Kara Krueger
Granville,OH
Summary
Clinical Social Worker and Educator with extensive experience in care management and curriculum development. Proven track record in optimizing workflows and achieving compliance in healthcare settings. Skilled in collaborative problem-solving and implementing innovative solutions to improve patient outcomes. Recognized for strong leadership and effective communication in dynamic environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Clinical Nurse Educator
CVS HEALTH CORPORATION
Columbus, OH
09.2024 - Current
- Trained and educated all department roles to ensure regulatory compliance.
- Created and maintained curricula for role-specific training.
- Identified and addressed skill gaps through targeted retraining initiatives.
- Utilized expertise to drive changes in clinical program workflows.
- Collaborated with senior leadership and Epic trainers to implement successful clinical program changes.
Clinical Case Manager
CVS HEALTH CORPORATION
Columbus, OH
11.2023 - 08.2024
- Collaborated with Accountable Care Organization partners to complete health assessments and develop customized care plans addressing beneficiaries' needs.
- Facilitated care navigation, addressing social determinants of health for Medicare beneficiaries.
- Provided expertise to nurse case managers on social work needs.
- Achieved 96% and higher audit scores for compliance.
Clinical Case Manager
Aetna Medicaid
Columbus, OH
05.2023 - 11.2023
- Delivered thorough case management to Aetna Better Health of Ohio MMP members through health assessments.
- Advocated on behalf of members regarding any remediation needed for their healthcare needs.
- Delivered direct support in connecting resources such as completing forms and submitting referrals.
- Achieved 100% audit workflow compliance, as required by CMS and NCQA.
- Acknowledged by members for demonstrating authentic care in interactions, and supervisor commendation for 'putting people first.'
Field Care Manager
Aetna
Columbus, OH
05.2022 - 05.2023
- Assessed social determinants of health and facilitated resource linkage for Medicare Advantage Plan members.
- Advocated for members in need of healthcare remediation.
- Delivered direct support in connecting resources such as completing forms and submitting referrals.
- Collaborated with the Process Optimization Support Committee to enhance workflow efficiency for Field Care Managers.
- Supported the Aetna Better Health Waiver team by enhancing compliance with a CMS requirement to 90%.
- Achieved 96-100% NCQA audit workflow compliance, and maintained a 90-100% weekly productivity benchmark.
Manager
OhioHealth Riverside Methodist Hospital
Columbus, Ohio
06.2018 - 04.2022
- Directed initiatives aimed at driving volume-to-value care and meeting financial targets, ensuring employee and customer satisfaction.
- Oversaw recruitment and management of a team of up to 35 associates.
- Spearheaded improvements in patient outcomes and care coordination alongside hospital leaders.
- Earned recognition with the 'Prism' Award for Stewardship by decreasing skilled nursing facility utilization from over 16% to 12.6% using innovative program implementation.
- Developed processes to reduce Length of Stay (LOS) for patients by addressing common barriers.
Clinical Consultant Social Worker
OhioHealth Riverside Methodist Hospital
Columbus, OH
01.2017 - 05.2018
- Collaborated with interdisciplinary team members to determine discharge needs and plan using biopsychosocial assessments.
- Coordinated patient care to ensure timely referral and access to suitable facilities and services for post-discharge needs.
- Addressed and resolved complex medical and social needs by overcoming barriers to discharge.
- Contributed to employee, orientee, and student development through committee participation.
Foster Care Social Worker
Stanford Youth Solutions
Sacramento, CA
08.2014 - 11.2016
- Implemented case management, training, and treatment plans for foster youth in certified standard and intensive treatment homes.
- Conducted quarterly home inspections to ensure compliance with California's Community Care Licensing standards.
- Facilitated relationships between birth families and foster parents to support 10 reunifications and stabilize placements.
- Directed development of seamless service protocols between programs at Stanford Youth Solutions.
- Achieved certification as a Therapeutic Crisis Intervention (TCI) for Families trainer.
Multi-systemic Therapy (MST) Therapist
Nationwide Children's Hospital
Columbus, Ohio
08.2011 - 05.2013
- Utilized comprehensive assessments to provide multi-systemic therapy for at-risk youth, focusing on preventing family separations.
- Addressed at-risk behaviors through collaborative efforts with various community partners, and therapeutic interventions with individuals and families.
- Achieved success in preventing out-of-home placements for 71% of program participants.
- Achieved satisfactory therapist adherence to an evidence-based treatment model.
Education
Master of Social Work - Clinical – Child & Family
The Ohio State University
Columbus, OH06.2011
Bachelor of Science Degree - Psychology, Biology
Wittenberg University
Springfield, OH05.2008
Skills
- Workflow optimization
- Clinical training
- Care planning
- Curriculum development
- Change management
- Team leadership
- Discharge Planning/Transitions of Care
- Interdisciplinary collaboration
- Case management/Care coordination
- Guardianship
- Advanced Care Planning
- Patient-Centered Care
- Creative problem-solving
- Process Improvement
- Geriatric Medical Social Work
- Regulatory compliance
- Interpersonal communication
- Child and Family Social Work
- Foster care, Child welfare
- Trauma-Informed Care
- Therapeutic Crisis Intervention
Certification
- OH LISW-S # I.1303429-SUP
- SC LISW-CP # 13779
Other Relevant Experiences
- Foster Family Agency (FFA) Social Worker; The Grace Homes Foster Family Agency; Redding, CA – September 2013 – July 2014
- Clinical Social Worker - Psychiatry Services; Nationwide Children’s Hospital; Columbus, OH – June 2013 – August 2013
- Anti-Human Trafficking Case Manager/MSW II Intern; The Salvation Army; Columbus, OH March 2011-June 2011
- MSW II Intern; Delaware County Department of Job and Family Services – Children Services Division; Delaware, OH – Sept. 2010 – Feb. 2011
- MSW I Intern; Department of Youth Services; Columbus, OH – Jan. 2010 – June 2010
- Behavior Intervention Aide; Nationwide Children’s Hospital Autism Center; Westerville, OH – July 2008-Sept. 2009
References
References available upon request.
Timeline
Clinical Nurse Educator
CVS HEALTH CORPORATION
09.2024 - Current
Clinical Case Manager
CVS HEALTH CORPORATION
11.2023 - 08.2024
Clinical Case Manager
Aetna Medicaid
05.2023 - 11.2023
Field Care Manager
Aetna
05.2022 - 05.2023
Manager
OhioHealth Riverside Methodist Hospital
06.2018 - 04.2022
Clinical Consultant Social Worker
OhioHealth Riverside Methodist Hospital
01.2017 - 05.2018
Foster Care Social Worker
Stanford Youth Solutions
08.2014 - 11.2016
Multi-systemic Therapy (MST) Therapist
Nationwide Children's Hospital
08.2011 - 05.2013
Master of Social Work - Clinical – Child & Family
The Ohio State University
Bachelor of Science Degree - Psychology, Biology
Wittenberg University
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