Kristi Younis
Gilbert,Iowa
Summary
Dedicated RN with 36 years of experience within the behavioral and physical health fields. Can offer clients a solid foundation in education, mental health support and medication management. Can also offer a strong foundation in understanding Medicaid services, utilization review, intensive case management skills, clinical and supervisory skills. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
33
33
years of professional experience
Work History
Clinical Practice Manager
Primary Healthcare, Inc.
09.2023 - Current
- Develops and maintains a culture in the clinical department that is consistent with the organizational culture
- Builds relationships within the PHC clinic to build trust and enhance patient, provider, and employee satisfaction and engagement
- Collaborates with Clinic Administrators to proactively manage and optimize provider scheduling, ensuring patient access
- Acts as back up to the Clinic Administrator as needed
- Manages clinic finances including purchasing, expenses, and revenue generation (visits) for assigned areas
- Facilitates daily huddles and team communications
- Implements strategic initiatives and leads change management efforts
- Responsible for ensuring that workflows are followed by assigned staff
- Ensures clinical quality measures are met
- Supports the development and implementation of clinical best practices
- Ensures compliance with all regulatory requirements related to infection control and safety management, as required by local, state, and federal agencies and accrediting organizations
- Manages assigned team including staffing, orientation and training, performance management, and completing competency assessments
- Provides ongoing coaching, feedback and guidance to employees to aid in job and goal achievement
- Complies with accreditation, regulatory, federal and state rules and regulations as well as organizational policies and procedures
- Maintains the clinical environment for assigned facilities, ensures completion of safety check-lists.
- Supervised team of 6 office personnel.
RN Team Lead
Primary Healthcare, Inc.
02.2023 - 09.2023
- Oversee and supervise Certified Medical Assistants in clinic setting
- Provide patient care by rooming patients, giving injections, vaccinations, and assisting with medical procedures
- Complete and send referrals to specialist services
- Complete medication refills for providers
- Contact patients with results of any testing.
Manager II, HCMS
Amerigroup Iowa
10.2015 - 01.2023
- Oversee and supervise the Complex Case Management team
- Responsible for oversight and supervision of 24 case managers, outreach specialists, and medical management specialists
- Created policies, procedures, workflows, and quick reference guides for our Behavioral Health case management team prior to implementation of the Amerigroup, Iowa Health plan
- Created and implemented strategies to integrate the behavioral health and physical health case management team
- Participated in all initial and ongoing start up planning for the Iowa Health Plan
- Responsible for supervising the case management team including: Provide training new staff onboarding of new associates, offering ideas for resources collaborate cross departmentally around BH resources, educating staff on services and supports available to our members, staffing cases with case managers to give ideas that may assist members towards recovery, setting up and leading develop and lead integrated rounds, assisting staff with engagement of members
- Participated in QI activities including HEDIS measures, and auditing for NCQA, and EQR
- Responsible for several Cost of Care initiatives to decrease avoidable cost
- Created a plethora of resources for the health plan that all staff could utilize
- Participated in population health projects and health equity projects for the Iowa Health Plan.
Supervisor, Intensive Case Management
Magellan Health Services
04.2015 - 10.2015
- Enhanced client outcomes by developing and implementing personalized case management plans.
- Improved community resources access for clients through effective collaboration with local service providers.
- Reduced recidivism rates by providing intensive support and guidance to high-risk clients.
- Facilitated successful client transitions from institutional settings to community living through careful planning and coordination of services.
- Promoted client self-sufficiency with comprehensive assessments, goal setting, and regular progress monitoring.
- Increased client satisfaction by maintaining open communication and promptly addressing concerns or issues.
- Developed strong professional relationships with community partners to enhance service delivery and provide seamless care to clients.
Senior Care Manager/Intensive Case Manager
Magellan Health Services
04.2008 - 04.2015
- Managed all phases of the care cycle for mental health/chemically dependent clients
- Built solid, trusting relationships with providers, clients and client's families, as well as state agencies
- Worked closely with members, families, providers, DHS and various agencies to establish plans of care for high risk clients
- Set up incentive plans with clients using short term/long term goals to assist them in skill building
- Participated and completed authorizations of Applied Behavioral Analysis for children with the diagnosis of autism
- Provided Intensive case management for high risk clients
- Performed pre-authorization intake and concurrent reviews for all levels of behavioral health care.
Adolescent/ Adult Behavioral Health Nurse
Mary Greeley Medical Center
07.1991 - 03.2011
- Staff RN on a behavioral health unit working with children, adolescents, and adults
- Provided ER triage of children, adolescents and adults in the emergency room
- Responsible for utilization review for all adolescent and adult clients
- Provided education to clients on their benefits
- Completed appeal letters for services not covered to advocate for needed mental health services
- Led or participated in family and multi-interdisciplinary staffings
- Worked as a charge nurse for all shifts as needed
- Participated in an ongoing quality assurance (QA) program that met or surpassed hospital/JCAHO standards for patient and staff safety
- Participated in the Standards and Practice Committee
- Preceptor for new staff as well as nursing students interested in becoming behavioral health nurses
- Preceptor for nursing students from various campuses interested in becoming a behavioral health nurse
- Trained as a peer interviewer for behavioral health staff.
Education
BSN -
Upper Iowa University
Fayette, Iowa08.2011
American Nurses Credentialing Center
05.2006
Associate Degree of Nursing -
Des Moines Area Community College
Boone, Iowa05.1989
Skills
- Clinical Leadership
- Patient Safety
- Quality Improvement
- Case Management
- Critical Thinking
- Interpersonal Skills
Special Accomplishments
- 2008-Received an award as one of the 100 Great Nurses in Iowa.
- Completed basic and advanced case management certification through Amerigroup.
- Completed DBG Clinical Leadership Bootcamp Training at Amerigroup, Iowa.
- Have received a superior rating on all performance evaluations and have received numerous awards at Mary Greeley Medical Center, Magellan Health Services and Amerigroup, Iowa.
Personal Information
Title: RN, BSN
References
- Julie Carlson, Magellan Health Services-Senior Director Integrated Healthcare, National, Carlsonjulie3833@gmail.com, 515-321-1300
- Leslie Cardoza, Magellan Health Services, Senior Director Children's Healthcare, National, Lesliecardoza.61910@gmail.com, 515-520-9509
- Kelley Pennington, Magellan Health Services, Senior VicePresident, Operations, Kelley.pennington@gmail.com, 515-418-8253
- Debra Day, Amerigroup, Iowa-Whole Health Director, Day.Deb@gmail.com, 563-340-8298
Timeline
Clinical Practice Manager
Primary Healthcare, Inc.
09.2023 - Current
RN Team Lead
Primary Healthcare, Inc.
02.2023 - 09.2023
Manager II, HCMS
Amerigroup Iowa
10.2015 - 01.2023
Supervisor, Intensive Case Management
Magellan Health Services
04.2015 - 10.2015
Senior Care Manager/Intensive Case Manager
Magellan Health Services
04.2008 - 04.2015
Adolescent/ Adult Behavioral Health Nurse
Mary Greeley Medical Center
07.1991 - 03.2011
BSN -
Upper Iowa University
American Nurses Credentialing Center
Associate Degree of Nursing -
Des Moines Area Community College
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