OLUSOLA "SHOLA" AJELETI-OLUFADEJU
Missouri City,Texas
Summary
RN Case Manager-Team Lead/Preceptor at Elevance Health, adept from a decade of experience enhancing healthcare processes. Demonstrates strong problem-solving and leadership skills, coupled with expertise in Six Sigma Lean methodologies to streamline operations and improve client outcomes. Highly skilled in critical thinking, adaptability, and technical knowledge. Quality-driven and efficient with strong interpersonal abilities, ensuring high standard of care and team coordination in dynamic environments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
RN Case Manager-Team Lead/Preceptor
Elevance Health
Houston, TX
05.2022 - Current
- Demonstrates exceptional organizational skills, multitasks, and manages numerous processes, programs, and procedures simultaneously under pressure to meet deadlines.
- Utilized influencing/motivational interviewing skills to enhance member engagement and foster lifestyle/behavior modifications to optimize health.
- Promoted quality and cost-effective outcomes while providing suggestions to enhance program/operational efficiency.
- Conducted performance-based training sessions, implementing newly developed GBD strategies.
- Conducted audits on medical records to ensure compliance and quality, using HEDIS/NCQA measures.
- Comprehended learning and cultural differences to enhance learner receptiveness and effectiveness domestically and globally.
RN Case Manager-Telephonic
Anthem Inc.
Houston, TX
05.2020 - 04.2022
- Utilized data analysis techniques to create personalized case management programs and refer members to alternative healthcare services.
- Conducts comprehensive clinical assessments.
- Developed and implemented flexible approaches to member needs, benefit plans, and external programs/services.
- Provided coaching, information, education, and support to empower members and facilitate ongoing independent decision-making.
RN Case Manager
Anthem Inc.
Houston, TX
07.2018 - 04.2020
- Facilitated an ongoing assessment of members' needs and interdisciplinary team care plan implementation
- Ensured cost effective and quality patient care by appropriate utilization of medical resources
- Closely collaborated with the management team to make necessary improvements and satisfy member needs
- Conducts review for appropriate utilization of resources and services from admission, and long-term to meet client's needs
RN Case Manager
Amerigroup of Texas
Houston, TX
06.2016 - 06.2018
- Developed and implemented growth strategies
- Maintained ongoing compliance with federal, state or Medicaid laws and standards.
- Managed assigned workload within established performance standards
- Coordinated smooth transition and follow-ups from one level of care and service to another
RN- Case Manager
Amerigroup Of Texas
Houston, TX
06.2014 - 05.2016
- Assessed patient's physical, mental, and psychosocial health status to develop individualized are plans.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
Education
MSN - Leadership in Health Care System
GRAND CANYON UNIVERSITY
01.2018
MBA - Health Care Management
THE UNIVERSITY OF TEXAS AT TYLER
01.2016
Bachelor of Science - Nursing
GRAND CANYON UNIVERSITY
01.2014
Skills
- Lean Six Sigma
- Preceptorship/Mentoring
- Strong problem-solving
- Patient evaluation/intervention
- Effective Communication
- Critical thinking and Adaptability
- Telehealth/Telephonic Skills
- Time Management
- Chronic Disease Management
- Insurance knowledge
- Healthcare regulations
- Discharge Planning
- Quality Improvement
- Care Coordination
- Microsoft Office proficient
- Healthcare knowledge
- Care Planning
- Regulatory Compliance
- Interdisciplinary Collaboration
- Digital Intelligence
- Utilization reviews
- RN Case Management
- Community Resource Referrals
- Patient Care and Education
- Care Delivery
- Resource Management
- Caseload Management
Affiliations
- Community Volunteering at Habitat for Humanity ReStore.
- International Coordinator: Virtual Bible-Study Fellowship-BLCM.
Certification
- Resource Utilization Group Certification (RUG)
- Registered Nurse Certified-Maternal and Newborn Nursing (RNC-MNN)
- Case Manager Certification-In Progress
Accomplishments
- President's List at Grand Canyon University for Undergraduate Nursing degree.
- Professor Lambo's Award for the "Best Nurse of the Year" in Psychiatry.
Languages
Afrikaans
Native/ Bilingual
Pidgin English
Native/ Bilingual
References
References available upon request.
Timeline
RN Case Manager-Team Lead/Preceptor
Elevance Health
05.2022 - Current
RN Case Manager-Telephonic
Anthem Inc.
05.2020 - 04.2022
RN Case Manager
Anthem Inc.
07.2018 - 04.2020
RN Case Manager
Amerigroup of Texas
06.2016 - 06.2018
RN- Case Manager
Amerigroup Of Texas
06.2014 - 05.2016
MSN - Leadership in Health Care System
GRAND CANYON UNIVERSITY
MBA - Health Care Management
THE UNIVERSITY OF TEXAS AT TYLER
Bachelor of Science - Nursing
GRAND CANYON UNIVERSITY
Similar Profiles
Brittany OwensBrittany Owens
Customer Service Representative at Elevance HealthCustomer Service Representative at Elevance Health
Arthur LeeArthur Lee
Data Entry Specialist at Elevance HealthData Entry Specialist at Elevance Health
Rachael LeeRachael Lee
Customer Service Representative III at Elevance HealthCustomer Service Representative III at Elevance Health
Rikki RamirezRikki Ramirez
Prior Authorization Specialist at Elevance HealthPrior Authorization Specialist at Elevance Health
Karly MillerKarly Miller
Infection Preventionist at Memorial Hermann Southwest HospitalInfection Preventionist at Memorial Hermann Southwest Hospital