Dynamic, results-oriented professional with extensive supervisory experience in healthcare and program management. Proven track record in leading teams, driving process improvements, and managing complex operations. Expertise in developing and implementing innovative programs that enhance quality and efficiency, ensuring optimal service delivery. Committed to contributing to Health's community development initiatives while improving member outcomes through strategic oversight and collaboration. Passionate about fostering a culture of excellence and continuous improvement within the healthcare sector.
Overview
23
23
years of professional experience
1
1
Certification
Work History
RN Facility Administrator II
DaVita Dialysis Center
02.2024 - Current
Responsibilities: Day-to-day operations of facility. Patient and Team mate scheduling, Labor, budget, hiring, overseeing the training and quarterly inservice planning. Payroll. Organized and managed monthly facility meetings, online governing body and monitoring of all risk events, product recalls, monthly review of patient charts/ review of Teammate files. Ensures completion of all Facility monthly infection /safety audits. Conduct regional Bi-Weekly CVC Calls, Home rooms.
Educated patients on dialysis procedures, fostering understanding and compliance with care instructions.
Collaborated with multidisciplinary teams to optimize patient outcomes through coordinated care efforts.
Developed quality improvement initiatives that streamlined workflow processes within the dialysis unit.
Conducted regular assessments of patient progress, adjusting care plans to meet evolving health needs.
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Modality Choice lead . Served as a liaison between physicians and patients'' families to facilitate clear communication regarding treatment options and progress updates.
RN Operations Manager- Maryland Primary Care Program RN Clinical Operations Manager, Maryland Primary Care Program (CTO)
MedStar Health
01.2020 - 09.2023
Responsibilities: CTO program manager Direct oversight of daily operations, including hiring, training annual performance/monthly 1:1 of all associates. Conducts weekly team huddles Development and implementation of departmental workflows. Oversight of annual PFAC, assist in quarterly reporting to MDPCP Program to ensure 5% of all attributed patients enrolled in longitudinal CM. Timekeeping/ approval of departmental purchase orders.
Collaborated with interdisciplinary teams to develop and implement care plans.
Developed strong relationships with patients'' families, providing emotional support while addressing concerns or questions about care plans.
Devised individualized care plans tailored to each patient''s unique situation, optimizing clinical outcomes.
Ambulatory Collaborative Care Department (ACCT) Manager, Ambulatory Case Management Penn Medicine
Lancaster General Hospital
12.2015 - 10.2019
Responsibilities: Manager of ACO community based program Direct oversight of daily operations. Hiring, annual performance/compensation reviews, Conducts monthly 1:1 with all associates, onboarding of new hires. Payroll conducts team huddles including GEMBA with regional teams monthly. Attends both hospital and practice huddles, medicine line, readmissions/sepsis workgroups and other hospital committee meetings as appropriate. Organization and conducting of departmental meetings including staff training. Overseas and participated in 2-year Grant study. Worked under the Population Health Department supporting our 27 Primary care Clinics
Led cross-functional teams to enhance operational efficiency and streamline processes.
Developed strategic plans to improve service delivery and customer satisfaction.
Cultivated stakeholder relationships to drive alignment and support organizational goals.
Cross-trained existing employees to maximize team agility and performance.
FEP Supervisor, Nurse Case Manager
CareFirst BlueCross BlueShield
10.2014 - 12.2015
Responsibilities: Oversight and management of twelve direct reports. Track associate productivity/audits/. Developed /tracked daily Huddle, Daily assignment EPIC, triage/signing of cases. Oversight of SNF Team and HI Team. Participated in Complex Case Rounds Committee/ case selections. Developed and tracked referral volume and reported to Manager/ Director monthly. Conducted weekly 1:1 /Quarterly/ yearly performance reviews with associates. Review of Denial, ABA, and No Benefit letters with tracking. Write Supervisor Processes for new supervisor training. Participated in Monthly FEP Town Hall meetings, Review and update of SOP's and workflow processes. Review of resumes/interviews of potential hires. Review and management of claims issues /authorizations. SNF team committee. Conducted follow-up Member survey calls monthly. Review of ABA letters / No Benefit letters / Denials
Supervised team performance to ensure adherence to operational standards and efficiency goals.
Implemented training programs to enhance employee skills and improve workflow productivity.
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Conducted regular performance evaluations, providing constructive feedback for continuous development.
Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
Supervisor, Nurse Case Manager
CareFirst BlueCross BlueShield
09.2013 - 10.2014
Responsibilities: Tracks associate productivity/audit scores. Holds daily huddles to provide associate support, guidance, and oversight. Conducts weekly 1:1 to provide associates direct, uninterrupted time to develop rapport, provide coaching, and assist in growth and development. Meets at least monthly with each direct report to discuss on-going cases, management of work queues and/or complete case reviews. Reviews with and presents the information in a manner to promote a positive working environment and to encourage the associate to be successful in their role. Tracking and management of the PTO process of assigned associates in both SharePoint and PeopleSoft. Tracks and ensures completion of all assigned mandatory training for assigned associates keeps the department manager updated regarding associate progress and potential issues. Complete weekly TCCI case audits for each direct report to ensure that referrals are generated to TCCI programs where appropriate. Assists department with triage of incoming referrals as needed. Assist in reviewing and updating SOP's workflow processes as necessary.
Oversaw daily operations, ensuring adherence to safety protocols and operational standards.
Managed Direct reports
Trained and mentored staff, enhancing team performance and efficiency.
Conducted performance evaluations, providing constructive feedback for employee development.
Nurse Case Manager
CareFirst BlueCross BlueShield
06.2013 - 09.2013
Responsibilities: identifying member is risks /identifying risk scores and illness burden; assessment of member's needs; coordinate integrated care plan development between facility/PCP/healthcare providers/vendors; care coordination; provide educational information/resources. Triage/level incoming case. ROS/pre-authorizations/review of clinical / provide education and resources to members.
Developed individualized care plans to meet patient needs and improve health outcomes.
Coordinated interdisciplinary team meetings to discuss patient progress and optimize treatment strategies.
Streamlined case management processes, improving efficiency in documentation and follow-up procedures.
Served as a liaison between patients and various support services such as financial assistance programs, community resources, and mental health counseling to ensure holistic care was provided.
Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers.
Educated patients on disease management techniques, empowering them to take control of their health and reduce complications.
Facilitated smooth transitions between healthcare settings by effectively communicating pertinent information to receiving facilities or home health agencies.
Registered Nurse
Timonium Surgery Center
02.2012 - 12.2012
Responsibilities: Direct patient care: pre/post operative care of toddlers through geriatric. IV/EKG/medication administration; worked in collaboration with anesthesia surgeon/OR RN team members in providing safety and care/discharge of patients. Stocking medications/supplies/ narcotics count, post discharge follow ups calls.
Educated patients on post-operative care, improving recovery outcomes and patient satisfaction.
Led nursing staff in implementing best practices for infection control and patient safety measures.
Conducted comprehensive assessments, documenting findings to support accurate diagnosis and treatment plans.
Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
Registered Nurse
Union Memorial Hospital
01.2003 - 12.2011
Responsibilities: direct Care of patients from toddlers - older adults. Oncology 6 mo., ortho 3 yrs.. Currently in PACU 3.5 yrs. Avg. pt.'s 28-44 per day. Charge/resource nurse/pre-op. recovery of pt's both phase I & I. RN night shift. IV/phlebotomy/EKG, review, OR schedule for next day, coordinate bed assignments with ADON for next day admits, identify isolation cases scheduled for OR, stock unit and order supplies. Computer experience. Tracks unit trends.
Administered medications and monitored patient responses to ensure safety and efficacy during procedures.
Collaborated with surgical teams to prepare operating rooms, ensuring adherence to sterilization protocols.
Mentored junior nurses, enhancing their clinical skills and promoting a culture of continuous learning.
Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
Promoted a culture of safety within the healthcare facility by participating in quality improvement initiatives, identifying potential hazards, and advocating for best practices in nursing care delivery.
Registered Nurse, Agency
Chesapeake Medical Staffing
05.2005 - 11.2009
Responsibilities: direct patient care, ability to oversee multiple patients and work various units (Neuro, Renal, and Ortho) /hospitals as needed (Franklin Square, Good Samaritan.)
Administered medications and monitored patient responses in pre-operative and post-operative settings.
Evaluated patient conditions using clinical assessment tools to inform treatment plans effectively.
Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
Education
Bachelor's degree - nursing
College of Notre Dame Maryland
Baltimore, MD
12.2012
Associate degree - Nursing
Harford Community College
Bel Air, MD
01.2003
Bachelor's degree - Industrial Psychology Major
University of Baltimore County
Catonsville, MD
01.1992
Skills
Solution-focused strategic thinking
Effective communication skills
Emotional awareness
Comprehensive case management
Team leadership
Effective clinical decision-making
Community wellness initiatives
Clinical decision-making
Active listening and understanding
Continuous improvement initiatives
Senior health management
Clinical judgment
Compassion and empathy
Accomplishments
2020: Superuser for Cerner MedConnect, Development and Implementation of Developmental SOP,Polices, custom powerform development . Department recognized as having one of the lowest Turnover rates compared to the system rate of 17.5%. Developed COVID wellness outreach and documentation. Assigned in development in implementation of both AVW and TOC scheduling. Increased department by 41% FTE 12 to 29 FTE in less than 7 months.
Developed FEP outstanding referral tracking log, claims tracking log, Associate on Hold Calendar, Developed Associate 1:1 feedback form. Within 2 months of transitioning to FEP was able case in creation of benefits for Medicare Primary members (SNF, EOB). We received a 95% satisfaction rating from Associate Gelfond survey. Maintained less than 10% turnover rate.
Promoted to CM II within 6 months, exceeded productivity standards for two years running. Participated in system enhancements to I Centric/focus groups.
Developed weekly Excel TCCI tracking tool for supervisors to complete associates and departmental TCCI spreadsheet. Developed TCCI exception/decline tracking sheet for associates to complete. Participates in the Complex case rounds committee: meetings/ case selection. Works with supervisors/managers to help develop Pilot programs for commercial Case management department. Improved teams' overall audit scores by 15% within 6 months.
Reopened facility in April of 2024. CMS Site readiness Survey completed facility was found to be deficiency free. Recognized as a Subject matter export for Regional Microsoft 365/TEAMS application. Collaborated with local Transportation servies to improve streamline wait time for our patients Charged with Open House project management of two facilities. met with local representative for Coatesville district to discuss needs of our area patients Provided interim FA support to regional clinics as needed. Regional All Access manager to help drive in CVC reduction and in doing so developed a CVC reduction strategy meeting for our Chester County Davita clinics which include our Medical Directors and Vascular Surgical Partners. Expanded the growth of our Home Dialysis programs. Editor and chef of our Regional monthly Newsletter since September of 2024. Facility won 2024 SPIRIT Week recognition for Palmer. QTR 2 Facility Operations as of June: Ranked 1st Qualitative: based on our four metrics: Clinical Leader, Growth, Operational Excellence, and Creating a Special Place.
Quality Assurance - Ensured and enforced medical office compliance with HIPAA, OSHA and CLIA regulations for maximum quality and control.
Development of expanded departments FTE structure including regional care teams, regional TOC/Quality care teams, Referral coordinator and Social Needs Team. Development of DME procurement process to identify and provide DME equipment to our attributed Medicare Beneficiaries. Development of various daily tracking logs: Huddle attendance, daily referrals, TOC notifications. Development of surveys: Patient satisfaction / PFAC. Development and implementation of external referral processes. Promotion of programs across our 20+ MMG PCP practices and across departments.
2022: Developed, submitted, and was approved for expansion of Departmental org structure to both regionalism and provide additional supervisory positions. Developed both new Power form / reporting to support department and care management functions with support of Medication director and our MedConnect Team helped to develop and build new Care Management Component in MedConnect. Build ongoing. Ability to organize, execute and successfully complete several SPRINTS on half of the program including social needs screening or identified attributed patients and EOY quality SPRINT. Departmental feedback related to associated surveys x2 was above the System average.
2023: Current focus on Quality and productivity improvement strategies within department. Implemented a new Chart review audit tool within department. Worked with data analysts to develop productivity dashboards.
Developed outstanding referral tracking log, claims tracking log, Associate on Hold Calendar, Developed Associate 1:1 feedback form. Within 2 months of transitioning to FEP was able case in creation of benefits for Medicare Primary members (SNF, EOB). We received a 95% satisfaction rating from Associate survey. Maintained less than 10% turnover rate.
Affiliations
CMSA, Delta Phi Epsilon Sorority Alumni Association
Certification
Active Pennsylvania/Maryland state nursing license, CPR, CCM, LEAN certified, Respecting Choices: First /Last steps certified – Advance Care Planning
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Applications
Tableau, Excel, PowerPoint, Microsoft Word
Webex, Teams
EMRS Experience : CWOW ,Epic, Cerner MedConnect. Point Click Care
PIERS, Parachute Health
Software
Teams
Excel
Powerpoint
Tableau
Word
Interests
Hunting
Cooking
DIY Crafts
Outdoor activities
Quote
The way to get started is to quit talking and begin doing.
Walt Disney
Timeline
RN Facility Administrator II
DaVita Dialysis Center
02.2024 - Current
RN Operations Manager- Maryland Primary Care Program RN Clinical Operations Manager, Maryland Primary Care Program (CTO)
MedStar Health
01.2020 - 09.2023
Ambulatory Collaborative Care Department (ACCT) Manager, Ambulatory Case Management Penn Medicine