Summary
Overview
Work History
Education
Skills
License
Awards
Timeline
Generic

Leslie Moore

Virginia Beach,VA

Summary

Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.

Overview

14
14
years of professional experience

Work History

Manager 1 HCMS, Behavioral Health Inpatient Utilization NY

Elevance Health
08.2015 - Current
  • Lead 10 clinicians
  • Develop and Implement Quarterly Collaboration Meetings with top 50% Inpatient facilities by volume with 12% reduction in readmissions and 4% reduction in length of stay in 2023
  • Drive HEDIS, QARR, regulatory adherence and Cost of Care outcomes
  • Population Health and Whole Health focus on member outcomes
  • Successful Implementation of new EMR software
  • Facilitate transition, policies and procedures to state mandated Targeted UM review process.
  • Implement InterQual and OMH Criteria
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.

RN, High Risk L&D, Antepartum, Postpartum

Sentara Norfolk General Hospital
01.2014 - 09.2015
  • Professional nursing care for women’s health population
  • Admission/Discharge
  • Monitoring and delivery of high-risk labor
  • Fetal Monitoring
  • Pre-OP and PACU
  • Circulating RN
  • Medication administration; standard and high risk

RN, pediatric residential psychiatric treatment

Barry Robinson Center
01.2010 - 01.2016
  • Professional nursing care for children aged 6-18
  • Assist/Improve residents ability to regain or improve their coping skills
  • Crisis Intervention
  • Supervise campus: infirmary, nurses, residential staff and residents
  • Implementation/Monitoring of Handle With Care physical restraint when required for safety
  • Monitors residents undergoing detoxification from drugs or alcohol
  • Assessment, Treatment, & Referral for illness and injury
  • Medication administration; oral and injections
  • Admission/Discharge
  • Create/Evaluate individual treatment plans
  • Create Nursing Newsletter featuring heatlh education and health promotion and adminster newletter to residents monthly

RN, Adult & Geriatric Behavioral Health

Sentara Norfolk General Hospital
01.2012 - 01.2014
  • Professional nursing care for adult and geriatric population
  • Mental Health assessments on all patients every 4 hours
  • Charge RN
  • Admission/Discharge
  • Crisis Prevention using CPI training
  • Monitor patients undergoing detoxification from drugs or alcohol
  • Create/Evaluate individual treatment plans
  • Assessment, Treatment, & Referral for illness and injury
  • Education, Emotional Support, Encourage Coping Skills
  • Medication administration; oral and injections
  • Therapeutic Communication with patients and their families

Education

Master of Science, Nursing - Leadership & Administration

Capella University
01.2022

Bachelor of Science, Nursing -

Drexel University

Associate of Applied Science Degree in Registered Nursing -

Medical Careers Institute

Skills

  • Healthcare Management
  • Team Leadership
  • Complex Problem-Solving
  • Project Management
  • Cross-Functional Teamwork
  • Population Health Analytics
  • Evaluating Quality of Care
  • Healthcare Quality Metrics
  • Provider Collaboration
  • Member Outcome Improvement

License

01/2009, present, VA BON Compact RN License

Awards

  • Medical Careers Institute: Certificate of Excellence in Academic Achievement
  • SNG/EVMS: Allies in Mental Health Treatment
  • Empire Blue Cross Blue Sheild: Game Changer Award

Timeline

Manager 1 HCMS, Behavioral Health Inpatient Utilization NY

Elevance Health
08.2015 - Current

RN, High Risk L&D, Antepartum, Postpartum

Sentara Norfolk General Hospital
01.2014 - 09.2015

RN, Adult & Geriatric Behavioral Health

Sentara Norfolk General Hospital
01.2012 - 01.2014

RN, pediatric residential psychiatric treatment

Barry Robinson Center
01.2010 - 01.2016

Master of Science, Nursing - Leadership & Administration

Capella University

Bachelor of Science, Nursing -

Drexel University

Associate of Applied Science Degree in Registered Nursing -

Medical Careers Institute
Leslie Moore