Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Kija Brady

Tampa

Summary

Strategic Senior Clinical Manager with extensive knowledge of health care administration and clinical philosophy. Familiar with fiscal management systems and human resource management. Talented at maintaining and developing effective relationships with staff, patients, and senior leadership. Excellent supervisory skills and performance working under pressure.

Overview

21
21
years of professional experience

Work History

Senior Clinical Services Manager

Optum
01.2022 - Current
  • Improved market and patient outcomes by implementing evidence-based clinical practices and protocols for various departments.
  • Worked closely with the STARs/Quality Measures team to identify and implement efficient strategies to improve overall market STAR ratings
  • Enhanced staff efficiency and effectiveness through the development of comprehensive training programs and ongoing education opportunities.
  • Streamlined clinical operations by identifying areas for improvement, including workflow optimization and resource allocation.
  • Collaborated with interdisciplinary teams to create a patient-centered care approach, resulting in increased patient satisfaction scores.
  • Led quality improvement initiatives by analyzing data, identifying trends, and implementing targeted interventions to address identified issues.
  • Implemented new technologies within the market to enhance service delivery, improve record-keeping accuracy, and increase staff productivity.
  • Maintained regulatory compliance with state and federal guidelines through diligent monitoring of clinical practices, ensuring timely updates as required.
  • Facilitated communication between departments to ensure seamless coordination of patient care in the long term care setting.
  • Mentored team members by providing guidance on best practices in their roles while fostering professional growth opportunities within the organization.
  • Evaluated employee performance regularly to identify strengths as well as areas needing improvement; provided constructive feedback accordingly.
  • Set long-term goals for each department within Clinical Services in alignment with organizational objectives; tracked progress against these benchmarks routinely.
  • Coordinated and led meetings with department heads to discuss strategies for achieving target outcomes, optimizing resource utilization, and addressing any challenges encountered.
  • Fostered a culture of continuous improvement by encouraging staff members to share their ideas for enhancing services or processes within the market.

Clinical Services Manager, Complex Care Management

Optum
05.2018 - 01.2022
  • Performance-based promotion to this leadership position based on exceptional organizational skills, outstanding business and colleague relationships and emerging leadership potential.
  • Hired, developed and mentored 2 new APRNs to field positions with Optum, 1 being a newly graduated APRN.
  • Trained and mentored new Clinical Advisor for the team.
  • Managed a team of 12 highly educated APRNs and PAs in various territories.
  • Successfully integrated new APRNs into the existing team when territories were realigned on several occasions; identifying each team member's specific strengths and weaknesses and adapting management style to facilitate their individual success.
  • Routinely met with team members and facility staff to optimize relationships, reporting and metrics.
  • Facilitated market growth by successfully opening 7 new facilities in two unique counties and relaunching several facilities in two counties.
  • Reviewed hospital admissions utilizing deep dives and root cause analysis to identify modifiable trends and opportunities for education and improvement.
  • Maintained below target utilization metrics throughout tenure.
  • Functioned as market STARs Subject Matter Expert, driving improved STAR ratings for multiple contracts in several states by leading the Florida market STARs team, driving results through improved access to information regarding open STAR GAPs for CSMs and APCs, and providing enhanced education across the market related to the importance of STAR and HEDIS measures and how they translate into improved member outcomes.


Clinical Advisor, Complex Care Management

Optum
02.2016 - 05.2018
  • Performance-based promotion which involved increased responsibility, partnering with CSM to lead team of 12 APRNs and PAs.
  • Responsibilities included mentoring and advising the team, and providing educational updates and support during weekly and monthly team meetings.
  • Developed and onboarded all newly hired staff, following approved roadmaps and onboarding processes.
  • Assisted the team in clinical decision-making and accessing physician, colleague and specialist resources.
  • Reviewed and audited member assessments for accuracy and completion, including coding accuracy and appropriate plans of care.
  • Mentored team members in Advance Care Planning strategies, techniques and conversations.
  • Completed member assessments, managed and prescribed appropriate medication regimens, implemented preventative care measures and accessed physician relationships to maximize member outcomes.

APRN, Complex Care Management

Optum
12.2013 - 02.2016
  • Provide primary care and preventative medical services to a complex geriatric population of patients in the long term care setting with a focus on clinical excellence, advance care planning, family and caregiver communication and utilization management.
  • Prescribed appropriate pharmacologic and non-pharmacologic treatment modalities to support health and comfort of patients.
  • Educated patients on treatment options, medical needs and non-medical options for treatments and therapy.
  • Coordinated with physicians, specialists and other medical staff to develop treatment plans for acute and chronic conditions.

APRN

Community Primary Care Practice
02.2010 - 12.2013
  • Performed comprehensive patient assessments and physicals and reviewed established medical records to provide proper medical diagnoses and facilitate and implement appropriate treatment plans.
  • Ordered and interpreted diagnostic tests to develop treatment plans.
  • Teamed with collaborating physicians to provide comprehensive patient care, referrals and high-risk management strategies for acute and chronic conditions.
  • Performed routine rounds in hospitals and skilled nursing facilities, managing the medical care for a diverse group of patients across the lifespan.

Registered Nurse, Emergency Department

University Community Hospital
02.2009 - 02.2010
  • Provide direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Provided exceptional care to high-acuity patients needing complex care such as ventilator management, extensive wound care, blood transfusions, trauma care and rapid resuscitations.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Registered Nurse, Emergency Department

Suncoast Hospital
07.2005 - 02.2009
  • Provide direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Provided exceptional care to high-acuity patients needing complex care such as ventilator management, extensive wound care, blood transfusions, trauma care and rapid resuscitations.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Registered Nurse, Emergency Department

Bayfront Medical Center
05.2003 - 07.2004
  • Provide direct patient care, stabilized patients and determined next course of action.
  • Managed care from admission to discharge.
  • Administered medications via oral, IV and intramuscular injections and monitored responses.
  • Trained new nurses in proper techniques, care standards, operational procedures and safety protocols.
  • Provided exceptional care to high-acuity patients needing complex care such as ventilator management, extensive wound care, blood transfusions, trauma care and rapid resuscitations.
  • Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.

Education

Master of Science - Nursing

University Of South Florida
Tampa, FL
05.2009

Bachelor of Science - Nursing

University Of South Florida
Tampa, FL
05.2003

Skills

  • Utilization Management
  • Quality Measures/STARs
  • Clinical Delivery Process
  • APC Development
  • Performance Improvement
  • Project Management
  • Root Cause Analysis Investigation
  • Strategy Development
  • Clinical Compliance and Quality Audits
  • Goal Achievement
  • Staff Scheduling
  • Quality Control
  • Team Meetings

Accomplishments

  • Completed the UHG Emerging Leaders Program
  • Selected for the 2021 Florida Market Choice Award

Timeline

Senior Clinical Services Manager

Optum
01.2022 - Current

Clinical Services Manager, Complex Care Management

Optum
05.2018 - 01.2022

Clinical Advisor, Complex Care Management

Optum
02.2016 - 05.2018

APRN, Complex Care Management

Optum
12.2013 - 02.2016

APRN

Community Primary Care Practice
02.2010 - 12.2013

Registered Nurse, Emergency Department

University Community Hospital
02.2009 - 02.2010

Registered Nurse, Emergency Department

Suncoast Hospital
07.2005 - 02.2009

Registered Nurse, Emergency Department

Bayfront Medical Center
05.2003 - 07.2004

Master of Science - Nursing

University Of South Florida

Bachelor of Science - Nursing

University Of South Florida

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Kija Brady