Lindsey McDaniels
7575 E. 29th PL #5004 Denver,CO
Summary
Manager in Care Management with over 12 years of healthcare leadership experience, specializing in Special Needs Plans. Expertise in developing strategic programs that improve team integration and lower healthcare costs. Skilled in implementing data-driven clinical strategies and enhancing collaboration among regional stakeholders, with a strong emphasis on compliance and quality improvement.
Overview
12
12
years of professional experience
Work History
MANAGER, CARE MANAGEMENT- SPECIAL NEEDS PLAN
Humana
Denver, Colorado
07.2021 - Current
- Lead a team of 18 to 20 nurses in Humana's Special Needs Program, ensuring compliance and efficiency.
- Developed and strategically led the preceptor program, enhancing onboarding for over 300 new case managers, and improving team integration and retention rates.
- Implemented clinical strategies to meet Stars objectives, reducing healthcare costs significantly.
- Collaborated with multiple regional stakeholders to manage high-risk members, optimizing care and cost.
- Facilitated career growth tools, promoting associates to leadership roles within Humana.
- The compliance lead researched, wrote, and presented for CMS regulatory audits, identifying risks and mitigation for process change.
- Implemented data-driven clinical strategies, facilitating effective tracking of program quality and compliance, which significantly reduced healthcare costs.
1st Lieutenant Nurse Corp
US Army National Guard
Albuquerque, New Mexico
08.2013 - 08.2022
- Managed statewide medical cases to ensure quality care for New Mexico soldiers.
- Led Army Medical Lab with a team of 8 soldiers, boosting operational efficiency.
- Directed new soldier orientation, streamlining onboarding processes.
- Coordinated flu missions, supervising 15 soldiers to maintain mission readiness.
- Conducted patient assessments to determine health needs and develop care plans.
- Provided emergency medical support during training exercises and community events.
- Maintained accurate medical records and documentation in compliance with regulations.
CARE MANAGER, TELEPHONIC NURSE 2- SPECIAL NEEDS PLAN
Humana
09.2019 - 01.2021
- Managed diverse health issues for Humana members, ensuring holistic care and improved outcomes.
- Developed personalized care plans that significantly advanced patient goals.
- Monitored patient care through regular assessments to enhance health management.
- Guided four new associates in achieving key metrics, enhancing team performance.
- Facilitated collaborative care strategies that measurably improved patient satisfaction.
Cardiac Nurse Navigator
HCA West Florida
Pensacola, Florida
02.2018 - 08.2019
- Managed five cardiac programs, enhancing patient care through data analysis and collaboration.
- Led patient transitions across healthcare settings to ensure seamless follow-up care.
- Collaborated with multidisciplinary teams to address care gaps and improve patient outcomes.
- Analyzed readmission rates, implementing targeted interventions for measurable improvements.
- Trained and mentored new nurse navigators, fostering a collaborative environment.
- Implemented evidence-based practices in cardiac care, resulting in improved recovery times and satisfaction scores.
REGISTERED NURSE-INPATIENT CASE MANAGER/UTILIZATION REVIEW
Kaiser Permanente
Sliver Spring , MD
01.2017 - 01.2018
- Enhanced patient care coordination by collaborating with interdisciplinary teams, significantly improving outcomes.
- Implemented Utilization Management protocols to streamline patient assessments and boost care efficiency.
- Managed resource utilization using Milliman Criteria, achieving optimal allocation of resources.
- Facilitated seamless care transitions to provide exceptional patient experiences.
- Planned effective discharges that reduced patient readmission rates.
- Fostered teamwork among interdisciplinary teams to strengthen communication and improve patient outcomes.
REGISTERED NURSE
New Mexico Heart Institute
07.2014 - 01.2016
- Coordinated comprehensive care for cardiothoracic patients, resulting in improved outcomes and satisfaction.
- Managed clinical schedules to optimize workflow and minimize appointment conflicts.
- Assisted in vein procedures, enhancing surgical efficiency and recovery times.
- Triaged surgical patients to ensure timely and appropriate delivery of care.
- Conducted thorough assessments to optimize surgery schedules and triage processes.
- Provided wound care services, contributing to faster healing and fewer complications.
- Delivered effective case management for cardiothoracic and vascular patients, enhancing overall patient coordination.
CLINICAL DIRECTOR/FACULTY (DIDACTIC/CLINICAL)
Brookline College
01.2014 - 01.2016
- Directed clinical programs across four hospitals, supervising 14 staff and 80 students each semester.
- Achieved 100% NCLEX pass rate as Educational Director, guiding a faculty of 10.
- Taught critical care, pediatrics, and psychiatry clinicals while mentoring eight students.
- Developed clinical programs with management to ensure high-quality educational experiences.
- Managed interdisciplinary teams to promote collaboration and unified student learning.
- Evaluated program outcomes through data analysis, facilitating measurable enhancements in training.
- Championed curriculum development initiatives, aligning programs with industry standards to boost engagement.
- Mentored clinical instructors, promoting growth and fostering a positive learning environment.
Education
EXECUTIVE HEALTHCARE LEADERSHIP CERTIFICATE -
Cornell University
Ithaca, NY01.2024
FLORIDA HEALTH POLICY LEADERSHIP ACADEMY FELLOWSHIP -
University of Florida
Gainesville, FL01.2022
MASTER OF SCIENCE IN NURSING - HEALTH CARE ADMINISTRATION
University of St. Francis
Joliet, IL01.2020
BACHELOR OF SCIENCE IN NURSING -
University of Nevada
Las Vegas, NV01.2011
Skills
- Care management and case management
- Clinical strategies and program development
- Collaboration and interdisciplinary coordination
- Patient education and engagement
- Strategic planning and healthcare leadership
- Utilization management and risk assessment
- Discharge planning and crisis management
- Healthcare analytics and program evaluation
- Financial acumen and budget management
- Operational efficiency and cost reduction
- Quality assurance and stakeholder engagement
- Team integration and mentorship
Timeline
MANAGER, CARE MANAGEMENT- SPECIAL NEEDS PLAN
Humana
07.2021 - Current
CARE MANAGER, TELEPHONIC NURSE 2- SPECIAL NEEDS PLAN
Humana
09.2019 - 01.2021
Cardiac Nurse Navigator
HCA West Florida
02.2018 - 08.2019
REGISTERED NURSE-INPATIENT CASE MANAGER/UTILIZATION REVIEW
Kaiser Permanente
01.2017 - 01.2018
REGISTERED NURSE
New Mexico Heart Institute
07.2014 - 01.2016
CLINICAL DIRECTOR/FACULTY (DIDACTIC/CLINICAL)
Brookline College
01.2014 - 01.2016
1st Lieutenant Nurse Corp
US Army National Guard
08.2013 - 08.2022
EXECUTIVE HEALTHCARE LEADERSHIP CERTIFICATE -
Cornell University
FLORIDA HEALTH POLICY LEADERSHIP ACADEMY FELLOWSHIP -
University of Florida
MASTER OF SCIENCE IN NURSING - HEALTH CARE ADMINISTRATION
University of St. Francis
BACHELOR OF SCIENCE IN NURSING -
University of Nevada
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