Rachelle Denkmann
Lino Lakes,MN
Summary
Highly skilled health care professional offering proven clinical knowledge, with more than twenty years of nursing, management and leadership experience across multiple care settings. An expert in value based care, accountable care organizations, population health, program development and Centers for Medicare and Medicaid programs. Focused on continuously advancing expertise in Geriatrics while driving innovation and quality.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Population Health Manager
Genevive
12.2022 - Current
- Responsible for the overall operations of the Value Based Care census of approximately 4,000 patients
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
- Development and successful implementation of a population health program through professionalism, quality care and team work
- Identified and executed quality measures for the Value Based Programs
- Oversaw the population health budget and expense management for the department
- Created and monitored internal systems, including population health technology systems and related functions inside the electronic health system
- Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Captured one million dollars in revenue by meeting specific quality measures
Home Visit Nurse Manager
Genevive
12.2015 - 12.2022
- Applied nursing expertise to meet the needs of geriatric patients and their families across multiple settings
- Collaborated with Physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions
- Delivered high level of quality care to diverse populations while triaging based on acuity and overseeing new admissions
- Coordination and implementation of a unique home based primary care practice servicing medically complex geriatric clients throughout the Twin Cities
- Worked closely with Physicians, Nurse Practitioners and a larger interdisciplinary team to provide high quality, value-based care
- Exercised exemplary clinical judgement when making care decisions, while working at the top of licensure
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Established open and professional relationships with patients, families, and partner facilities, to ensure appropriate and timely communication
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Managed patient care transitions across continuums
- Provided education to patients and families
- Assisted in training and onboarding new team members
- Participated in the COVID-19 task force during the pandemic
MSHO Care Coordinator
Genevive
01.2011 - 12.2015
- Complex Case Manager for 85-100 geriatric patients who are enrolled in the Minnesota Senior Health Option (MSHO) and Minnesota Senior Care Plus (MSC+) programs, in conjunction with the state Elderly Waiver program
- Conducted face to face comprehensive assessments of medical and psychosocial needs of the frail elderly population, including DHS Long Term Care Consultation (LTCC) screening, medication reconciliation, and PCA assessments to determine appropriate level of care needed to continue to live in the community
- Developed Person Centered Plans of Care based on the comprehensive assessment, with the goal of maximizing patient independence, yet ensuring appropriate services and equipment were in place to meet health and the safety needs of the patient
- Strong understanding of Medicare, Medical Assistance, Waiver programs and CMS rules and regulations
- Overall management of the patients Elderly Waiver and MSHO/MSC+ benefits to keep home and community services, as well as durable medical equipment with in capitation
- Completion of Customized Living Work Books
- Arrangement and referrals to to home and community based services, as well as ongoing monitoring and coordination of these services to ensure patient health and safety needs continue to be met
- Assist with transition management across multiple care settings to capture gaps in care and to identify increased needs of the patient
- Transition patients from Long Term Care facilities to independent living settings
- Identify and implement methods to decrease ER and hospital utilization
- Collaborate with Primary Care providers and specialists to provide coordinated care for optimal health outcomes and to promote preventative care needs, as well as management of chronic care needs
MnDHO/SNBC RN Case Manager
Axis Healthcare
01.2005 - 01.2011
- Complex Case Manager for 45-50 disabled adults with chronic and acute illness, between the ages of 18-65 who are enrolled in the MnDho/SNBC state funded programs, as well as the CADI waiver program
- Managed patient CADI waiver benefit while meeting parameters of a unique monthly budget
- Conduct in home DHS Long Term Care Consultation, Health Risk, and PCA assessments, annually and as needed
- Assist patients to transfer from Long Term Care facilities to an independent living environment
- Transition management across multiple care settings
- Attended patient appointments with Primary Care and specialists in an effort to provide improved coordination of care, to maximize optimal health outcomes and to ensure appropriate care delivery
- Worked with patients and community providers to reduce ED and hospital utilization
Education
Bachelor of Arts - Nursing
The College of St. Catherine
St. Paul, MNSkills
- Interpersonal Communication Skills
- Assisted Living/Long Term Care
- Staff Meetings
- Electronic Charting
- Direct Patient Care
- Educating
- HIPAA Guidelines
- Center for Medicare and Medicaid Services (CMS)
- Geriatrics
- Patient Advocacy
- Quality and Compliance
- Program Development
Certification
- Licensed Registered Nurse
- Certified Public Health Nurse
- Certified Advanced Care Planner
- Licensed Director of Assisted Living
- Certified Infection Preventionist
- Certified in Cardiopulmonary Resucitation
Timeline
Population Health Manager
Genevive
12.2022 - Current
Home Visit Nurse Manager
Genevive
12.2015 - 12.2022
MSHO Care Coordinator
Genevive
01.2011 - 12.2015
MnDHO/SNBC RN Case Manager
Axis Healthcare
01.2005 - 01.2011
Bachelor of Arts - Nursing
The College of St. Catherine
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