Lisa Coplen
Spiro,USA
Summary
Experienced in managing care coordination and contracting processes, directing teams to streamline patient admissions and billing. Established effective communication systems that enhance collaboration between departments, resulting in improved managed care experiences and operational efficiency.
Overview
26
26
years of professional experience
Work History
Director Managed Care Contracting
Touchstone Communities
San Antonio, Texas
10.2023 - Current
- Managed Care Agreements from start to finish.
- Developed and maintained relationships with many MCOs.
- Coordinated cross-departmental communication to streamline operations and improve patient flow.
- Supervised team of nurse navigators to improve patient care processes and outcomes.
- Oversaw central intake operations to streamline patient admissions.
- Developed referral tracking system and internal communication tool to enhance collaboration between nurse navigators and admissions team.
Director of Managed Care Programs
Diversicare
Brentwood, Tennessee
11.2016 - 10.2023
- Oversaw Managed Care Contracting and Credentialing for 61 centers, ensuring compliance and operational efficiency.
- Cultivated vendor relationships with multiple MCOs to support program goals and service integration.
- Centralized departments for Managed Care Contracting/Credentialing, Case Management, and Billing.
- Directed a team of Central Intake Managers.
- Coordinated staff training sessions to enhance service delivery standards and team competencies.
Director of Managed Care Programs
Golden Living fka Beverly Healthcare
Fort Smith, Arkansas
11.2000 - 10.2016
- Directed Managed Care Programs, enhancing operational effectiveness across multiple successful departments.
- Managed operations for over 100 centers at Golden Living, ensuring compliance and quality in service delivery.
- Supervised Managed Care Contracting and Credentialing team, streamlining processes to improve contract execution.
Education
Registered Nurse -
University of Arkansas, Fort Smith AR
Fort Smith, ARSkills
- Managed Care
- Contract Negotiation
- Credentialing
- Care management
- Patient Admission
- Revenue Cycle Management
Timeline
Director Managed Care Contracting
Touchstone Communities
10.2023 - Current
Director of Managed Care Programs
Diversicare
11.2016 - 10.2023
Director of Managed Care Programs
Golden Living fka Beverly Healthcare
11.2000 - 10.2016
Registered Nurse -
University of Arkansas, Fort Smith AR