Meghan Cianfrone
Charlotte,NC
Summary
Proven leader in healthcare management, adept at strategic planning and people management, with a track record of fostering high-performing teams and driving operational excellence at HCA Healthcare Inc. Skilled in organizational development and issues resolution, I have successfully implemented initiatives that enhanced efficiency and employee engagement, demonstrating a commitment to continuous improvement and results. .
Overview
18
18
years of professional experience
1
1
Certification
Work History
Director, Case Management, Utilization Review Svcs
HCA Healthcare Inc.
10.2022 - Current
- Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
- Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
- Established a culture of continuous improvement by fostering open communication channels and empowering employees to voice their ideas.
- Cultivated a positive work environment that fostered employee engagement, increased retention rates, and boosted overall team morale.
- Facilitated cross-functional collaboration for improved decision-making processes within the organization.
- Key stakeholder in technology projects, such as clinical summary, payer viewer, payer repository, DNA enhancements.
- Serve as BH champion/expert internally and externally for the business including presentations, trainings, software development
- Improved project efficiency with strategic planning, resource allocation, and time management practices.
- Proactively identified potential risks and implemented mitigation strategies to minimize negative impacts on projects or business operations.
- Key stakeholder in BH acquisitions/divestures
- Implemented successful outpatient BH authorization pilot, that included creating workflows, process standards, etc
- Monitor and analyze provider trends and regulatory changes
- Transformed organizational culture to embrace continuous improvement, leading by example and mentoring teams.
- Trained and guided team members to maintain high productivity and performance metrics.
- Assisted in recruiting, hiring and training of team members.
Division/Regional Manager, URS
HCA Healthcare Inc.
07.2019 - 10.2022
- Identified areas of improvement in operational workflows to better align resources with organizational goals.
- Developed strong team dynamics through regular communication, collaboration, and goal-setting initiatives.
- Spearheaded change management initiatives to ensure successful implementation of new systems or processes within the division.
- Supervised daily planning, coordination and administration for division operations.
- Increased division efficiency by streamlining processes and implementing new management strategies.
- Established clear and consistent policies and procedures.
- Built strong relationships with key stakeholders to enhance collaboration efforts both internally and externally.
- Implemented data-driven decision making to improve operational procedures and drive overall business success.
- Communicated and collaborated with stakeholders to achieve division objectives.
- Coordinated cross-departmental efforts to streamline operations, significantly enhancing efficiency and productivity.
- Established metrics for success, monitoring performance and making adjustments to strategies as necessary.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
- Collaborated with upper management to implement continuous improvements and exceed team goals.
Utilization Care Manager
Wellcare
06.2017 - 07.2018
- Managed complex caseloads, ensuring timely assessment, intervention, and documentation for optimal care outcomes.
- Maintained detailed records in compliance with agency standards and regulations.
- Participated in team meetings and trainings to stay updated on best practices and new developments in care management.
- Utilized electronic health records systems proficiently for efficient documentation of clinical information according to regulatory standards.
- Prioritized time management effectively balancing competing demands within dynamic fast-paced healthcare environments.
- Refers members to the appropriate level care and reviews and authorizes care services using InterQual/MCG criteria and medical necessity guidelines.
- Monitors utilization trends by hospital and attending psychiatrist with emphasis on managing high volume providers
- Conducts all necessary direct utilization management activities for behavioral health plan members including service coordination for members in crisis, crisis intervention, behavioral health triage, crisis assessment services, pre-certification and authorization of care for both psychiatric and chemical dependency services, all necessary concurrent review with hospitals and mental health centers, discharge and aftercare planning and referrals for continued outpatient care
- Interacts on a daily basis with hospital representatives and attending psychiatrists and coordinates physician-to-physician reviews with the medical director
Program Manager
Carlton Manor, Inc
04.2016 - 06.2017
- Managed 12 bed theraputic group home for female children in foster care
- Managed and supervised administrative and daily program operations, complying with policies and regulations.
- Established strong relationships with key stakeholders, ensuring support for program initiatives.
- Developed strategic plans, setting clear objectives and achievable milestones for the team.
- Coached team members on professional development opportunities, contributing to improved overall performance.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Early Intervention Specialist
Eckerd Community Alternatives
10.2009 - 02.2012
- Facilitated staffings between local sheriffs offices and child welfare case management agencies regarding cases of abuse, abandonment, and/or neglect of children
- Function as liaison to the local law enforcement agencies and case management agencies as part of the case exchange process
- Facilitated smooth transitions for children from early intervention programs into school settings by collaborating closely with educational teams.
- Coordinated care among multidisciplinary teams comprising therapists, educators, and medical professionals to ensure comprehensive support for each child.
- Supported families in navigating complex systems of care by offering information on available resources and facilitating connections with appropriate providers.
- Advocated for children''s needs within various settings such as schools or community programs to promote inclusion and accessibility of services.
- Created and implemented a multi-agency tracking system
- Assisted in the development of a case staffing procedure that promotes the strengthening of families
- Co-chair of trauma informed care workgroup
Team Lead
Gulf Coast Community Care
03.2006 - 10.2009
- Lead team of case managers within child welfare system
- Responsible for attending Court hearing and preparing court documents
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Created first of its kind training department for child welfare case managers
- Evaluated staff performance and provided coaching to address inefficiencies.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
Education
Master of Arts - Counseling
Webster University
Tampa, FL 05.2012
Bachelor of Arts - Psychology
University of South Florida
Tampa, FL05.2005
Skills
- Strategic Planning
- Verbal and written communication
- People Management
- Operations Management
- Organizational Development
- Issues Resolution
- Hiring and Retention
- Legal and Regulatory Compliance
- Staff Management
Certification
LMHC: FL
LPC: Colorado
IQCI certified
Completed Case Management Leadership Institute
Additional Information
Gap in employment (2012-2016)-due to working on internship and externship hours for mental health therapist licensure, also worked as a registered intern at this time
Timeline
Director, Case Management, Utilization Review Svcs
HCA Healthcare Inc.
10.2022 - Current
Division/Regional Manager, URS
HCA Healthcare Inc.
07.2019 - 10.2022
Utilization Care Manager
Wellcare
06.2017 - 07.2018
Program Manager
Carlton Manor, Inc
04.2016 - 06.2017
Early Intervention Specialist
Eckerd Community Alternatives
10.2009 - 02.2012
Team Lead
Gulf Coast Community Care
03.2006 - 10.2009
Master of Arts - Counseling
Webster University
Bachelor of Arts - Psychology
University of South Florida
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