Summary
Overview
Work History
Education
Skills
Accomplishments
Languages
Timeline
Generic

Nikita "Gena" Culton

Katy

Summary

Experienced Healthcare Professional with 10+ years in organizational development, quality assurance (HEDIS/NCQA), provider and clinical education, hematology oncology, pediatrics, maternal care outcomes, senior primary care, and clinical leadership. Skilled in data analytics, project management, EMR integration, and process improvement. Adept at fostering partnerships, mentoring teams, and driving initiatives that improve compliance, efficiency, and health outcomes. Seeking an innovative role that provides growth, autonomy, and measurable impact. Demonstrated ability to develop targeted care plans that effectively address social determinants of health, leading to improved patient outcomes and robust support for value-based care models. Currently licensed as an RN (Compact, TX) through January 31, 2027.

Overview

13
13
years of professional experience

Work History

OB-GYN Practice Consultant

Elevance Health
01.2023 - 04.2025
  • Led value-based care initiatives
  • Maternal health and Medicare/Medicaid members.
  • Developed and implemented care plans
  • Addressing clinical needs
  • Social determinants of health such as food access, transportation, and home support.
  • Provider Consulting, Engagement, and Education
  • Networking and Team Collaborations
  • Advocate/Liaison
  • Quality Assurance and CQI
  • Data Analysis
  • HEDIS/NCQA/STARS
  • Process Improvement
  • Managed Care
  • Value Based Programs
  • Strategic Planning and Partnerships
  • Community Organization outreach and alignment for Improved Health Outcomes
  • Quarterly Reviews and Updates



Staff Nurse / Educator / Preceptor

Texas Children's Hospital Women's Pavilion
05.2019 - 01.2023
  • Delivered patient-centered care
  • Triage services across ambulatory and acute settings.
  • Precepted and mentored nursing staff
  • Ensuring best practices and adherence to ANA standards.
  • Supported workflow optimization
  • Staff training and scheduling
  • Quality audits during COVID-19 response
  • Direct patient care
  • Assist with In clinic Procedures
  • Maternal Services
  • Team of Team
  • Coordination of Home Health

Weekend Supervisor

The Crescent
05.2018 - 05.2019
  • Supervised weekend operations
  • Directed a multidisciplinary care team.
  • Conducted audits
  • Tracked performance metrics
  • Implemented corrective actions
  • Ensured compliance with regulatory standards
  • Maintaining high patient care quality
  • Senior Rehab Care Facility Support

RN Coordinator (OB-GYN / Internal Medicine / Cardiology)

Kelsey-Seybold Clinic
06.2012 - 04.2018
  • Coordinated care for chronic disease management
  • Multispecialty patients
  • Facilitated provider communication
  • Follow-ups and patient navigation of complex systems.
  • Supported case management team
  • Patient advocacy
  • Transitional care planning
  • Staff development and Mentorship
  • Triage High Call Volume
  • Leadership and Team Collaborations
  • Scheduling and Time Keeping

Education

Registered Nurse - Texas Compact License #RN726457

BSN - undefined

Lamar University
Beaumont, TX
12.2017

Associate Degree in Nursing - undefined

Lee College
Baytown, TX
05.2005

Skills

  • Care Coordination and Problem Solving
  • Medicare / Medicaid / Stars / HEDIS
  • Social Determinants of Health (SDOH)
  • Quality Improvement & Compliance (NCQA)
  • Interdisciplinary Team Leadership
  • Clinical Performance & Utilization Review
  • EMR Systems (Epic, Athena, EcW)
  • Microsoft and Google Applications
  • Data Analytics and Reporting
  • Remote Care & Telephonic Outreach
  • Patient Advocacy, Discharge Planning & Education
  • Organizational Development & Strategic Planning

Accomplishments

    • Care Provider Experience Health Champion – Elevance Health Recognized for OB outcomes improvement, provider education, and mentorship

    • Quality Improvement & Audit Committees – Texas Children’s Hospital Active participant in initiatives to improve care transitions, compliance, and outcomes.

    • Nursing Preceptor & Mentor – Supported onboarding and development of nursing staff across multiple organizations.

Languages

English
Native or Bilingual

Timeline

OB-GYN Practice Consultant

Elevance Health
01.2023 - 04.2025

Staff Nurse / Educator / Preceptor

Texas Children's Hospital Women's Pavilion
05.2019 - 01.2023

Weekend Supervisor

The Crescent
05.2018 - 05.2019

RN Coordinator (OB-GYN / Internal Medicine / Cardiology)

Kelsey-Seybold Clinic
06.2012 - 04.2018

BSN - undefined

Lamar University

Associate Degree in Nursing - undefined

Lee College

Registered Nurse - Texas Compact License #RN726457

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Nikita "Gena" Culton