Summary
Overview
Work History
Education
Skills
Accomplishments
Licensure Certifications and Volunteerism
Timeline
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Kristle Connell

Kristle Connell

Donahue,USA

Summary

Dynamic Senior Network Performance Professional with expertise in HEDIS analysis and healthcare data. Proven track record of engaging providers and driving star scores. Recognized for emotional intelligence and process improvement, achieving significant compliance metrics. Passionate about enhancing patient outcomes through collaboration and innovative strategies.

Overview

17
17
years of professional experience

Work History

Senior Network Performance Professional

Humana
08.2021 - Current
  • Analyzed HEDIS measures and healthcare data trends to enhance star scores while controlling costs
  • Successfully engaged 74% of new, historically unengaged providers in 2024
  • Facilitated cross-departmental collaboration with Provider Engagement, MRA, interoperability, corporate, contracting and clinical partners
  • Co-developed Central Region Resource OneNote and Stars Improvement Strategy for 2025
  • Evaluated member calls during NPSt Pilot to deliver insights for enhanced member experience
  • Utilized Microsoft Office, CGX, Compass, SRO, RX Connect, SharePoint, Service Fund, and Concur effectively
  • Maintained strong attention to detail while operating under tight deadlines
  • Exhibited superior written and verbal communication skills complemented by strong emotional intelligence

Team Lead/Care Manager, Telephonic Nurse

Humana
04.2016 - 08.2021
  • Participated in the mentorship program under Jennifer Gowdy, Project Management
  • Chosen to oversee executive escalation cases
  • Panel participant in the "Increasing Your Nursing Influence Through a Professional Development" webinar, sponsored by the ANA and the Humana CNO team
  • Led a targeted patient review for Alegis in the Home Physicians Program
  • Consistently exceeded weekly performance metrics, achieving 100% on MA post-discharge outreach audits
  • Collaborated with the leadership team as the Regional SME Tester for the CGX 2.0 rollout and Blueprint Review Transitions Tele Model Pilot
  • Leader designated for collaborative observation with the Corporate Facilitator, Clinical Learning, and Development
  • Clinical Quality Champion, ONLC, and Humana Advocates

Hospitalist RN

Sound Physicians
02.2012 - 03.2016
  • Member of the leadership team for process improvement. Increased compliance metrics by 100% in the Physician Quality Reporting System to reduce length of stay and readmission
  • Developed a patient experience initiative by collaborating with departments, resulting in an increase in metrics by 10%
  • Spearheaded a mock video of a perfect patient experience for the education of physicians to drive CAPHS and HOS scores
  • Increased compliance rate at 75% for discharge planning and discharge timeliness, by collaborating with interdisciplinary teams
  • Created and delivered presentations highlighting positive outcomes to key stakeholder leadership teams during JOCs
  • Facilitated onboarding and training for physicians, enhancing patient outcomes
  • Demonstrated skill in conflict resolution; the role consisted of holding sensitive conversations with physicians to align on a mutual vision of improved quality

Charge Nurse

Genesis HealthCare
07.2008 - 02.2012
  • Specialized in neurology and stroke certification
  • Weekend charge nurse overseeing 3-4 RNs and personnel
  • Stroke Coordinator, performed chart reviews and abstractions. Trained physicians and registered nurses on metrics, promoting adherence for successful facility stroke certification

Education

Bachelor of Science - Nursing

St. Ambrose University
01.2013

Associate Degree - Nursing, Liberal Arts

Eastern Iowa Community College
01.2008

Skills

  • Certified Professional Coder
  • Registered Nurse
  • HEDIS analysis
  • Healthcare data analysis
  • Provider Engagement
  • Emotional intelligence
  • Process improvement

Accomplishments

  • Annual Star Award recipient from 2016 - 2024 for Stars Improvement Strategy, OneNote Resource, Alegis in Home Physician Program, CM Care conferences, Team Lead role, Harvard Mentor Preceptor training, onboarding new associates, and ER Near-Real Time CM pilot
  • 2019 LCC Recognition Winner for Most Likely to Under-Promise and Over-Deliver
  • 2017 Associate Experience Champion, achieving exceptional performance by meeting criteria in crucial areas such as collaboration, empowerment, leadership effectiveness and engagement

Licensure Certifications and Volunteerism

  • Registered Nurse: Iowa Compact, IL, and MN licensed.
  • Prosci Change Management Certification.
  • Leadership Series Microcert, LSU.
  • Certified Professional Coder.
  • Case Management Certification.
  • MCG Care Guidelines Specialist, CM.
  • Lasagna Love Regional Leader.

Timeline

Senior Network Performance Professional

Humana
08.2021 - Current

Team Lead/Care Manager, Telephonic Nurse

Humana
04.2016 - 08.2021

Hospitalist RN

Sound Physicians
02.2012 - 03.2016

Charge Nurse

Genesis HealthCare
07.2008 - 02.2012

Bachelor of Science - Nursing

St. Ambrose University

Associate Degree - Nursing, Liberal Arts

Eastern Iowa Community College

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