Nexgen
Koreen Brunot
Hopewell Junction,NY
Summary
Seasoned Registered Nurse (RN) with a proven track record of leadership, dedicated to enhancing patient care and satisfaction. Adept at guiding teams, managing complex projects, and achieving strategic objectives. Skilled in handling multiple projects simultaneously while maintaining accuracy and meeting deadlines. Known for developing efficient processes, upholding high standards, and aligning efforts with organizational goals.
Overview
19
19
years of professional experience
1
1
Certification
Work History
RN HEDIS QUALITY MANAGER
Johns Hopkins Health Plans
12.2023 - Current
- Worked on initiatives focused on driving HEDIS performance improvement across all Johns Hopkins lines of business
- Completed planning and execution of cross-entity activities working to optimize HEDIS scores in support of achieving each LOB's quality performance objectives
- Worked with the Medical Director and Director of Quality to identify strategies and opportunities for improving the health status of members
- Assessed and audited data from specific healthcare facilities to determine whether a facility provides adequate care to its patients
- Created daily HEDIS reports to outline the extent to which a facility meets patient care needs
RN QUALITY ASSURANCE MANAGER
Maximus
01.2021 - 12.2023
- Prepare daily and weekly updates for QA Management based upon monthly sample and staff productivity
- Identified avenues to improve business processes by analyzing quality evaluations and making recommendations to the Sr
- Manager and Director of Clinical QA
- Ensured Quality Assurance staff maintain updated knowledge of policy and procedure changes
- Provided ongoing training and support to Quality Assurance staff
- Acted as subject matter expert for the Quality Assurance team members
- Developed monthly Quality Assurance workflows
- Manage the hiring process, timecards, assignments, and time off of Quality Assurance staff
- Supervise assigned Quality Assurance staff, including the functions associated with quality assurance monitoring and monthly reporting of monitoring results
- Identified and set monthly individual/team goals
- Monitored the performance of Quality Assurance Staff, including providing continuous feedback, coaching and corrective actions, as necessary
RN CLINICAL DIRECTOR
Hudson Valley Certified Home Health Care
06.2019 - 01.2021
- Managed clinical staff and all personnel within the Agency/Interim Administrator upon assignment
- Reviewed patient’s medical documentation and determining admission into the agency
- Completed staff recruitment, interview process, and hiring process
- Held Interdisciplinary Team Meetings with field staff every week
- Completed monthly meetings with field staff and all personnel
- Completed monthly QAPI reviews and created action plans and confirmed implementation of action plans
- Acted as a liaison between patients, staff, administration, and community Providers to assist with patient care and continuity of care
- Completed daily OASIS audits and 485 form audits
- Completed staff evaluations and staff continuing education
REMOTE LEAD RN CASE MANAGER-CONTRACT
Healthfirst
04.2018 - 06.2019
- Managed team of clinicians
- Developed and monitored team goals; provided ongoing feedback and coaching
- Completed Transition of Care Assessments and measurable outcome care plans
- Held Interdisciplinary Team Meetings with members, family members, and all Providers involved in members’ care
- Completed UAS, HEDIS, Inpatient, Outpatient and MD Progress note reviews to ensure continuity of care appropriate documentation
- Completed Interqual reviews/determinations
- Completed 1:1 meetings with members PCP/Specialist to ensure that any critical findings were addressed
- Served as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals
RN FIELD CASE MANAGER-CONTRACT
LifePlans
04.2015 - 04.2019
- Assessed members and educated members on co-morbidities such as CHF, Asthma, COPD, Diabetes, HTN, and CAD
- Worked with Medicare population and Providers in connection with members’ care
- Coordinated care for members to assist them with obtaining transition DME services, discharge planning, Provider services, and home care services
RN FIELD CASE MANAGER-CONTRACT
Grace Care Consulting
04.2015 - 04.2019
- Assessed members and educated members on co-morbidities such as CHF, Asthma, COPD, Diabetes, HTN and CAD
- Worked with Medicare population and Providers in connection with members’ care
- Coordinated care for members to assist them with obtaining DME services, discharge planning, Provider services and homecare services
REMOTE WORKERS' COMP RN
Kingstree Group
02.2016 - 04.2018
- Assessed claimant’s medical, vocational, behavioral, and social areas impacted by the injury
- Worked with and educated ill/injured claimants, employers, medical providers, and vendors to achieve appropriate and expedited healing time and return to work
- Coordinated and implemented the Providers plan of action from initial evaluation to MMI
- Reviewed MD, Specialists, and Therapy Progress notes to ensure MMI
RN QI SPECIALIST-CONTRACT
Aerotek Staffing
01.2015 - 04.2015
- Completed medical chart audits and HEDIS chart abstractions
- Performed QI reviews and processing of medical records
- Performed reviews to monitor Provider documentation and provide Provider education
REMOTE RN CASE MANAGER
Healthfirst
02.2012 - 01.2015
- Managed team of Support Coordinators to assist with management of members’ care
- Assessed Medicaid/Medicare members and educated members on co-morbidities such as CHF, COPD and Diabetes
- Managed a caseload of 250-300 members
- Created careplans with members’ to assist with disease management and reduction of hospital admissions
- Worked with Providers in connection with members’ care, DME services, discharge planning
- Collaborated with provider doctors, social workers, discharge planners, and community-based service providers to coordinate care accordingly
OUTPATIENT RN-CONTRACT
Ethan Allen Staffing
07.2011 - 02.2012
- Completed patient assessments, administered medications, and provided patient education
- Completed blood sugar checks, blood pressure checks and immunizations
- Assisted with setting up referral appointments for patients and initiated the implementation of case management within the Provider setting
- Precepted Registered Nurses to care for patients within the Internal Medicine and Endocrinology setting
RN INSTRUCTOR
Metro Medical Institute
06.2007 - 09.2010
- Instructed CNA and PCT students
- Taught students how to perform vital signs, assess patients, and care for patients’ emotional status and activities of daily living within the classroom and clinical setting
RN DISEASE MANAGER
APS Healthcare
01.2008 - 02.2010
- Managed team of Support Coordinators to assist with the management of members’ care
- Precepted Registered Nurses to care for managed care members
- Assessed Medicaid/Medicare members and educated members on co-morbidities such as CHF, COPD and Diabetes
- Caseload of 800 members
- Created careplans with members’ to assist with disease management and reduction of hospital admissions
- Worked with Providers in connection with members’ care, DME services, discharge planning
RN MANAGER
Rosemont Nursing Home
06.2006 - 06.2007
- Educated/Staffed/Supervised over 60 healthcare professionals
- Completed the interviewing and hiring process for all potential employees
- Performed assessments on residents, medication administration staff education and chart reviews
Education
BSN - Registered Nurse
Mount Saint Mary College
Newburgh, NY01.2003
Skills
- Management Experience
- Policies and Procedure Development
- Nurse Educator
- Staff Development
- Motivational Interviewing
- CCM
- UAS Certified
- PRI certified
- Train The Trainer
- CPR-BLS certification
- Discharge planning
- Health promotion
- Quality improvement
- Health care consultation
- Community health
- Medical assessment
- Chart updating
- Precepting
- Nursing staff leadership
- Case management
- Preventive health
- Electronic health records management
Accreditationsandskills
- 6 years of Management Experience
- Policies and Procedure Development/Documentation
- Nurse Educator/SME
- Staff Development
- Motivational Interviewing
- CCM
- UAS Certified
- PRI certified
- Train The Trainer
- CPR-BLS certification
Certification
- Certified Case Manager
- CM - Certified Manager Certification
- Certified Registered Nurse Anesthetist (CRNA) - National Board of Certification and Recertification for Nurse Anesthetists.
- Registered Nurse License (RN) - State Board of Nursing.
- Neonatal Intensive Care Nursing (RNC-NIC) - National Certification Corporation.
Software
Ecw
Epic
OASIS
CCMS
Timeline
RN HEDIS QUALITY MANAGER
Johns Hopkins Health Plans
12.2023 - Current
RN QUALITY ASSURANCE MANAGER
Maximus
01.2021 - 12.2023
RN CLINICAL DIRECTOR
Hudson Valley Certified Home Health Care
06.2019 - 01.2021
REMOTE LEAD RN CASE MANAGER-CONTRACT
Healthfirst
04.2018 - 06.2019
REMOTE WORKERS' COMP RN
Kingstree Group
02.2016 - 04.2018
RN FIELD CASE MANAGER-CONTRACT
LifePlans
04.2015 - 04.2019
RN FIELD CASE MANAGER-CONTRACT
Grace Care Consulting
04.2015 - 04.2019
RN QI SPECIALIST-CONTRACT
Aerotek Staffing
01.2015 - 04.2015
REMOTE RN CASE MANAGER
Healthfirst
02.2012 - 01.2015
OUTPATIENT RN-CONTRACT
Ethan Allen Staffing
07.2011 - 02.2012
RN DISEASE MANAGER
APS Healthcare
01.2008 - 02.2010
RN INSTRUCTOR
Metro Medical Institute
06.2007 - 09.2010
RN MANAGER
Rosemont Nursing Home
06.2006 - 06.2007
BSN - Registered Nurse
Mount Saint Mary College
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