Kathleen Brewer RN, BSN, MSM, BC, CCM
Somerville,MA
Summary
Senior Manager, Pt Access with a proven track record at Sanofi US, enhancing team productivity and operational efficiency through strategic implementation of new systems and processes. Cross-Functional Collaboration, successfully managed vendor relations and spearheaded improvements, significantly boosting performance metrics. Dynamic individual with hands-on experience with Patient Access and Case management, talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Manager, Pt Access, CareConnectPSS, Rare
Sanofi US
09.2021 - Current
- Managed Vendor and introduced new systems, tools, and processes to achieve success in paying claims
- Boosted team member productivity by enhancing performance monitoring and instituting motivational approaches.
- Reviewed and analyzed reports, records and directives to obtain data required for planning department activities.
- Implemented and developed operational standards, policies, Business Rules, processes
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Defined clear targets and objectives and communicated to Vendor .
- Held weekly meetings to create business plans and workshops to drive successful business.
- Develop and train CareConnect team in process
- Reviewed and updated all collaterals as needed upon expiration and changes to branding
- Defined objectives and communicated to Vendor team members.
CareConnect PSS, Principal Case Manager
Sanofi US
02.2004 - 09.2021
- Case managed the reimbursement process for enzyme replacement therapy.
• Float case manager - covered open territories, for short- or long-term coverage as to not disrupt
patient care
• Advocate for patients to obtain and maintain coverage for long term ERT with insurance
companies.
• Educate all customers and providers about ERT, and SRT, billing for Gahucher, Fabry MPS I, Pompe diseases
• Maintain current information on state and federal legislation and legislative changes.
• Coordinate the flow of information between patient, physicians and providers.
• Have participated in launches for newly FDA approved products- 7 launches as a case manager
• Patient access Program - worked on many aspects of Programs- from inception of Co-pay, CAP and
PAP programs to coverage of programs and working with outside vendors for budgeting and
reconciliation of claims. - Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Developed and implemented plans to address client needs and goals, including Prior Auth's, Infusion center issues, claims, open enrollment, SP, and missed doses
- Collaborated with community members to develop and implement service initiatives.
- Established and maintained relationships with key stakeholders.
- Developed and implemented training programs for staff-Perspectives, program - What's my Line,
- Developed with team - Disaster plan for Infusion, drug, and issues in the field
- Participated in Multiple Patient, HCP meeting events to promote services and engage with KOL's, families, and patients
- Provided leadership, guidance and support to new Case Managers
- Coverage partner for the Co-pay and free goods for Rare BU
Registered Nurse Case Manager
Havard Vanguard Medical
09.1997 - 06.2006
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Developed care plans based on nursing diagnosis and incorporated therapeutic, preventive and rehabilitative nursing methods.
- Educated and supported home healthcare providers with training, guidance, mentoring and resources required to achieve objectives."
- Authored clinical notes and updates to be reviewed by patient's primary physician.
- Created patient assessments and plans for individual home care needs.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
- Coordinated rehabilitative and preventive nursing processes and procedures.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Use EPIC to maintain database of relevant information for practitioners to access and coordinate patient care.
- Liaised with physicians regarding patient needs, performance and changes.
- Participated in on-call rotations to deliver after-hours care.
- Worked with suppliers and vendors on provision of medical equipment, items and services.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
- Participated in patient and family planning process, as well as provided instructions and addressed question and concerns.
Education
Master of Science - Health Care Management
Lesley University
Cambridge, MA05.1998
Bachelor of Science - Nursing
University of Massachusetts - Boston
Boston, MA12.1991
Bachelor of Science - Psychology/sociology
Fitchburg State University
Fitchburg, MA05.1989
Skills
- Partnership Development
- Departmental training Development
- Reporting management
- Troubleshooting and problem resolution
- Documentation And Reporting
- Cross-Functional Communication
- Cross-Functional Collaboration
- Organizational improvement
Certification
- Board Certified, Case Management , BC- American Nurses Credentialing Center ANCC
- Certified Case Manager, CCM
- BSN, Bachelor Science degree- Nursing
- MERT Team member Sanofi( Medical Emergency response team) CPR certified
- EBICS- Ethics Business Integrity group- Sanofi
- ERG- Caregivers group- Sanofi
- ERG- Grief Coffee talk Group-Sanofi
- Wise - Sanofi,Cambridge
- Alpine award winner - Genzyme
Timeline
Senior Manager, Pt Access, CareConnectPSS, Rare
Sanofi US
09.2021 - Current
CareConnect PSS, Principal Case Manager
Sanofi US
02.2004 - 09.2021
Registered Nurse Case Manager
Havard Vanguard Medical
09.1997 - 06.2006
Master of Science - Health Care Management
Lesley University
Bachelor of Science - Nursing
University of Massachusetts - Boston
Bachelor of Science - Psychology/sociology
Fitchburg State University
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