Sarah Moulton
Tampa
Summary
Clinical bedside nursing in the medical-surgical area. Telephonic Certified Case Manager with Utilization Review focus. Results and solution-focused leader, with a clinical operations management background. Including a successful track record of cultivating relationships and delivering goals. A proven team-building-oriented leader with a successful background in change management, employee recruitment, and development. Superior ability to monitor key company performance indicators.
Respectful Clinical Manager with extensive knowledge of health care administration and clinical philosophy. Familiar with fiscal management systems and human resource management. Talented at maintaining and developing effective relationships with staff, patients and senior management. Excellent supervisory skills and performance working under pressure.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Clinical Business Manager
UnitedHealth Group
01.2020 - Current
- Provides leadership to and is accountable for the performance of supervisors and/or service account managers/navigators
- Call monitoring to confirm the member-centric contact is established
- Successfully led over 154 staff supporting MA, DSNP, both M&R and C&S
- Development, hiring, and onboarding for new staff
- Develop and communicate performance metrics and expectations
- Active participant in meetings
- Adapts departmental plans and priorities to address business and operational challenges
- Apply metrics to evaluate services, employee performance, and program outcomes, including service levels, idle time, schedule adherence
- Influences or provides input to forecasting and planning activities
Manager Medical – Clinical Operations
UnitedHealth Group
01.2018 - 01.2020
- Leverage clinical acumen to provide guidance to staff (e.g., disease state, health conditions) for the DSNP and Community & State population
- Sets team direction, resolves problems, and provides guidance to members of own team
- Develop medical and clinical operations program goals for specific roles
- Intervene in resolution of member or employee complaints or issues as necessary
- Oversee ongoing monitoring and internal auditing against relevant guidelines and standards
- Develop and communicate performance metrics and expectations
- Adapts departmental plans and priorities to address business and operational challenges
- Apply metrics to evaluate services, employee performance, and program outcomes
- Influences or provides input to forecasting and planning activities
Clinical Program Manager Field Based
UnitedHealth Group
03.2015 - 01.2020
- Provided oversight and development of program guidelines for the rollout of a new Medicare Community Health Worker Program in the State of Florida
- Active participant in product, service or process decisions that impacted multiple groups of employees and/or customers (internal or external)
- Successful expansion to three additional states (CT, NJ, and NY) and hiring of six additional staff
- Development of training that was eventually adapted by the organization for future field community-based programs
- All customer expectations and targets met
Program Administrator
UnitedHealth Group
10.2014 - 03.2015
- Work in team environment to effectively manage interconnecting end to end processes to support performance technology administration
- Troubleshoot and resolve simple to complex user questions
- Provide guidance and conduct training to all levels within operations to ensure accurate and robust use of performance technology
- Work closely with all operational leadership at all levels through each phase of release schedule
Clinical Manager
UnitedHealth Group
01.2001 - 10.2014
- Provide leadership to a large group of medical and behavioral clinicians and support staff
- Successful meeting goals and priorities of a very demanding customer
- Effectively established and maintained cross functional and cross location partnerships
- Sets team direction, resolves problems, and provides guidance to members of the team
- Adapts departmental priorities to address business and operational challenges
- Created a team culture where employees feel heard and valued
- Organizes and coordinates team building activities
- Influences and provides input to forecasting and planning activities
- Active participant with customer audits, providing feedback, ideas for new products
- Special projects as assigned by senior leadership
Telephonic Case Manager
UnitedHealth Group
01.1996 - 01.2001
- Telephonic utilization review/management
- Appropriate assessments
- Patient and family liaison, education, and care
- Build care plan and establish continuum of service
- Coordinate services depending on the level care, acute, and sub-acute
- Perform Medication Reconciliation
- Case Management
Staff/Charge Nurse
James A. Haley Veterans Hospital
01.1991 - 01.1996
- Progressive advancement in responsibilities and opportunities during employment
- Evaluates, plans, and administers nursing care to patients
- Administer prescribed medication and treatment
- Monitors and records patient condition and notifies physician when appropriate
- Monitors patient care provided by LPNs, CNAs, and others
- Collaborates with nursing leadership and individual clinical and ancillary departments to develop and implement staff education
- Promotes a culture of education and collaboration between departments to meet the hospital mission
Education
Associate Degree of Science -
Hillsborough Community College
Bachelor of Science - Nursing
University of Phoenix
Phoenix, AZSkills
- Budget development
- Clinical operations
- Product lifecycle management
- Revenue growth
- Staff supervision
- Effective communication
- Recruitment and retention
- Managerial experience
- Patient engagement
- Improving clinical quality outcomes
- Team management
- Employee issue resolution
- Quality improvement
Accomplishments
- Participated in Delivering Quality.
- Collaborated with a team of 150 in the development of DE Escalation techniques.
- Achieved successful results by introducing CoPilot for AI tasks.
- Led a team of 7 supervisors and 163 staff members.
- Resolved product issue through consumer testing.
Personal Information
Title: RN, BSN, CCM
Certifications Licensure
- Registered Nurse State of Florida
- Certified Case Manager
Certification
- Certified Medical Manager (CMM) - Professional Association of Health Care Office Management.
Languages
English
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Location
RemoteHybridImportant To Me
Company CultureCareer advancementWork-life balanceWork from home optionTeam Building / Company RetreatsTimeline
Clinical Business Manager
UnitedHealth Group
01.2020 - Current
Manager Medical – Clinical Operations
UnitedHealth Group
01.2018 - 01.2020
Clinical Program Manager Field Based
UnitedHealth Group
03.2015 - 01.2020
Program Administrator
UnitedHealth Group
10.2014 - 03.2015
Clinical Manager
UnitedHealth Group
01.2001 - 10.2014
Telephonic Case Manager
UnitedHealth Group
01.1996 - 01.2001
Staff/Charge Nurse
James A. Haley Veterans Hospital
01.1991 - 01.1996
Bachelor of Science - Nursing
University of Phoenix
Associate Degree of Science -
Hillsborough Community College
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