Khalilah N Filmore
Orlando,FL
Summary
Dedicated and clinically skilled Licensed Practical Nurse with over 20 years of experience in various healthcare settings, including acute care, long-term care, and quality improvement. Proficient in medical-surgical nursing, case management, and healthcare quality standards. Adept at analyzing clinical cases, identifying deviations from standard care, and improving patient experience. Strong background in healthcare program management, staff development, and emerging healthcare technologies.
Overview
23
23
years of professional experience
1
1
Certification
Work History
QM and Case Mngt. Operations in Private Practices
MEDKEEN SOLUTIONS
01.2015 - Current
- Established and tracked quality department goals and objectives.
- Documented and reported issues with compliance, standards of care, and quality assurance requirements.
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Ran quality metrics reports to maintain high standards of care for over 10 practices/20 providers.
- Coordinated individualized discharge plans to manage safe transition back into community and home environments.
Manager, Physician Relations
ORLANDO HEALTH (OH)
01.2014 - 01.2015
- Increased New Referrals AVG 12k & contributed to over 23M in revenue to the organization
- Implementation of NEW PRM platform managing productivity of the team and soon market data through Evariant.
Director of Business Development
SAMARITAN CARE HOSPICE OF FLORIDA
01.2012 - 01.2014
- Increased Average Daily Census by 29% developing a highly skilled and motivated sales & admissions team
- Increased Brand Visibility & First Ever Ad/Digital Campaign, the first digital/TV ad campaign in the history of SCH.
Professional Sales Representative
TAKEDA PHARMACEUTICALS
01.2009 - 01.2012
- District Product Lead (Edarbi/EdarbyClor)
- Facilitate training district on assigned products
- Supervise new product launches
- Over Goal Attainment & District Leading Performance.
Sales Representative
VITAS
01.2006 - 01.2009
- New Business & Territory Growth
- Increased new business by 55% and grew territory by 25%
- Goal Over Attainment
- Exceeded monthly goals by an average of 3-5 patients and quarterly goals by an average of 8-10 patients.
Business Development / Nurse Liaison
HCR MANORCARE
01.2003 - 01.2006
- Over Goal Attainment
- Exceeded 85% occupancy goals in a tight economy through niche disease management programs
- Census & Patient Increases
- Increased Medicare census by 22%, ortho patients by 50%, oncology by 44%; CVA patients by 30%, diabetic patients by 20%, and managed care patients by 22%
- Increased hospital market share by 138% at top 5 hospitals.
Clinical Services Director
HERITAGE WOODS OF LAKE MARY
01.2002 - 01.2003
- Turnover Reduction
- Reduced employee turnover rate from 7% to less than 2% during employment
- Zero Account Receivables
- Achieved zero accounts receivables through proactive billing/collection payments
- Regulatory Compliance
- Passed all annual inspections and received zero visits from government agencies.
Utilization Review Case Management
BLUE CROSS BLUE SHIELD
01.2001 - 01.2002
- Claims/Reviews Production
- Produced 800+ claims/reviews per week with an error rate of less than 2%.
Education
Bachelor of Science - Health Care Administration
UNIVERSITY OF PHOENIX
Licensed Practical Nursing - LPN
Valdosta Technical Institute
Valdosta, GAMaster Certificate - Business Intelligence
VILLANOVA UNIVERSITY
Skills
- Patient Needs Assessment
- Patient Advocacy
- Process Management
- EHR (eCW, Athena, Epic, etc)
Memberships Volunteering
- Special Projects, Women in Defense Space Coase Chapter, CURRENT
- Ten Thousand Villages US, Vice President Board of Directors, December 2017, August 2020
- National Small Business Association, Leadership Council Member, December 2021, Present
Certification
Practical Nursing License, STATE OF FLORIDA
Professional Highlights
- Built and maintained quality measure/HEDIS strategies from the ground up, closing care gaps for PCPs.
- Drove a $1.6 million revenue increase through data-driven business strategies.
- Led cross-functional teams to surpass performance targets and achieve key objectives.
- Launched marketing campaigns that significantly boosted brand visibility and customer acquisition.
- Enhanced operational efficiency and customer satisfaction with process improvements, reducing costs.
- Fostered strategic partnerships, catalyzing business growth and market expansion.
- Championed change management, promoting a culture of continuous improvement and employee engagement.
- Adapted to changing regulations and market dynamics, ensuring compliance and securing a competitive edge.
Timeline
QM and Case Mngt. Operations in Private Practices
MEDKEEN SOLUTIONS
01.2015 - Current
Manager, Physician Relations
ORLANDO HEALTH (OH)
01.2014 - 01.2015
Director of Business Development
SAMARITAN CARE HOSPICE OF FLORIDA
01.2012 - 01.2014
Professional Sales Representative
TAKEDA PHARMACEUTICALS
01.2009 - 01.2012
Sales Representative
VITAS
01.2006 - 01.2009
Business Development / Nurse Liaison
HCR MANORCARE
01.2003 - 01.2006
Clinical Services Director
HERITAGE WOODS OF LAKE MARY
01.2002 - 01.2003
Utilization Review Case Management
BLUE CROSS BLUE SHIELD
01.2001 - 01.2002
Bachelor of Science - Health Care Administration
UNIVERSITY OF PHOENIX
Licensed Practical Nursing - LPN
Valdosta Technical Institute
Master Certificate - Business Intelligence
VILLANOVA UNIVERSITY
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