KAREN NICHINIELLO
Palm Bay,FL
Summary
Dynamic healthcare professional with extensive experience at Health Dialog Inc., specializing in care management and disease management. Proven ability to enhance patient outcomes through effective wellness prevention strategies and strong personnel management. Skilled in utilizing MS Office for data analysis while fostering patient engagement and education. Committed to delivering high-quality, patient-centered care.
Overview
28
28
years of professional experience
Work History
Clinical Health Coach
Community Wellness Technology
Danville , KY
11.2024 - Current
- Manages an active caseload of patients who have subscribed to our RPM+ (Remote Patient Monitoring) platform, or are engaged in other CW telehealth programs; monitors and manages patients' chronic diseases.Onboards and assists patients in the set-up and operation of our "MyWellness Connect" mobile app, and FDA-approved, Bluetooth-enabled devices to monitor specified health conditions.
Educator
Health Dialog Inc.
Bedford, NH
09.2020 - 05.2024
- Educate individuals to participate in their healthcare decisions and to have more productive and informed conversations with their doctors
- Through telephonic interactions, educated healthcare consumers to become activated healthcare consumers and understand appropriate utilization or services
- Using adult learning theories, motivational interviewing, and lifestyle coaching assisted healthcare consumers in arriving at solutions and actions that are appropriate for them as they make decisions related to symptom management, treatment options, transitions in healthcare, post-hospital discharge, chronic condition management/disease management, preventative care, preference-sensitive choices, and standards of care
Chronic Condition Management Coach
Private physician practice
Melbourne, FL
09.2019 - 09.2020
- Completed Medicare Annual Wellness Visits and monthly Chronic Condition Management calls for practices
- Engaged, communicated with, and coached patients both onsite in a practice setting and telephonically
- Worked collaboratively with physicians and patients to ensure patient adherence to the medical plan of care, including all appropriate preventive and disease-specific screenings, interventions, and treatment goals - including self-management goals
Care Manager - Chronic Care Management
Agile SDE (Embrace Health)
Melbourne, FL
09.2015 - 08.2019
- Worked with the healthcare team for the Chronic Care Management Program with a focus on health coaching, patient education and coordination of care for Medicare members
- Ensured care for high-risk members provided across the continuum of the healthcare experience, such as care transition, coordination of community and social services and other providers as needed
- Identify the needs of complex members while assisting practices to develop a process for managing and improving quality measures for its patient population
- Assisted in development of policies, processes, and scripts to engage the members
- Assisted in development of care plans and teaching tools for members with A-Fib, CHF, COPD, CAD, Diabetes, HTN, Hyperlipidemia, Chronic Kidney Disease, Osteoarthritis and Osteoporosis
Population Care Manager
Health Dialog Inc.
Bedford, NH
07.2013 - 08.2015
- Offered Health Dialog PCM representation for Health Dialog's onsite PCM Pilot Program during the implementation process for several new Florida Blue ACO-APO clients
- Utilized EMR Chronic Disease Registry and Health Dialog Analytics reporting to prioritize patient outreach and follow-up
- Worked with practice physicians to achieve required GAP closures and meet high-quality HEDIS measures
- Worked on a multidisciplinary healthcare team in both Patient-Centered Medical Home and ACO/APO primary care settings with focus on health coaching, patient education, and coordination of care for members of the Florida Blue Pilot Program
- Ensured care for high-risk members was provided across the continuum of the health care experience
- Facilitated the information flow between the hospital, long-term care, specialists, home health representatives, and the care team
- Provided and facilitated open communication with physicians, and office staff as appropriate
- Engaged, communicated with, and coached patients both onsite in a practice setting and telephonically
- Tracked performance of clinical outcomes
- Selected by senior management to mentor and train on-site offering telephonic education and support to embedded PCMs at many practice locations
RN Health Coach Outreach Specialist
Health Dialog Inc.
Bedford, NH
11.2010 - 07.2013
- Provided unbiased evidence-based health information assisting individuals telephonically with any health-related concern
- Focus was to educate and guide a caller through their health care choices in order to be a more active participant in the healthcare process and partner with their physician to make well informed health decisions
- Offered general symptom management and answers to urgent questions, assistance and support in managing chronic or serious medical conditions helped in preparing for important discussions with an individual's doctor, and general health-related information and disease management
RN Clinical Referral Manager
Health Dialog Inc.
Bedford, NH
05.2008 - 05.2010
- Managed a team of non-clinical specialists and one RN clinician processing approximately 2500 -3000 Case Management referrals per month
- Worked collaboratively with health plans to ensure that patients received optimal needed services
RN- Community Leader
Health Dialog Inc.
Bedford, NH
07.2002 - 05.2008
- Oversaw and managed clinical and support staff in patient care activities while maintaining a high level of staff morale and professionalism
- Managed a diversified group of personnel which included Registered Nurses, Respiratory Therapists, and Registered Dieticians who successfully provided quality telephonic, unbiased, current health information and education to contractual members
Registered Nurse Health Coach
Health Dialog Inc.
Manchester, NH
10.2000 - 07.2002
- Provided quality telephonic, unbiased, current health information and education to contractual members
- Acted as a resource to other licensed professionals
RN Clinical Team Leader
Care Group Home Care
Cambridge, Ma
01.1997 - 01.2000
- Supervised and managed daily all team members including RNs, Home Health Aides, Physical Therapists, and Medical Social Workers, and other support services
- Worked collaboratively with physicians, elder services, and referring institutions to deliver optimal care and provide appropriate services while adhering to regulatory protocols
- Performed medical record audits in patient care documentation for Quality Assurance purposes
- Investigated and instituted plans of action for specific patient or family concerns in a timely manner to ensure the plan met the needs of the patient
- Developed and implemented the Team philosophy and approach for Home Care Management
- Responsible for influencing and coordinating the use of healthcare resources, while promoting quality and continuity of care with cost-effective outcomes
- Built positive relationships with the family members, patients, physicians, hospitals, SNF, and rehab facilities to effect positive change and optimal outcomes, provided health education, and located community resources
Education
AD-AS - Nursing
Bunker Hill Community College
Charlestown, MassachusettsSkills
- Care Management
- Disease Management
- Wellness Prevention
- Personnel Management
- Proficiency in MS Office
Timeline
Clinical Health Coach
Community Wellness Technology
11.2024 - Current
Educator
Health Dialog Inc.
09.2020 - 05.2024
Chronic Condition Management Coach
Private physician practice
09.2019 - 09.2020
Care Manager - Chronic Care Management
Agile SDE (Embrace Health)
09.2015 - 08.2019
Population Care Manager
Health Dialog Inc.
07.2013 - 08.2015
RN Health Coach Outreach Specialist
Health Dialog Inc.
11.2010 - 07.2013
RN Clinical Referral Manager
Health Dialog Inc.
05.2008 - 05.2010
RN- Community Leader
Health Dialog Inc.
07.2002 - 05.2008
Registered Nurse Health Coach
Health Dialog Inc.
10.2000 - 07.2002
RN Clinical Team Leader
Care Group Home Care
01.1997 - 01.2000
AD-AS - Nursing
Bunker Hill Community College
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