Led process improvement initiative with 40% reduction in customer/provider complaints
Successful establishment of key partnerships with providers for implementation of post-acute readmissions strategy with 10% reduction in hospital readmissions in 12 months
Led process improvement initiative increase in post acute sales programs with a 24% increase in 2 mos
Built high-performing teams through effective recruitment, onboarding, and talent development initiatives
Facilitated bi-weekly regional market educational sessions that led to innovative solutions for long-standing operational challenges
Collaboration with IT department to upgrade technology infrastructure, enhancing operational efficiency and data security
Monthly chart/quality audits resulting in a 15% increase in overall team scores
On-site and virtual meetings and collaboration with internal/external stakeholders
Enterprise wide MDS completion task force utilizing Lean Processes
Project Management Task Force for, 'Member Engagement Experience and Performance Survey,' resulting in a 12% increase in return of surveys
Clinical Team Manager
Navihealth
02.2020 - 05.2021
Led process improvement and implementation strategies for a reduction in appeals with external stakeholders with a 32% decrease in appeals in 6 mos
Data analysis initiative and collaboration with senior leaders for optimization of workflows with successful reduction of administrative tasks
Lead Interviewer and hiring manager for 29 newly added Clinical Lead positions
Utilization management of OOS BCBSM, HUM, UHG, OCN and BPCI plans
Collaboration with OCN Health Care Practitioners and Case Management staff for Complex Care Rounds
Successful management of programming pilots for nh access, IVR satisfaction surveys, and AAA referrals for UHG and OCN DSNP members
Data driven analysis of KPI performance to meet company objectives
Development and Implementation of Quality Chart Series/bi-weekly education opportunities for IN market
Skilled Inpatient Care Coordinator
Navihealth
05.2019 - 01.2020
Top market performer with 90% Upheld rate for all appealed cases
Dual management of MA and VBC members
Implemented innovative strategies to overcome challenges in patient engagement
Engaged patients in discussions to tailor treatment options to individual preferences
Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients
Area Director of Rehab
Exceptional Rehab
Indiana
01.2009 - 01.2019
Management of 4 skilled nursing facilities and 38 direct reports
Successful launches of 2 new inpatient rehab departments including hiring and orientation of rehab staff, purchasing equipment, implementation of P&P and coordination of community marketing events
Presenter at Medical Advisory Board comprised of local hospital administrators and leaders with a focus on decreasing hospital readmissions
Guest speaker for local area Chamber of Commerce, 'Breakfast before business'
Supervision of 4 clinical fellows
10 years of deficiency free rehab surveys from the State Board of Health's annual reviews
Implementation of 2 new Outpatient Rehabilitation programs with a 40% increase in revenue from Q1 to Q4
Director of Speech Pathology
Nightingale HHC
Indianapolis, IN
01.2007 - 01.2009
Development and implementation of Policy & Procedures for SLP program
Monthly staff education for SLP staff
Development of oral motor exercise program for utilization via Telehealth
Interpretation of prescription, evaluation and establishment of treatment plans
Documentation audits and education to ensure compliance with Medicare guidelines
Director of Clinical Operations, West Division at Optum Home and Community Care TransitionsDirector of Clinical Operations, West Division at Optum Home and Community Care Transitions
Medical Manager of Clinical Operations at Optum Home and Community Care TransitionsMedical Manager of Clinical Operations at Optum Home and Community Care Transitions