MAGALIE M. MILFORT, DNP, RN, CCM
Mooresville,NC
Summary
A diversely skilled advanced practice nurse with teaching and population health experience, seeking an educator position where I can utilize my core values, education, skills, and experience to make a positive impact in supporting student growth and development.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Manager, Utilization Management
CENTENE / CAROLINA COMPLETE HEALTH
05.2021 - Current
- Supported the final development and implementation of the health plan for go-live.
- Review analyses of activities, costs, and forecast data to determine progress towards annual goals including compliance with contractual agreements (federal and state).
- Provide and support staff development through education and training.
- Communicate and collaborate internally and externally with stakeholders to ensure the delivery of positive member health outcomes.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
Nurse Case Manager, Utilization Management
CORPORATE BENEFITS SERVICE
02.2019 - 01.2021
- Conducted case management across the continuum of care & performed medical necessity reviews/authorizations (prospective, concurrent & retrospective).
- Identified high cost claimants for care management with appropriate referrals to Stop Loss.
- Managed the wellness and chronic disease management programs.
- Delivered health education to members, clients, and large groups.
Adjunct Nursing Professor – School of health and Human Services
UNC CHARLOTTE
08.2018 - 05.2019
- Provided an interactive and engaging clinical experience for both junior, and senior nursing students in the BSN program to acquire knowledge, and practice needed skills to meet course objectives through planned weekly lessons and learning activities.
- Ensured acceptable and safe practices were maintained.
- Mentored and tutored students as needed to enable development of skills for success.
- Evaluated students learning through summative and formative assessments.
Nurse Care Manager/Managed Care – Total Population Health (TPH)
CONNECTICARE INC. & AFFILIATES
02.2014 - 07.2018
- Worked closely with analytics, the TPH multi-disciplinary team, and providers to identify and coordinate care for members (Medicare and Medicaid) with complex care needs requiring a highly specialized plan of care.
- Supported the development of the newly developed life planning program.
- Member of the NCQA committee and provided TPH department support and staff education on standards and guidelines updates.
Clinical Nursing Faculty
LINCOLN TECHNICAL INSTITUTE
01.2016 - 04.2018
- Provided an interactive clinical experience for practical nursing students in the clinical setting during various rotations.
- Collaborated with classroom instructors to initiate interdisciplinary educational activities that enriched course content and student understanding.
Staff Nurse / Clinical Coordinator – Intermediate Care/Step Down Unit
STAMFORD HOSPITAL
07.2006 - 11.2013
- Provided general nursing care to a variety of patients, including those requiring mechanical ventilation & invasive lines monitoring.
- As clinical coordinator, identified & evaluated patient care issues, screened appropriateness of admissions, managed patient census, evaluated staffing requirements, and allocated staff/patient assignment.
Interim Advanced Practice Nurse, Pain & Palliative Care Service
STAMFORD HOSPITAL
04.2001 - 02.2004
- As interim advanced practice nurse, provided coverage for the pain and palliative care service during the search for an APRN from April to November 2012
- Consulted with patients and families coping with life-threatening illnesses and/or end of life care issues, and provided support, recommendations for adequate pain management, and education
- Provided guidance and support with appropriate referrals to case management, pastoral, palliative, and hospice care.
Advanced Practice Nurse – Surgical & Orthopedic Units
WATERBURY HOSPITAL
04.2004 - 07.2006
- A highly visible leadership role which facilitated and ensured the delivery of holistic, quality, evidence-based and cost-effective patient care through leading weekly interdisciplinary patient care rounds.
- Developed focused education programs for nursing staff and mentored newly developed pain relief nurse program.
- Collaborated and participated in research opportunities (Positive Deviance in improving patient medication reconciliation).
- Developed policies and procedures in promoting evidence based nursing practice (pain management, post-operative and procedural pain).
Education
Doctor of Nursing Practice, Care of populations -
QUINNIPIAC UNIVERSITY
Hamden, CT05.2021
Master of Science Degree, Nursing -
WESTERN CONNECTICUT STATE UNIVERSITY
Danbury, CT01.2003
Bachelor of Science Degree, Nursing -
WESTERN CONNECTICUT STATE UNIVERSITY
Danbury, CT05.1997
Associate of Science Degree, General Studies -
NORWALK COMMUNITY COLLEGE
Norwalk, CT05.1993
Skills
- Strong interpersonal and communication skills
- Coaching and Mentoring
- Training and Development
- Good Judgment
- Professional and Courteous
- Computer Skills
- Attention to Detail
- Public Speaking
- Problem-Solving
References Available
Upon request
Certification
Certified Case Manager
Timeline
Manager, Utilization Management
CENTENE / CAROLINA COMPLETE HEALTH
05.2021 - Current
Nurse Case Manager, Utilization Management
CORPORATE BENEFITS SERVICE
02.2019 - 01.2021
Adjunct Nursing Professor – School of health and Human Services
UNC CHARLOTTE
08.2018 - 05.2019
Clinical Nursing Faculty
LINCOLN TECHNICAL INSTITUTE
01.2016 - 04.2018
Nurse Care Manager/Managed Care – Total Population Health (TPH)
CONNECTICARE INC. & AFFILIATES
02.2014 - 07.2018
Staff Nurse / Clinical Coordinator – Intermediate Care/Step Down Unit
STAMFORD HOSPITAL
07.2006 - 11.2013
Advanced Practice Nurse – Surgical & Orthopedic Units
WATERBURY HOSPITAL
04.2004 - 07.2006
Interim Advanced Practice Nurse, Pain & Palliative Care Service
STAMFORD HOSPITAL
04.2001 - 02.2004
Doctor of Nursing Practice, Care of populations -
QUINNIPIAC UNIVERSITY
Master of Science Degree, Nursing -
WESTERN CONNECTICUT STATE UNIVERSITY
Bachelor of Science Degree, Nursing -
WESTERN CONNECTICUT STATE UNIVERSITY
Associate of Science Degree, General Studies -
NORWALK COMMUNITY COLLEGE
Certified Case Manager
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