Kelly Chism
Austin,AR
Summary
Seasoned Manager with broad experience in both team leadership and project delivery. Possess strong strategic planning abilities, coupled with the capability to coordinate operational initiatives for maximum efficiency. Proven track record of driving process improvements, enhancing productivity, and implementing innovative solutions. Skilled in building strong relationships across all levels of an organization to achieve business goals.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Program and Outcomes Manager, Group Outcomes and I
Arkansas Blue Cross Blue Shield
Little Rock, AR
07.2024 - Current
- Guided the development of a comprehensive collaborative healthcare ecosystem, connecting members with innovative solution partners to target chronic condition management, preventative care, and enhanced health outcomes.
- Lead Cross-Functional Initiatives: Coordinate efforts across departments to align program goals with organizational objectives, collaborating with clinical, operations, and technology teams to enhance program reach and effectiveness.
- Optimized Outcomes Measurement: Collaborated with the market team to develop measurement frameworks aligned with key performance indicators for all solutions and solution categories, ensuring accurate and actionable outcomes tracking.
- Enhanced Member Engagement: Devised strategies to increase member engagement with health programs, focusing on preventative care and chronic disease management, resulting in improved quality of life and reduced healthcare utilization.
- Advanced Innovation and Quality Standards: Continue to develop and implement best practices in program management and outcomes measurement, setting new standards for quality and accountability within the Group Outcomes and Innovation team.
Member Triage RN Supervisor
Arkansas Blue Cross Blue Shield
Little Rock, AR
12.2021 - 07.2023
- Established and developed the Member Triage RN team, introducing a new engagement model that integrated triage, case management, chronic condition support (including diabetes), and educational support across all service lines, improving call response effectiveness and member engagement.
- Lead and inspire a 12-member RN team to consistently deliver high-quality member services, aligning performance with call volume demands to ensure responsive and compassionate care.
- Contributed expertise as a key team member across multiple strategic initiatives, including the RPA BOTS automation, ArkBlue Mobile App, COVID Triage, Affinite Platform testing, and CSPH Supervisor Forum, enhancing member experience through innovation and technology integration.
Gaps in Care RN Supervisor
Arkansas Blue Cross Blue Shield
Little Rock, AR
05.2018 - 12.2021
- Directed a team of 10 RNs across Gaps in Care and Member Triage functions, managing a mix of exempt and non-exempt employees, and focusing on the support of members with diabetes and other chronic conditions.
- Collaborated with departmental managers and supervisors to address diverse business line needs while fostering a supportive and engaging team environment.
- Developed and implemented targeted processes and techniques to help members close critical gaps in their healthcare journey, with an emphasis on chronic condition management, promoting improved health outcomes and enhanced quality of life.
- Pioneered and launched the Walmart WQI team within Gaps in Care and Member Triage, establishing processes and guidelines from the ground up and providing ongoing leadership to drive team success.
Walmart Team Case Manager
Arkansas Blue Cross Blue Shield
Little Rock, AR
03.2017 - 05.2018
- Managed comprehensive case management services for Walmart employees, focusing on education and support for diabetes and chronic disease management, and coordinating closely with physicians, healthcare facilities, therapists, and interdisciplinary case management teams to ensure seamless patient care.
- Delivered targeted education to employees on chronic disease management, preventative care, and care continuity, empowering them to make informed health decisions and proactively address care gaps, particularly in diabetes management.
- Collaborated with key stakeholders—including supervisors, social workers, Behavioral Health staff, and medical directors—to implement coordinated care strategies aimed at achieving better health outcomes and comprehensive support for employee health needs.
Home Health Clinical Coordinator
White County Medical Center
Searcy, AR
08.2008 - 03.2017
- Spearheaded the development of the Heart Failure program as a Clinical Coordinator and Educator, providing specialized care and support for heart failure, diabetes, and other chronic conditions, contributing to a significant reduction in hospital readmissions—from 25% to 5%—for all home health CHF patients.
- Designed and facilitated educational programs for multidisciplinary staff, with a focus on best practices for diabetes and chronic disease management, fostering collaboration with nurses, physicians, and therapists to promote holistic, patient-centered care.
- Oversaw nursing and therapy staff by guiding area managers, leading staff development initiatives, and directing patient care protocols to ensure high standards in clinical practice and patient satisfaction.
- Contributed to the hospital-wide Lean Program, identifying process improvements that enhanced operational efficiency and care delivery.
- Designed and facilitated educational programs for multidisciplinary staff, fostering collaboration with nurses, physicians, and therapists to promote best practices and patient-centered care.
PCCU RN
Arkansas Heart Hospital
Little Rock, AR
06.2007 - 05.2012
- Delivered high-acuity care to critically ill patients, including those managing diabetes and other chronic conditions, and provided vital support to their families, ensuring clear, timely communication of patient status to physicians and care teams.
Pool Direct Care Nurse
Baptist Health Medical Center
Little Rock, AR
08.2003 - 06.2007
- Delivered comprehensive, patient-centered care across multiple departments, adapting to diverse patient needs, including diabetes and chronic condition management. Additionally, led the hospital prayer team, offering spiritual support to staff and patients.
Education
Bachelor of Science - Nursing
Post University, American Sentinel
Waterbury, CT12-2022
Associate of Science - Registered Nurse
Excelsior College
Albany, NY12-2005
High School Diploma -
Cabot High School
Cabot, ARLicensed Practical Nurse -
Pulaski Technical College
North Little Rock, ARSkills
- Chronic Condition Management (including diabetes care)
- Program Development & Implementation
- Healthcare Ecosystem Collaboration
- Outcomes Measurement & Data Analysis
- Leadership & Team Development
- People Management & Leadership Coaching
- Management of Leaders and Cross-Functional Teams
- Patient Education & Engagement
- Cross-Functional Project Coordination
- Quality Standards & Best Practices in Healthcare
- Call Center Operations
- Customer Service Excellence
Certification
- License #: R74233 RN (Active) Multistate Issued 02/15/2006
- Targeted Case Management Certification 1991
- Certified Case Manager (CCM) 2018
- Chronic Care Professional (CCP) 2020
Accomplishments
- Post University, American Sentinel, Summa Cum Laude, 2022
- Golden Key International Honour Society, Member, 2022
- Leadership Development Institute, Arkansas Blue Cross Blue Shield, Completed August 2024
- SUPERvisor Leadership Medal, Arkansas Blue Cross Blue Shield, 2019
- Arkansas Home Care and Hospice, Nurse of the Year, 2014
- Homecare ASSN of AR, Special Recognition Award for speaking on behalf of the homecare industry in the relation to the Million Hearts Campaign, 2013
- White County Medical Center, Outstanding Service Award for Excellence in Total Customer Service, 2012
References
References available upon request.
Timeline
Program and Outcomes Manager, Group Outcomes and I
Arkansas Blue Cross Blue Shield
07.2024 - Current
Member Triage RN Supervisor
Arkansas Blue Cross Blue Shield
12.2021 - 07.2023
Gaps in Care RN Supervisor
Arkansas Blue Cross Blue Shield
05.2018 - 12.2021
Walmart Team Case Manager
Arkansas Blue Cross Blue Shield
03.2017 - 05.2018
Home Health Clinical Coordinator
White County Medical Center
08.2008 - 03.2017
PCCU RN
Arkansas Heart Hospital
06.2007 - 05.2012
Pool Direct Care Nurse
Baptist Health Medical Center
08.2003 - 06.2007
Bachelor of Science - Nursing
Post University, American Sentinel
Associate of Science - Registered Nurse
Excelsior College
High School Diploma -
Cabot High School
Licensed Practical Nurse -
Pulaski Technical College
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