Maudie Roberts, RN, MPH, CCM, CDCES
Buda,TX
Summary
Bilingual registered nurse focused on evidence-based health program implementation, patient empowerment and resource advocacy. Certified Diabetes Care and Education Specialist and Certified Case Manager.
Overview
14
14
years of professional experience
Work History
Care Programs Manager
Suvida Healthcare
08.2022 - Current
- Developed and implemented transitions of care and chronic disease programs for a value based care senior wellness startup
- Identified best practices for measuring and tracking transitions of care HEDIS measures
- Designed nurse triage processes and workflows to address acute patient concerns
- Hired, trained, and supervised team of remote nurse care managers providing care in 4 cities and 2 states
- Conducted retrospective review of acute care and SNF admissions to monitor utilization trends
Nurse Care Manager
Included Health
11.2021 - 08.2022
- Identified opportunities to optimize communication within inpatient and cross-continuum teams to drive effective patient flow and sustainable care transitions from hospital and home, within community care settings and implement supplemental care and services for high-risk patients.
- Collaborated with Connected Care Program secondary clinician to create standardized member goals to drive measurable, coordinated team-based care.
- Utilized health information technology including Salesforce, Google Suite, insurance claims data, and biometric data to provide timely, accessible care navigation, discharge planning, and education.
RN Chronic Disease Care Coordinator
People’s Community Clinic
09.2020 - 10.2021
- Collaborated with Data Analytics and Billing departments to generate valuation of billable chronic disease programs identifying over $1 million in revenue over 2 years.
- Created evidence-based workflow for integration of professional continuous glucose monitoring into clinic including product procurement, documentation, scheduling, billing, and staff training.
Senior Registered Nurse
Austin Public Health, CCMP
07.2019 - 09.2020
- Identified quality improvement opportunities via case conferences and EHR chart review information to improve patient safety, program processes, and grant-required measures.
- Collaborated with IT and data analytics staff to implement EHR nursing assessments to capture program-specific biometric and social metrics.
- Offered leadership, support and clinical expertise within care management team to develop and implement diabetes case management program based addressing social determinants of health.
Telephonic Clinical Advisor/Diabetes SME
Humana Government Business
10.2017 - 07.2019
- Created annual clinician competency training, quarterly newsletter articles, and 10 bi-monthly Webex education presentations to deliver top-notch health services to beneficiaries.
- Coached beneficiaries in chronic disease self-management strategies to improve health-related quality of life and improve self-efficacy.
- Demonstrated appropriate use of Webex and Powerpoint to engage beneficiaries, family members, and clinicians monthly online diabetes education webinars and support groups.
LIVE Program Clinical Lead RN
Fuzionanalytics
08.2016 - 07.2017
- Provided clinical expertise in three pilot projects to expand scope of long-term care policy holder engagement in wellness activities utilizing Optum prescription and claims data.
- Collaborated with claims department, fraud investigation unit, TPA vendor, and c-suite executives in second level claims and appeals to avoid unnecessary over-payment of claims.
Onsite RN Health Coach
Cigna
02.2014 - 07.2016
- Implemented first onsite health coaching program in Indiana for Fortune 500 company, providing approximately 600 employees at 3 locations access to in-person, individualized wellness support.
- Collaborated with corporate and local human resources staff, c-suite executives, supervisors, and employees to develop site-specific addressing highest health conditions.
Medical Case Manager/Sedgwick Reviewer Team Lead
Genex
02.2013 - 02.2014
- Reviewed case manager documentation and provided training to ensure URAC and customer standards compliance at all times.
- Reduced care costs by average of $10,000 per case without sacrificing quality through effective service coordination and multidisciplinary efforts including second medical opinions, IMEs, functional capacity exams, and modified duty work.
Diabetes Educator
Indiana University Health
01.2012 - 12.2012
- Collaborated with endocrinologists, hospital staff, and dietitians to develop appropriate treatment plans for patients, both in written and oral formats to provide comprehensive diabetes care.
- Educated acutely ill, post-transplant, high-risk obstetric and outpatient endocrinology patients on diabetes care to improve treatment plan adherence and reduced hospital re-admissions.
RN Care Collaboratives Coordinator
CommUnityCare
07.2010 - 12.2012
- Collaborated with clinic staff, executive leadership, and Texas Medical Foundation to pioneer first accredited diabetes education program diabetes education program in a Texas Federally Qualified Health Center providing 6,500 patients access to quality diabetes education.
- Analyzed disease registry data to create population-specific interventions using PCMH Chronic Care framework for 8,000 adult patients.
- Created and administered Community Health Worker certification training for 2 direct reports to provide patient peer support.
Education
Master Of Public Health -
University Of Texas Health Science Center Houston
Austin, TXBachelor of Science in Nursing -
Purdue University
West Lafayette, INSkills
- Fluent in Spanish
- URAC and NCQA Accreditation compliance
- Continuous Improvement
- Case Reviews
- Staff Development
- Strategic Planning
- Patient Advocacy
- Referral Coordination
- Discharge Planning
Training
- Stanford Chronic Disease Self Management Program
- Wisdom of the Whole Core Coach training
- ACE Behavior Change Specialist
Professional Involvement
- Taking Control of Your Diabetes (TCOYD), Austin, TX, Co-program Coordinator
- Central Texas Diabetes Coalition
- Indiana American Diabetes Association, community outreach volunteer
- American Association of Diabetes Care and Education Specialists
Recognition
- U.S. Air Force Spirit of Nursing Award
- Purdue University School of Nursing Outstanding Achievement
- AISD Student Health Services Outstanding New Employee
- Humana STAR Award
Timeline
Care Programs Manager
Suvida Healthcare
08.2022 - Current
Nurse Care Manager
Included Health
11.2021 - 08.2022
RN Chronic Disease Care Coordinator
People’s Community Clinic
09.2020 - 10.2021
Senior Registered Nurse
Austin Public Health, CCMP
07.2019 - 09.2020
Telephonic Clinical Advisor/Diabetes SME
Humana Government Business
10.2017 - 07.2019
LIVE Program Clinical Lead RN
Fuzionanalytics
08.2016 - 07.2017
Onsite RN Health Coach
Cigna
02.2014 - 07.2016
Medical Case Manager/Sedgwick Reviewer Team Lead
Genex
02.2013 - 02.2014
Diabetes Educator
Indiana University Health
01.2012 - 12.2012
RN Care Collaboratives Coordinator
CommUnityCare
07.2010 - 12.2012
Master Of Public Health -
University Of Texas Health Science Center Houston
Bachelor of Science in Nursing -
Purdue University