Natalie H. Phillips
Saint Simons Island
Summary
Experienced leader with a proven track record in guiding teams, managing complex projects, and achieving strategic objectives. Recognized for expertise in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for a collaborative approach and unwavering commitment to excellence.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Director of Population Health
In Clinic Rx/Southeast Medical Group
04.2023 - Current
- Provide care management program development support including program metrics, growth, and opportunities for improvement for a primary care corporation
- Also serve as a subject matter expert on quality and HEDIS measures to support value-based contract and ACO performance
- Primarily focused on transitions of care, high-risk patient management and principal care management leading a team of RNs and MA staff
RN Stars Quality Consultant, Southeast Region
Humana Work from Home Team
11.2022 - 03.2023
- Responsible for reporting quality data for Medicare Advantage patients assigned to PCP groups in my portfolio
- Attended monthly JOCs to highlight opportunities for improvement with Stars measures for each primary care group
- Provided strategies for improvement with HEDIS, patient engagement and patient satisfaction metrics which impact the plan’s Star ratings
Quality Improvement Manager
Southeast Georgia Health System
06.2022 - 11.2022
- Responsible for quality improvement strategies and reporting for the health system
- Reported data to Leapfrog, participated in demos for quality software programs including Vizient and Midas
- Reported on readmissions to the hospital executive team including root cause analyses and improvement strategies
Director of Care Management
Piedmont Newton Hospital
08.2019 - 05.2022
- Responsible for the discharge planning and utilization management programs in a103-bed acute care facility
- Accountable for KPIs including length of stay, observation hours, avoidable days and denials
- Managed a team of23 FTEs including RNs, MSWs and Care management assistants
System Manager, Transitional Care & Sixty Plus Services
Piedmont Healthcare
01.2016 - 08.2019
- Developed & implemented a new system-wide program to identify & track high risk inpatients discharged from Piedmont hospitals for30 days post-discharge
- Managed a team of75 including RNs, MSWs and MAs across the Piedmont system dedicated to readmission reduction efforts and improving patient transitions from the hospital to home/post-acute setting
- Initiated a post-acute collaborative meeting structure to allow Piedmont to interface with our partners
- Implemented the Cleveland Clinic Patient Readmission Interview Tool for the transitions nurses to obtain patient-level input on why the discharge plan failed
- Chair of Care Transitions Advisory Council
- Led readmissions monthly meetings with each hospital to report on rates and outcomes, shared root cause analysis case studies
Director of Case Management
Morgan Memorial Hospital
02.2013 - 01.2016
- Oversight for discharge planning and utilization review utilizing InterQual software
- Implemented the Project Boost8P readmission reduction tool to identify high risk patients and secure more appropriate discharge plans/post-acute levels of care
- Responsible for reporting length of stay and denials at monthly utilization review/compliance meeting and revenue cycle meeting
Director of Nursing
UHS Pruitt/Uni-Health Post Acute Care
03.2012 - 01.2013
- Supervised90 FTEs in a104-bed rehab facility
- Performed fiscal management, interviewing candidates for openings, physician relations, service recovery, disciplinary action of staff, pharmaceutical supervision, oversight of clinical services, and both regulatory and corporate compliance
Charge Nurse
Athens Regional Medical Center
05.2011 - 03.2012
- Made assignments, reviewed staffing needs and supervised the unit during the shift
Assistant Director
Athens Regional Medical Center
04.2007 - 05.2011
- (Position eliminated due to ARMC budget cuts)
- Responsibilities included interviewing candidates for positions, performing annual employee evaluations, disciplinary action of employees, scheduling, performing timekeeping for payroll, conducting staff meetings, service recovery, budget preparation & cost management
- Unit included32 beds, newborn nursery, and a staff of60 FTEs
Staff/Charge Registered Nurse
Athens Regional Medical Center
06.2002 - 04.2007
- Charge RN, NRP Certified
- Provided nursing care for high-risk antepartum, high risk postpartum, gynecology surgical patients and level1 newborn nursery infants
Education
Master of Science - Nursing, Leadership & Management
Walden University
04.2011
Bachelor of Science - Nursing
Medical College of Georgia
05.2002
Bachelor of Science - Education, Health Promotion & Behavior
University of Georgia
06.2000
Skills
- Relationship building
- Strategic planning
- Verbal and written communication
- Decision-making
- Program management
- Contract and vendor management
- Performance management
- Process improvement
- Teamwork and collaboration
- Effective leader
- Performance improvement
- People management
Affiliations
- American Organization of Nurse Executives
- American College of Healthcare Executives
Awards
Nominated for the2010 Athens Regional Medical Center Boss of the Year Award
Certification
- Registered Nurse
- State of Georgia
- RN159880
- Valid through January31,2026
- Quality Performance Improvement Black Belt Class
- Mercer University/Piedmont Healthcare
- Completion Date: February10,2017
Accomplishments
Quality Process Improvement Black Belt Certification from Mercer University
Timeline
Director of Population Health
In Clinic Rx/Southeast Medical Group
04.2023 - Current
RN Stars Quality Consultant, Southeast Region
Humana Work from Home Team
11.2022 - 03.2023
Quality Improvement Manager
Southeast Georgia Health System
06.2022 - 11.2022
Director of Care Management
Piedmont Newton Hospital
08.2019 - 05.2022
System Manager, Transitional Care & Sixty Plus Services
Piedmont Healthcare
01.2016 - 08.2019
Director of Case Management
Morgan Memorial Hospital
02.2013 - 01.2016
Director of Nursing
UHS Pruitt/Uni-Health Post Acute Care
03.2012 - 01.2013
Charge Nurse
Athens Regional Medical Center
05.2011 - 03.2012
Assistant Director
Athens Regional Medical Center
04.2007 - 05.2011
Staff/Charge Registered Nurse
Athens Regional Medical Center
06.2002 - 04.2007
Bachelor of Science - Nursing
Medical College of Georgia
Bachelor of Science - Education, Health Promotion & Behavior
University of Georgia
- Registered Nurse
- State of Georgia
- RN159880
- Valid through January31,2026
- Quality Performance Improvement Black Belt Class
- Mercer University/Piedmont Healthcare
- Completion Date: February10,2017
Master of Science - Nursing, Leadership & Management
Walden University
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