Megan Graham-Allen
Jacksonville,FL
Summary
Skilled Program Director adept at managing all facets of program operations, including administration and relationship building with hospital counterparts. Prepared to leverage 13 years' experience in Nursing to take on a challenging role. Collaborate with hospital leadership to deliver quality healthcare, key performance metrics, budget analysis, financials, c-suite collaboration, provider relations and accountability, daily hospital operations and provider recruitment. Develop and implement process improvements for our organization.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Area Program Director
HNI Healthcare
05.2019 - Current
- Manages the day to day operations of the hospitalist group
- Manage budgeting processes, including creating forecasts and tracking expenses.
- Organize and facilitated team meetings, workshops, and events.
- Provid leadership in developing innovative approaches to meet program goals.
- Review existing programs and identified areas of improvement or expansion.
- Monitor performance metrics to evaluate effectiveness of programs.
- Collaborate with external partners to leverage resources for the program's success.
- Establish relationships with key stakeholders to build trust in the organization's mission.
- Recruit, hire, train, supervise, coach, evaluate, and discipline personnel.
- Ensure compliance with organizational standards and applicable laws and regulations.
- Compile reports on program outcomes for internal and external stakeholders.
- Oversee administrative support staff to facilitate day-to-day program activities.
- Monitor program operations for compliance with policies and procedures, applicable standards and relevant contractual policy.
- Initiate and set goals for programs according to strategic objectives of organization.
- Collect key program data and analysis to support continuous improvement.
- Hire and develop staff members to collaboratively achieve program goals.
- Administer budgets and monitored expenditures to keep program operations aligned with budget targets.
Area Utilization Review Manager Case Management
Ascension St. Vincent's Hospital
10.2017 - 05.2019
- Built department of Utilization Review for Jacksonville area with interdisciplinary collaboration including quality department and R1 counterparts
- Managed the utilization review process by developing and implementing policies, procedures, and criteria.
- Monitored utilization of services to ensure they are appropriate and cost effective while maintaining quality standards.
- Analyzed data to identify trends in utilization and develop strategies for improvement.
- Ensured compliance with regulatory requirements related to utilization review.
- Conducted audits of medical records to evaluate appropriateness of services rendered.
- Provided education to staff on utilization management principles and processes.
- Developed reports summarizing utilization patterns and outcomes as needed.
- Maintained awareness of changes in healthcare regulations, industry practices, and new technologies related to utilization management.
- Facilitated meetings between clinicians and medical directors to discuss cases requiring authorization or denial.
- Participated in peer-to-peer discussions about complex cases requiring authorization or denial.
- Prepared monthly reports detailing Utilization Review performance metrics.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
- Analyzed business performance data and forecasted business results for upper management.
Case Management Supervisor
Ascension St. Vincent's
04.2016 - 04.2017
- Developed and maintained relationships with external stakeholders to ensure successful case management outcomes.
- Provided leadership, guidance, and supervision for a team of caseworkers responsible for managing complex cases.
- Monitored caseworker activities to ensure compliance with agency policies and applicable laws and regulations.
- Defined and applied utilization review methods to guarantee conformance with medical coverage plans.
- Streamlined discharge planning to create efficient, patient-oriented care strategies.
- Worked with Nursing to optimize every aspect of patient care from clinical and administrative perspectives.
- Created and implemented case management programs after analyzing quantitative data about patient intake and discharge.
Registered Nurse
Ascension St. Vincent's Hospital
10.2010 - 04.2016
- Assessed, planned, implemented and evaluated nursing care for assigned patients.
- Administered medications and treatments according to physician orders.
- Monitored vital signs, administered injections, and provided assistance with medical procedures.
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Collaborated with physicians, nurses, therapists, social workers and other healthcare professionals to develop individualized treatment plans for each patient.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Actively participated in quality improvement initiatives within the department.
- Maintained a safe environment for all patients by adhering to infection control policies and procedures.
- Provided emotional support and comfort to families during difficult times.
Nursing Assistant
St. Vincent's Hospital
09.2009 - 10.2010
- Assisted nurses and physicians with patient care, including bathing, dressing, transferring to beds and wheelchairs, and taking vital signs.
- Collected specimens for laboratory testing such as urine samples and blood draws.
- Assisted patients with their activities of daily living, including eating, grooming, toileting, ambulation, and hygiene.
- Provided assistance to medical staff during tests, treatments and emergency procedures.
- Demonstrated respect and regard for dignity of patients, families and fellow employees to promote professional, responsible and courteous environment.
Education
Bachelor of Science in Nursing -
Jacksonville University
12.2013
Associates of Science in Nursing -
Florida State College Jacksonville
05.2010
Skills
- Quality Control
- Written and Verbal Communication
- Profit and Loss Oversight
- Interdepartmental Activity Management
- Program Scheduling
- Interdepartmental Coordination
- Strategic Leadership
- Analytical Thinking
- Budget Coordination
- Program Improvements
- Operations Management
- Program Leadership
- Performance Standards and Analysis
- Personnel Management
- Policy and Procedure Improvements
- Program Operations
Certification
- BLS License - 4/2025
- License RN9315554 - 7/2024
Timeline
Area Program Director
HNI Healthcare
05.2019 - Current
Area Utilization Review Manager Case Management
Ascension St. Vincent's Hospital
10.2017 - 05.2019
Case Management Supervisor
Ascension St. Vincent's
04.2016 - 04.2017
Registered Nurse
Ascension St. Vincent's Hospital
10.2010 - 04.2016
Nursing Assistant
St. Vincent's Hospital
09.2009 - 10.2010
Bachelor of Science in Nursing -
Jacksonville University
Associates of Science in Nursing -
Florida State College Jacksonville
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