RN-MSN candidate with 17 years of diverse clinical experience in various nursing roles, including staff nurse, preceptor, team lead, charge nurse, house supervisor, clinical supervisor, business consultant, nurse support specialist, and coordinator. Known for meticulous attention to detail, strong organizational skills, and exceptional time management abilities. Successfully managed a team of 18 care managers, precertification nurses, and care manager associates, demonstrating effective leadership and fostering a highly proficient work environment. Recognized for ability to develop and mentor team members, resulting in promotion of four individuals to team lead positions within one year.
Hi, I’m
Laura Williams
Pleasantville,Ohio
Summary
Overview
17
years of professional experience
1
Certification
Work History
Chalmers P Wylie Columbus VA, Ohio
Case Management Coordinator
01.2022 - Current
Job overview
- As the RN Coordinator for CC&ICM, I oversee the implementation, deployment, and evaluation of this framework
- CC&ICM is a new framework to the Columbus VA
- This framework positively affects veterans’ outcomes, while reducing cost by effectively case managing
- In just over a year, our local VA has seen significant decrease in emergency department utilization, admissions, and seen significant cost reduction to the amount of 2.4 million dollars
- Additionally, staff have voiced improved staff satisfaction doing this type of work
- Identified data needs and worked with IT specialists to utilize Palantir (integrated workspace) to identify high risk veterans and be able to capture Veteran outcomes that align with facility key performing indicators
- Started up CC&ICM committee and wrote the standard operating procedure for this committee and the wrote the CCRT Committee charter
- Created two four-hour presentations for lead coordinator training
- To date 90 social workers and nurses have been trained across the local VA
- This training is now adopted by National VA CC&ICM and am teaching it on a quarterly bases to all coordinators across the country
- Collaborated with multiple National, VISN, and Cemer employees for rolling out the framework at Columbus
- Presented CC&ICM to leaders throughout the VA as a field advisory team (ELT)
- Overcome barriers related to EHR documentation and have created workflows, standard operating procedures, educational series, and was an educator for MIDCON
- Presented to the National CC&ICM COP call on our framework outcomes, best practices, and lessons learned
- Created success story templates to share throughout the facility
- Developed a data tracker to show ease cost reduction outcomes
- On V-signage and employee survey workgroups to capture outcomes of CC&ICM
- Directed a MIDCON workgroup in steps for the transferring Veteran
- Mentor other VA Co-Coordinators at other sites for rolling out CC&ICM
- Detailed to National VA CC&ICM team as a field advisor from October 2024 to current
- Program managing Office of Rural Health (ORH) Enterprise-Wide Initiative (EWI) CCICM Grant
- Facilitating monthly meetings and office hours for six sites who have the grant
- Participating in ORH Journal publication
- Monitoring and evaluating tracking logs of each site
- Facilitating and organizing site visits
- Quality charts audits completed for interrater reliability
- Developed flow maps and workflows for what it means to pick a quality lead coordinator
Chalmers P Wylie Columbus VA, Ohio
Nurse Support Specialist
01.2021 - 01.2022
Job overview
- As the Nurse Support Specialist, I support the Risk Manager, Patient Safety Manager, and am currently acting as the Infection Preventionist
- I have demonstrated the ability to quickly learn, adapt, initiate, and make changes to all three programs
- Launched the patient safety champion committee, created continued education for infection prevention, and am creating peer review education courses for all nurses
- Performed weekly hand hygiene, mask, environment of care, and construction rounds
- Created presentations and education to the nurse executive board on controlled substance documentation and five rights of medication administration
Aetna/CVS New Albany, Ohio
Population Health Business Consultant
01.2021
Job overview
- Developed working relationships with all regions of Aetna Medicaid; developed and updated clinical programs for the Medicaid line of business; provided audit findings to upper leadership and guided them in the success of programs
- Created programs for Medicaid; specifically the Medicaid line of business for Aetna (RAP), Diabetes, and Transition of Care (TOC)
- Developed a presentation for the CEO/CFO’s of each region for program implementation
- Educated staff case managers and case manager associates on new programs and workflows
- Created executive/clinical decks for new programs being developed to educate and train staff
- I also worked closely with the program implementation team and upper leadership to ensure that the programs were being compliant and following desk guidelines
- I developed a “report-out” slide to show program outcomes for each plan after a 30-day evaluation period
- I also worked closely with leadership and met with the plans weekly to let them know results of daily chart audits
- The “report-out” slide grades each plan after a 30-day evaluation period to relay improvements needed within the program
- It was found that each plan had a 50% improvement rate at the end of each audit when following the established program guidelines
- This was proven to facilitate gains for Aetna’s Medicaid line of business
- I created presentations for other areas of business within Aetna to educate about how the Population Health Innovations team creates and develops programs
- This benefited our partners in Medicaid so they could understand the importance of our programs and how the programs are developed
- Our RAP program is still in progress, but the ROI is estimated to be 3.7 million dollars a year
- Our members are being touched at an intensive level of case management with more calls, better transitions of care, increased follow up, and a better understanding of when they need special attention
- This program is continually evolving, but we are touching the most high-risk members of each plan
- This program has benefited our members and our company as an enterprise with improved member outcomes and Medicaid contract retention
- In the diabetes program, I discovered over 500 cases with diagnosis’ related to diabetes; just over 300 of those newly identified members would not have been identified had this program not been created
- We are not only targeting the diabetic member, but also those who are pre-diabetic, hyperglycemic, obese, and overweight
- This program is helping members reverse type 2 diabetes by catching at-risk members quickly
- As a result, this is reducing costs for the plan
- ROI is still being determined at this time
- The transition of care program, which I am currently developing goes hand in hand with our RAP program
- We plan to have increased visibility with the members by having in-house community health workers placed in the hospitals to start discharge planning quickly
- Once the community health workers see the member in house or in the emergency department, they connect with our case managers to continue care and incorporate more face-to-face visits as opposed to telephonic outreach so that we are more impactful to the member
- We foresee the ROI being close to the results of aforementioned RAP program
- I am proficient in Excel, One Note, Microsoft Teams, Word, Office, and PowerPoint
Aetna/CVS New Albany, Ohio
Clinical Supervisor
01.2019 - 01.2021
Job overview
- Established a trusting and working relationship with account team, plan sponsors, and consultants; provided coaching and feedback to team, driving results with engagement and employing integrity in all facets of my role
- Performed chart, call, and motivational interviewing (MI) audits
- Single handedly led a near flawless audit from an important plan sponsor which exceeded expectations
- Addressed the need for an annual education day and successfully led Aetna One Advocate’s (A1A’s) first education day
- In leading this education day, I utilized my certification in Brain Centric Design Learning (BDS) to set up each class in a unique way for the adult learner at our New Albany and High point offices
- I identified and developed several success stories to show to our plan sponsors
- I completed performance guarantee (PG) reviews quarterly
- I also identified the need for peer-to-peer sessions to educate our staff and coordinated for all the Care Managers at three sites
- As a supervisor, I produced the top teams within A1A, focusing on our mission to provide superior care for our customers at every opportunity
- Proactively identify problems, developed resourceful solutions, made recommendations on workflows, continued staff education, created team tracking of engagements, handled precertification support, and developed policies and procedures
- Performed chart audits, call listening audits, motivation audits, and plan sponsor audits while also monitoring our PG’s so that our unit could be successful and continue to bring forth new business
- Built relationships with the A1A unit, plan sponsors, and account teams by creating slides that would be exhibited as part of our A1A branding
- Was tapped by Senior Director for chair of the employee engagement committee recognition group – In doing so, I also built working relationships with external vendors such as contacts with Microsoft teams for employee engagement
- We created recognition forms for people to fill out which would then be featured over our company TV’s
- This resulted in greater employee satisfaction by being recognized for hard work by 65% from survey’s being conducted
- Promoted four people on my team to supervisors and/or team lead roles – By developing these people on my team, it allowed A1A to utilize them quickly, as they were more readily able to take on new challenges posed by the unit
- Created a pre-certification partner system – Some of our plans were busier than others so I created a pre-cert partner system where I paired pre-cert nurses together to ensure they were able to complete work timely and within expected turnaround times
- This led to meeting our performance guarantees
- I was selected to manage the program development/implementation of our new hire orientation
- Aetna hired an outside company to help us create an orientation geared to the adult learner
- My job was to review all our workflows, update them, communicate specifics of our unit, and create a presentation for our new hire orientation
- I also assisted with introduction videos to new hires
- This new hire orientation was successful and crucial in our new hire process and new hire development
- At this time, we have hired over 150 RN case managers (RN CM) to go through our new-hire orientation program for new hires faster in comparison to the old hiring process
- This new-hire orientation is helping the enterprise produce successful RN CM with less time wasted
- Development team tracking of engagements – I developed this to meet our score card metric of 50-70 engaged members per RN CM
- The creation of this allowed my team to keep track of the quantity of engaged members on a daily basis
- It also allowed me as the supervisor to set daily goals for them, fostering friendly competition with a team approach
- In result, my development team tracking system went viral throughout A1A
- The other plans then started using this as a model to reach our metric of 50-70 engaged members
- Due to the team tracking, 85% of the teams were able to reach this score card metric
- I created the high-cost claim (HCC) workflow and protocol for high-cost claim members in A1A
- This allowed us to report out to the plans on how and what we were doing to support these members
- I gave presentations to my plan sponsors on the successful case management of these members
- This workflow resulted in monetary savings to the plan sponsors and better health outcomes to the member
- Our HCC members were spending $50,000.00 and greater in a 6-month period
- Each HCC member’s plan saved an average of $10,000 in a 6-month period due to the workflow that I created
- I led and created A1A’s first education day
- I created nine classes that were based on the brain centric design certification I received regarding topics that our RN CM’s needed
- I executed this for the Ohio location with around 250-300 RN CM’s
- I then traveled to High Point, North Carolina and completed the training with an additional 200 RN CM’s
- This led to continued education that A1A is still currently utilizing
- I led and created the peer-to-peer sessions used in A1A
- After the success of the education day, I continued the education by having SME RN CM’s teach on different topics that the RN CM’s wanted increased knowledge of
- I scheduled and placed close to 500 RN CM’s in these classes from 3 different sites (Ohio, North Carolina, and Arizona)
- I performed senior director duties at least twice in the absence of our senior director in the closing of potential new business
- I gave presentations on our functionality within A1A as well as what to expect as a company and as a member
- This facilitated confidence in the program and contributed to closing the sale
- I precepted a new supervisor virtually in Arizona and helped lead her team of new hires while she was in training
- This preceptorship elevated this supervisor’s competence in leading a new team of 50 RN CM’s
- I completed multiple surveys for A1A to examine new products we were trialing such as the use of Dragons (talk to type software)
- This made the RN CM’s job faster and more efficient to document
- I was part of the clinical policy and procedure committee in which I was in charge of reviewing all policies and procedures
- We were responsible for rewriting and updating them accordingly
- Continuity across the department was established due to the changes
- Success was also found in outside audits and in PG’s once these policies and procedures were put into place
Aetna/CVS New Albany, Ohio
Care Manager/Team Lead
01.2018 - 01.2019
Job overview
- Contributed strong care management performance to our plan sponsors; solely chosen to present at all our plan sponsor audits; asked to be an Aetna commercial with a real member who I case managed
- I was awarded supervisor of the quarter in May of 2020
- I was nominated by my peer supervisors due to the success I achieved in multiple endeavors including education day, HCC review workflow, and peer to peer sessions
- I nominated one of my RN CM’s for an award called the Paragon Award in which she won
- There are only 5 people who win this award in the entire enterprise of CVS/Aetna per year
- By nominating her for this award, this showcased A1A to the entire enterprise (Aetna/CVS) where a video of myself, the awarded CM, and upper leadership, showcasing her achievements and the commendable work we do within A1A
- I spear headed a new program A1A wanted built called the Oncology program (ONC)
- I facilitated in gathering all ONC SME’s A1A employed and facilitated in the development of education classes built by our social workers, registered dieticians, pharmacists, physicians, wellness advocates, behavioral health specialists, and our behavioral health nurses
- These classes prepared our RN CM’s to provide the best care possible to our members
- I also presented the details of this program to upper leadership while it was being developed
- Our plan sponsors loved the program and wanted to help us in facilitating and providing us with support in any way they could
- At this time, they now have dedicated Oncology SME’s to take care of these fragile members which has resulted in better patient outcomes, satisfaction, and asks of the plan sponsors
- Coordinated a WebEx for New Albany, Highpoint, and Chandler when the COVID outbreak hit the country in order to give all staff (CMA, RN CM, RN Pre-cert) instructions on logging in at home, how to use equipment, and making sure telework was set up
Diley Ridge Medical Center, Canal Winchester, Ohio
House Supervisor/ Charge Nurse of Emergency Department (ED)
01.2013 - 01.2018
Job overview
- Exceeded expectations by creating sepsis alert workflows and monthly chart audits; led community outreach efforts, teaching groups of young adults about health and wellness; helped review annual evaluations and end-of-year education
- My position at Diley Ridge was the House supervisor and primary charge nurse of the emergency department
- As the house supervisor, I oversaw the imaging department, lab, step-down unit, cafeteria and all other ancillary staff
- Additional responsibilities included those of a social worker, a liaison, a respiratory therapist, and a leader of the excellence committee
- I set up intra-facility transfers of psych patients
- I also trained new hires in the nurse position and have been a preceptor to numerous students
- I reviewed charts, lab results, pre-certification information for psych placement, and handled call backs for patients who needed new medications or reevaluated
- Conducted assessments on patients who have Alzheimer’s, renal failure, diabetes, end-of-life, traumas, behavioral health concerns, cardiac disease, chronic illness, respiratory infections, sepsis, and so much more
- Approached patients with a professional and empathetic bedside manner, carefully monitoring adverse events such as heart attacks, traumas, labor, and stroke; acted as a sexual assault nurse examiner (SANE)
Mount Carmel West, Columbus, Ohio
Staff Nurse/Charge Nurse- Neuro Trauma/ED
01.2009 - 01.2013
Job overview
- Quickly took on the role of charge nurse using my first job as an RN; oversaw the flow of the unit by ensuring patient care was completed
- As the primary charge nurse of the Neuro trauma step-down unit, I learned great time management skills and had a plethora of patients
- I helped with passing medications, placing NG tubes, swallow evaluations, and floated to the Neuro ICU
- I also transferred down to our Level 2 Trauma center and worked there for two years
- I provided care to the critically ill patient
- I also worked in a fast-paced environment along with high acuity patients which forced critical thinking along with vast education for this patient clientele
- I performed assessments, collaborated with physicians, and conducted procedures at bedside all while maintaining best practices
- Developed critical thinking skills and became well rounded with the variety of patients that were seen in this inner-city emergency department
- Learned a great deal about the nursing process, time management, and the responsibilities of a charge nurse
- Placed in the charge role within six months of becoming a new nurse
- Preceptor to several new nurses
- Tasked with putting together staffing schedule for unit
- Was asked to float to our Neuro ICU when they were short-staffed
- Received recognition from the Rapid Response Team (RAT) for always staying on top of our patients who were septic and making appropriate referrals to them
- Was a Swallow Evaluation SME for our stroke patients; taught new hires how to follow a swallow evaluation and what to look for
- Sexual Assault Nurse Examiner (SANE) Certified; certified and took call for patients who were assaulted and performed examinations on this group of patients in the ED; engaged in forensic nursing, collecting evidence for those patients who wanted to pursue charges against the attacker
- I also was able to create a safe environment for the patient and get them connected with shelters, women’s safe havens, and community resources
- Super user of Cerner- Mt
- Carmel changed systems and was a super user for their new charting system
- I helped teach other nurses and PCA’s on proper charting methods so the unit was successful and safe
Inn at Fairfield Village
LPN
01.2008 - 01.2009
Job overview
- Worked in the Alzheimer’s lock-down unit while completing RN degree; facilitated education to the families of patients who needed hospice and palliative care
- I provided care to 20 plus residents as an LPN
- I passed medications, monitored patients’ glucose levels, and performed respiratory treatments as needed
- These patients were full-care, needing help doing almost all activities of daily living
- I collaborated with the director and doctors as needed
Education
University of PhoenixPhoenix, Arizona
MSN from Graduated with Distinction
06-2024
University Overview
Mt. Carmel College of NursingColumbus, Ohio
BSN in Nursing from Graduated with Distinction
01.2014
University Overview
Hocking CollegeNelsonville, Ohio
AAS of Nursing from RN License, Dean List
06-2009
University Overview
Hocking CollegeNelsonville, Ohio
LPN Diploma
03-2008
University Overview
Skills
- Presentation skills
- Business analysis
- Business planning
- Staff mentoring
- Project management
- Strategic planning
- Planning and execution
- Organizational development
- Continuous improvement
- Multitasking Abilities
- Performance metrics
Certification
- BLS
- Brain Centric Design Certification
- SANE Nurse
Accomplishments
Accomplishments
- Supervised team of 18 staff members.
Timeline
Case Management Coordinator
Chalmers P Wylie Columbus VA, Ohio
01.2022 - Current
Nurse Support Specialist
Chalmers P Wylie Columbus VA, Ohio
01.2021 - 01.2022
Population Health Business Consultant
Aetna/CVS New Albany, Ohio
01.2021
Clinical Supervisor
Aetna/CVS New Albany, Ohio
01.2019 - 01.2021
Care Manager/Team Lead
Aetna/CVS New Albany, Ohio
01.2018 - 01.2019
House Supervisor/ Charge Nurse of Emergency Department (ED)
Diley Ridge Medical Center, Canal Winchester, Ohio
01.2013 - 01.2018
Staff Nurse/Charge Nurse- Neuro Trauma/ED
Mount Carmel West, Columbus, Ohio
01.2009 - 01.2013
LPN
Inn at Fairfield Village
01.2008 - 01.2009
Mt. Carmel College of Nursing
BSN in Nursing from Graduated with Distinction
University of Phoenix
MSN from Graduated with Distinction
Hocking College
AAS of Nursing from RN License, Dean List
Hocking College
LPN Diploma
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