Summary
Overview
Work History
Education
Skills
Certification
Work Availability
Work Preference
Timeline
Hi, I’m

Kristen Pryor

Registered Nurse
Cleveland,OH
Kristen Pryor

Summary

Results-driven Registered Nurse with 8+ years of experience in case management, care coordination, and telehealth services for Medicaid and Medicare populations. Skilled in trauma-informed care, person-centered planning, and utilizing technology to improve health equity and close care gaps. Demonstrated ability to collaborate with interdisciplinary teams to deliver high-quality, cost-effective outcomes. Recent short-term assignments have enhanced agility and expanded experience across various care management systems during organizational transitions and restructuring.

Overview

14
years of professional experience
1
Certification

Work History

United Healthcare

Clinical Care Manager (MMP)
07.2024 - Current

Job overview

  • Lead trauma-informed, health-equity-focused assessments for dual-eligible populations
  • Develop individualized care plans that align with members’ goals and address social determinants of health
  • Monitor care plans and adapt interventions as needed, reducing avoidable hospitalizations
  • Develope and implemente care management strategies to enhance service delivery and patient satisfaction.
  • Lead multidisciplinary teams to coordinate patient care and improve health outcomes.

Western Reserve AAA / Buckeye Health Plan

Waiver Service Coordinator (Temp)
04.2024 - 07.2024

Job overview

  • Facilitated waiver access and in-home supports to allow members to remain safely in their communities
  • Managed referral tracking and conducted in-person reassessments
  • Coordinated service delivery among healthcare providers to enhance patient care efficiency.
  • Developed and maintained strong relationships with clients, ensuring satisfaction and support accessibility.

Centene Corp: Buckey Health Plan / Pyramid Consulting

Care Manager (Contract)
06.2023 - 02.2024

Job overview

  • Conducted comprehensive assessments and coordinated service delivery
  • Repatriated long-term care members into the community
  • Advocated for patients' needs within the healthcare system, promoting access to necessary services and interventions.
  • Analyzed patient data to identify trends, improving service delivery and addressing gaps in care provision.
  • Coordinated comprehensive care plans to enhance patient outcomes and ensure continuity of services.

Lash Group / AmerisourceBergen

Telehealth Nurse Educator
02.2020 - 04.2023

Job overview

  • Provided product-specific education and support to patients and providers
  • Maintained performance metrics while delivering empathetic, informed care via call queue
  • Delivered high-quality telehealth consultations, ensuring comprehensive patient education and support.
  • Led initiatives to streamline workflow processes, enhancing efficiency in patient care delivery.

Maxim Healthcare

Clinical Supervisor
03.2018 - 01.2020

Job overview

  • Supervised home health nurses and aides
  • Conducted OASIS assessments
  • Oversaw new hire onboarding and developed strategies to streamline the hiring process
  • Supervised clinical staff to ensure compliance with healthcare regulations and organizational policies.
  • Developed and implemented training programs to enhance team performance and patient care quality.
  • Collaborated with interdisciplinary teams to coordinate patient care plans and improve service delivery.
  • Conducted regular performance evaluations, providing mentorship and support to foster professional growth.

Southwest General Hospital

Staff RN
01.2017 - 03.2018

Job overview

  • Delivered post-operative care with focus on safety, mobility, and recovery outcomes
  • Administered medications and treatments as per physician orders, ensuring compliance with safety protocols.
  • Collaborated with multidisciplinary teams to coordinate patient care and optimize treatment plans.

Private Elder Care Provider

Caregiver
04.2011 - 01.2017

Job overview

  • Cared for an individual with Alzheimer’s, managing activities of daily living and medications
  • Concurrent with attendance at Cleveland State University BSN program.

Education

Cleveland State University
Cleveland, OH

Bachelor of Science from Nursing
05.2016

University Overview

  • Cum Laude
  • Dean’s List (All Semesters)
  • Sigma Theta Tau – Nu Delta Chapter

Jefferson Community College
Hillsboro, MO

Associate of Arts
05.1997

University Overview

  • Phi Theta Kappa Honor Society
  • GPA: 4.0

Skills

  • Care Coordination & Management
  • Motivational Interviewing & Health Education
  • Interdisciplinary Team Collaboration
  • Documentation & Regulatory Compliance (NCQA)
  • EMR Systems (EPIC, Cerner, TruCare, Altruista)
  • Medicaid/Medicare Waiver Programs
  • Community Resource Navigation
  • Telehealth & Remote Patient Support
  • Case Management Tools: Impact Pro, ICUE, DOC360, Amisys
  • Microsoft 365 Suite: Word, Excel, Teams, OneNote, Outlook
  • Claims Systems: FACETS, RX Claims
  • Clinical assessment

Certification

Registered Nurse – Multistate (Compact) License, RN432241, 10/01/16, 10/01/25
Availability
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Work Preference

Work Type

Full Time

Work Location

RemoteHybrid

Important To Me

Work-life balanceCompany CultureFlexible work hoursWork from home optionTeam Building / Company RetreatsHealthcare benefitsPaid sick leave401k matchPaid time offCareer advancementPersonal development programs

Timeline

Clinical Care Manager (MMP)

United Healthcare
07.2024 - Current

Waiver Service Coordinator (Temp)

Western Reserve AAA / Buckeye Health Plan
04.2024 - 07.2024

Care Manager (Contract)

Centene Corp: Buckey Health Plan / Pyramid Consulting
06.2023 - 02.2024

Telehealth Nurse Educator

Lash Group / AmerisourceBergen
02.2020 - 04.2023

Clinical Supervisor

Maxim Healthcare
03.2018 - 01.2020

Staff RN

Southwest General Hospital
01.2017 - 03.2018

Caregiver

Private Elder Care Provider
04.2011 - 01.2017

Jefferson Community College

Associate of Arts

Cleveland State University

Bachelor of Science from Nursing

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