Experienced Registered Nurse with 18 years in clinical, ambulatory, and virtual care. Specializes in telephonic outreach, risk stratification, and care coordination for Medicare Advantage populations. Delivers effective patient education and motivational interviewing to close care gaps while building trust with diverse, high-acuity patients and caregivers.
Work History
Virtual Clinical Educator
2 Years 10 Months
Inizio Engage | 12.2023 - Current
Conducted 30–40 telephonic and telehealth patient/caregiver interactions daily, educating on complex therapies to enhance adherence and minimize preventable complications.
Deliver disease state and therapy-specific information to HCPs in alignment with client SOPs and compliance standards.
Built strong patient relationships to foster engagement, promote self-management, and ensure continuity of care.
Consistently exceed quality and service KPIs in a fully virtual environment.
Renal Care Manager (CKD/ESRD)
2 Years
Monogram Health | 06.2021 - 06.2023
Coordinated care for 100+ high-risk CKD patients across providers to support safe transitions and reduce avoidable ED visits.
Prevented 25 unplanned dialysis starts through proactive risk stratification, medication review, and early intervention.
Improved patient clinical outcomes by 80% and increased treatment adherence by 30% through evidence-based coaching and culturally appropriate communication.
Reduced readmissions by 15% through structured post-discharge follow-up and coordinated care plans.
Facilitated communication among clients, families, providers, and community resources to support advance care planning in-line with patient's values and wishes
HEDIS Case Management Analyst
1 Year 4 Months
Cigna Medicare | 01.2019 - 05.2020
Closed 90% of care gaps across 100+ Medicare Advantage members through targeted outreach, chart review, and motivational interviewing.
Performed detailed EHR and claims-based audits ensuring data integrity, directly improving Star Ratings and CMS quality performance.
Supported transitions of care by identifying post-discharge needs and coordinating timely follow-up.
Monitored performance trends and recommended refinements to strengthen service delivery.
Workers' Compensation Field Case Manager
8 Months
Aetna | 04.2018 - 12.2018
Coordinated interdisciplinary care plans that accelerated patient recovery timelines by 45 days on average.
Ensured compliance with URAC standards through precise documentation and quality oversight, enhancing service quality.
Delivered accurate weekly case reports on time, supporting informed decision-making for case management.
Case Manager / Charge RN
5 Years
MedStar Franklin Square Wound Clinic | 03.2013 - 03.2018
Promoted to Assistant Manager; led development of department policies, supporting Magnet redesignation and Joint Commission accreditation.
Directed clinic's EMR transition from Cerner to Epic, completing project 3 months early, enhancing workflow efficiency.
Delivered patient education on wound care, chronic disease management, and post-procedure instructions, aiming to reduce complications and readmissions.
Progressive Care RN
4 Years 8 Months
Johns Hopkins Bayview Medical Center | 07.2008 - 03.2013
Delivered advanced care to complex cardiovascular and pulmonary patients in a high-acuity setting.
Led vaccination initiative, ensuring 100% unit compliance.
Precepted new RNs, enhancing onboarding process and elevating unit performance by 20%.
Education
Bachelor of Science - Nursing
Western Governors University | Salt Lake City, UT | 01-2017
Associate of Science - Nursing
Community College of Baltimore County | Baltimore, MD
Skills
Care Coordination
HEDIS Audit/Data Abstraction
Medicare Advantage
Risk Stratification
EHR documentation
Data analysis
Motivational Interviewing
Quality improvement
Remote Care Delivery
Chronic Disease Self-Management
Interdisciplinary Collaboration
Patient advocacy
Evidence-based practice
Empathy & Adaptability
Certification
Compact Registered Nurse License – Maryland, License #R182538, AHA Basic Life Support Certification