Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Stacey Wargowsky

Durand,WI

Summary

Accomplished Senior Director recognized for leveraging strong team leadership to drive forward positive outcomes. Has led many departments and teams across the Family Care business line, including provider relations/contracting, care management support and care management with experience in various other departments. Experienced project owner and integration lead for many services and support functions during a past merger. Lead trainer for care managers transitioning into a new clinical system post merger.

Overview

20
20
years of professional experience
1
1
Certification

Work History

Associate Director Care Management Support LTSS

Humana
12.2023 - Current
  • Improved overall team efficiency by streamlining processes and practices.
  • Managed cross-functional teams for multiple projects, successfully completing each timely. .
  • Reduced service costs by identifying strategies and implementing cost-saving measures.

Senior Director of Provider Relations and Support

Inclusa
03.2023 - 12.2023
  • Oversight of Provider Relations, Care Management Support, Administrative Supports, Provider Contracting, Certification and Credentialing teams.
  • Directs execution of business transformation initiatives to reduce cost and attrition and improve quality. Ex. NW regional lead for Nursing Home utilization initiative in 22-23' resulting 24% net reduction; transportation utilization project resulting in 17% reduction.
  • Drives strategic improvements to enhance operational and organizational efficiencies while reducing administrative costs.
  • Works closely with organizational leadership to strategically affect operational direction.

Executive Director of Care Management Support

Inclusa
12.2021 - 03.2023
  • Worked collaboratively to develop organizational goals, to identify and support implementation of strategies that advance organizational goals.
  • Aligned department vision, goals and objectives with company strategy to achieve consistently high results.
  • Evaluated and innovated in order to deliver quality services and supports to colleagues and members supported.
  • Lead multiple subject matter expert/support teams.
  • Prioritized and allocated valuable resources to meet business targets.
  • Drove strategic improvements to enhance operational and organizational efficiencies.

Director of Care Management Support

Inclusa
01.2017 - 12.2021
  • Developed new Care Management Support Department that delivered quality services and supports to care managers and members supported.
  • Supported subject matter expert teams, including Durable Medical Equipment (DME), Purchasing, Transportation, Community First, Administrative Supports, and Enabling Tech.
  • Functioned as a project owner for multiple processes and system integration efforts, worked in collaboration with IT and other organizational leaders.
  • Trained two organization's care managers on processes and procedures and a new care management system post merger.

Service Coordination Director

Western Wisconsin Cares
04.2008 - 01.2017

(Promoted from Care Manager to Eligibility Specialist to Quality/Member Support Manager to Service Coordination Director)

Director

  • Oversaw care management practice units and boosted team member performance to excel in care management best practices.
  • Mentored and coached care managers whose role was to perform person-centered assessments and delivery of services.

Manager

  • Provided leadership and coaching to care management units who completed strength-based, person-centered assessments, and service delivery.
  • Lead organizational efforts, such as regional outreach, home modifications, and community resource development committees.

Eligibility Specialist

  • Assisted care managers and members with financial and functional eligibility reviews.
  • Functioned as liaison between Aging and Disability Resource Centers for enrollments and Income Maintenance departments for financial eligibility renewals.

Comprehensive Community Services (CCS) Social Work

La Crosse County Human Services
06.2006 - 04.2008
  • Case managed individuals diagnosed with serious and persistent mental illness and AODA.

Community Support Program (CSP) Social Worker

Riverfront, Inc.
06.2004 - 05.2006
  • Provided intensive case management services to individuals diagnosed with serious and persistent mental illness that were at risk in the community.

Education

Bachelor of Arts - Psychology And Sociology

Winona State University
Winona, MN
05.2002

Skills

  • Strategic Planning and Execution
  • Complex Problem Solving
  • Relationship and Team Building
  • Innovative and Visionary
  • Systems Thinker
  • Resource Utilization
  • Process Improvement
  • Understanding of business functions

Certification

  • Certified Enabling Technology Specialist (ETIS)
  • IDEO Insights for Innovation Design Thinking certificate

Timeline

Associate Director Care Management Support LTSS

Humana
12.2023 - Current

Senior Director of Provider Relations and Support

Inclusa
03.2023 - 12.2023

Executive Director of Care Management Support

Inclusa
12.2021 - 03.2023

Director of Care Management Support

Inclusa
01.2017 - 12.2021

Service Coordination Director

Western Wisconsin Cares
04.2008 - 01.2017

Comprehensive Community Services (CCS) Social Work

La Crosse County Human Services
06.2006 - 04.2008

Community Support Program (CSP) Social Worker

Riverfront, Inc.
06.2004 - 05.2006

Bachelor of Arts - Psychology And Sociology

Winona State University
Stacey Wargowsky