milestones to ensure medical compliance and optimal recovery
- Review itemization of 30-50 inpatient transplant claims, ensuring charges meet standards of care
- Review complex medical treatment plans, including advanced therapies such as solid organ and stem cell transplants, CAR-T, and other new gene therapies for 10-15 patients per month
- Present concise 15 minute medical case management presentation for internal and external audiences each week in prospective client meetings
- Develop, revise, and review clinical processes annually, ensuring patient care and cost reimbursement for multiple bundled procedures at national centers of excellence
- Facilitate caseload of 125 - 150 procedural and transplant patients, coordinating between patients, medical centers, and referral sources (Patient Health Plans, Third Party Administrators, Employer Groups)
- Conduct clinical reviews of insurance group databases, averaging 75 - 90 annually, to evaluate high-cost risks and determine set-asides and premium costs for plan renewals
- Created clinical processes for business plan, supporting growth of 250+ complex medical procedures nationwide
RN Transplant Case Management/Medical Underwriter
Tethys Health Ventures
01.2009 - 01.2018
- Assigned caseload of 60-120 transplant patients from referral through one year post-procedure
- Performed medical underwriting, claims review, and high-cost risk evaluation to assure compliance with commercial, Medicare, and Medicaid standards for 150,000 life health plans
- Supervised transplant cases for 2-3 large health plans and employer groups
Registered Nurse (RN) Case Manager, Worker's Compensation
The Hartford
07.2004 - 01.2009
- Coordinated care for 90-120 injured workers within the ClaimPlus Large Account Team
- Selected as one of only five Registered Nurses nationwide to lead high-risk accounts and catastrophic claims with premiums exceeding $400,000 annually
- Managed 90-120 individuals with multiple medical conditions including serious burns, traumatic brain and spinal cord injuries, significant orthopedic injuries, and infectious disease exposure
- Applied case management skills toward recovery, cost containment, and facilitating return-to-work outcomes for 90-120 workers
- Conducted risk analysis and projected future exposure, including assessment of Medicare set-asides for 10-15 catastrophic claims quarterly
- Developed and led risk assessments for regional employer groups through quarterly claim reviews, routine teleconferences, and regular updates
ICU/CCU: Staff Nurse/ Charge Nurse/Preceptor
UPMC Memorial Hospital
04.2001 - 07.2004
- Supervised a 20 bed unit focused on cardiac and respiratory critical care every weekend
- Trained 1-2 new nurses orienting to the ICU, instructed on use of equipment, and provided comprehensive education on various aspects of intensive care nursing
- Directed 6 RN and 2 medical support staff during 12-hour shifts to optimize patient care, admissions and transfers to ensure smooth unit operations
Education
Master of Business Administration - Healthcare Management
University of North Alabama
Florence, Alabama12.2024
Bachelor of Science - Nursing
The University of South Carolina Aiken
Aiken, South Carolina05.2021
Associate Degree - Nursing
Cumberland County College
Vineland, New Jersey05.1997
Bachelors of Business Administration - Management
Radford University
Radford, Virginia05.1989
Skills
- Team leadership
- Relationship building
- Decision-making
- Critical thinking
- Complex Problem-solving
- Strategic planning
- Business development
- Results-driven
- Risk management
- Public speaking
- Forecasting
- Policy and procedure development
Certification
- The Commission for Case Manager Certification, CCM, 11/30/28
- South Carolina, RN# 249369, 04/30/26
- Pennsylvania, RN# 518200L, 04/30/25
- California, RN# 95117341, 06/30/26
- Nevada, RN# 90363, 05/27/26
- Hawaii, # RN-120233-0, 06/30/25
Timeline
Vice President Medical Management
Accarent Health
02.2018 - Current
RN Transplant Case Management/Medical Underwriter
Tethys Health Ventures
01.2009 - 01.2018
Registered Nurse (RN) Case Manager, Worker's Compensation
The Hartford
07.2004 - 01.2009
ICU/CCU: Staff Nurse/ Charge Nurse/Preceptor
UPMC Memorial Hospital
04.2001 - 07.2004
Bachelor of Science - Nursing
The University of South Carolina Aiken
Associate Degree - Nursing
Cumberland County College
Bachelors of Business Administration - Management
Radford University
Master of Business Administration - Healthcare Management
University of North Alabama