Summary
Overview
Work History
Education
Skills
Additionalprofessionalpositions
Affiliations
Timeline
Generic

Stella Refugia Ross, RN, PsyD

Columbia

Summary

Experienced and conscientious professional dedicated to advocating for social and economic well-being of individuals and families. Adept at providing guidance, support, and assistance, leveraging strong communication and management skills. Committed to inspiring community service and making a positive impact on the lives of others.

Overview

2025
2025
years of professional experience

Work History

Case Manager/Emergency Room RN

Holy Cross Hospital
  • As a Case Manager, I managed the patients in the Intensive Care Unit, the Stepdown Unit and the Emergency Room
  • My position as an Emergency Room Nurse at Holy Cross Hospital covered a period of 5 years
  • I also accepted two additional Emergency Room Nurse Manager positions at Providence Hospital (Washington, DC) and Shady Grove Adventist Hospital
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

Outpatient BH Nurse

Medstar Montgomery Medical Center
10.2022 - Current
  • Outpatient BH treatment involving partial health programs, intensive outpatient programs, dual diagnosed programs, medical management, and quality improvement

Population Health Case Manager

Kolmac (Concerted Care Group)
04.2022 - Current
  • Provide care coordination and case management services to the Baltimore population with addiction challenges and other social determinants of health (SDOH)
  • (part time)

Ambulatory Nurse Care Manager

Grace Medical Center
05.2021 - 10.2022
  • Care coordination and population health management of patient with uncontrolled chronic conditions and health risk indicators
  • Assist patients with navigating the social and healthcare services
  • Ongoing patient education of chronic care management and compliancy
  • Create and implement plans of treatment in conjunction with the CC team, primary and specialty providers
  • Develops and collects data; analyzes utilization of health care resources, including the interpretation of data and reports data outcomes
  • Participates in performance improvement activities
  • (PRN – 10/22-12/23)

State of Maryland UM Director

Department of Corrections
01.2017 - 05.2021
  • Company Overview: Wexford Health/Corizon Health
  • Monitor the health care services for inpatient hospitalizations and outpatient procedures for the incarcerated population for the State of Maryland
  • Oversight of the budget, cost effectiveness and quality management of the day to day operations
  • Modification of UM policies and procedures as appropriate
  • Review clinical claims as required
  • Collaborate with mental health, pharmacy and custody partners to ensure positive patient outcomes with national standard compliance (ACA, NCCHC)
  • Retrospective reviews of Emergency Room send outs
  • Supervision of clerical and clinical staff
  • Generate monthly reports to reflect concerning trends and performance issues
  • Training and onboarding of clinical staff, as required
  • Wexford Health/Corizon Health

Charge RN

Howard County Detention Center
09.2006 - 03.2017
  • Company Overview: Maryland State Dept of Corrections
  • Medical and emergency care of 300 inmates per shift
  • Intake assessments, counseling, medical administration per shift
  • Chronic care clinic per shift
  • Monitoring of patients on suicide precaution
  • Discharge planning/community referrals for scheduled releases
  • Maryland State Dept of Corrections

Medical Underwriter/Consultant

Coventry/Aetna
08.2005 - 01.2017
  • Evaluation and clarification of medical history of subscribers applying for medical coverage
  • Medical research on procedures, medication, etc
  • Requiring approval
  • Medical presentation on special projects
  • Staff training/orientation as required

Education

Bachelor’s Degree - Nursing

American University

Master’s Degree - Counseling

Trinity (Washington) University

Doctor of Psychology -

California Southern University

Skills

  • Emergency Care
  • Performance Management
  • Behavioral Health
  • Medical Claims Analysis
  • Ambulatory Case Management
  • Inpatient Case Management
  • Leadership
  • Supervision Abilities
  • Quality Management
  • Utilization Management
  • Risk Management
  • Policy Development
  • Process Development
  • Implementation
  • Budget Management
  • Compliance Administration
  • Evidence Based Practice Research
  • Critical Incident Stress Debriefing (CISD)
  • Electronic Health Record Data Analysis
  • Telemedicine Project Implementation
  • Peer Review
  • Process Auditing
  • Holistic Health Practitioner
  • Problem-Solving
  • Case Management
  • Case Documentation
  • Organization and Multitasking
  • Relationship Building
  • Documentation And Reporting

Additionalprofessionalpositions

  • Clinical Informatics Analyst, Holy Cross Hospital
  • EAP Counselor, Washington Metropolitan Area Transit Authority (WMATA)
  • Psychiatric Staff Nurse, Washington Adventist Hospital
  • Nurse Counselor/QM, Providence Hospital

Affiliations

  • American Case Management Association (ACMA)
  • American Holistic Nurses Association (AHNA)

Timeline

Outpatient BH Nurse

Medstar Montgomery Medical Center
10.2022 - Current

Population Health Case Manager

Kolmac (Concerted Care Group)
04.2022 - Current

Ambulatory Nurse Care Manager

Grace Medical Center
05.2021 - 10.2022

State of Maryland UM Director

Department of Corrections
01.2017 - 05.2021

Charge RN

Howard County Detention Center
09.2006 - 03.2017

Medical Underwriter/Consultant

Coventry/Aetna
08.2005 - 01.2017

Master’s Degree - Counseling

Trinity (Washington) University

Doctor of Psychology -

California Southern University

Case Manager/Emergency Room RN

Holy Cross Hospital

Bachelor’s Degree - Nursing

American University
Stella Refugia Ross, RN, PsyD