LORRI KEY

• - Execute targeted member interventions addressing Social Determinants of Health (SDOH), supporting health plan objectives and reducing high-cost utilization reaching over 50 members weekly.
• - Lead performance tracking and data reporting activities to inform continuous improvement of clinical programs and outreach effectiveness.
• - Serve as senior trainer for Motivational Interviewing modules used interdisciplinary care teams reaching 15-30 health professionals quarterly.
• - Facilitate community engagement strategies and mentor colleagues in professional development and cross-functional collaboration.
• - Maintain accurate documentation systems in alignment with HIPAA, audit readiness, and quality program metrics.

- Implemented and monitored care management strategies to improve readmission rates and ensure quality outcomes.

• - Collaborated on NCQA-compliant interventions, delivering timely documentation and measurable results
• - Designed a discharge follow-up system that significantly decreased rapid hospital readmissions.
• - Led team improvement projects for staff of 30; created standard operating procedures for coverage workflows to maintain service continuity.

• - Conducted assessments for Medicaid/DCF clients, identifying needs and initiating appropriate clinical pathways.

• - Launched and directed a nonprofit behavioral health center; developed community workshops on suicide prevention, grief, HIV, and trauma serving over 500 clients and community members.
• Led team of 15 mental health professionals and volunteers providing program development and counseling services for faith based counseling center in community.