Summary
Overview
Work History
Education
Skills
Websites
Certification
References
Timeline
Generic

Tasha Young

Atlanta,GA

Summary

As a versatile and accomplished Registered Nurse Consultant, I bring a wealth of experience in various facets of healthcare, including Case Management, Chronic Care Management, and Care Coordination. My background encompasses Clinical Supervision, comprehensive Assessments, and effective Project Management, underpinned by a strong skill set in Coaching. Having worked in diverse settings such as clinical environments, acute care, and field assessments, along with roles as a Field Case Manager and Practice Consultant, I am adept at navigating the complexities of healthcare systems. My expertise in HEDIS further enhances my ability to deliver quality care across multiple settings. This rich tapestry of experience positions me uniquely to contribute to and thrive in a variety of contractual roles, driving innovation and excellence in healthcare delivery.

Overview

20
20
years of professional experience
1
1
Certification

Work History

CCM Implementation Consultant

Various Primary Care Providers In GA
09.2022 - Current
  • CCM Program Development and Implementation: Spearheaded the development and implementation of Chronic Care Management programs tailored specifically for solo primary care practices. Focused on creating scalable, efficient, and patient-centered CCM solutions.
  • Consultation and Strategy: Provided expert consultation to solo PCPs, guiding them through the complexities of CCM program initiation. Offered strategic advice on integrating CCM into existing practice workflows to enhance patient care and operational efficiency.
  • Training and Support: Conducted comprehensive training sessions for healthcare providers and staff, ensuring a thorough understanding of CCM processes, documentation requirements, and best practices.
  • Technology Integration: Assisted in the selection and implementation of appropriate technology and software tools to streamline CCM processes, emphasizing ease of use and effective patient management.
  • Compliance and Quality Assurance: Ensured that CCM programs adhered to all relevant regulations and standards, focusing on quality assurance and compliance to maximize program effectiveness and reimbursement.
  • Continuous Improvement and Feedback: Established mechanisms for ongoing feedback and continuous improvement, enabling solo PCPs to adapt and evolve their CCM programs in response to changing patient needs and healthcare trends.

Clinical Supervisor

GA ICWP Case Management Provider
01.2021 - Current
  • Evidence-Based Patient Care: Significantly improved patient outcomes by implementing evidence-based treatment plans and clinical interventions, demonstrating a commitment to high-quality, patient-centered care.
  • Team Collaboration Enhancement: Fostered enhanced team collaboration through regular staff meetings, case conferences, and training sessions, ensuring a cohesive and integrated approach to patient care.
  • Clinical Training Program Development: Developed and implemented a comprehensive clinical training program for new hires, standardizing care quality and ensuring consistency across the team.
  • Documentation Process Streamlining: Successfully streamlined documentation processes, effectively reducing the administrative workload for clinicians and increasing overall operational efficiency.

Nurse Assessor

Various EDWP Providers
01.2015 - Current
  • Comprehensive Patient Assessments: Conducted thorough and detailed assessments for patients in emergency departments, focusing on identifying immediate healthcare needs and determining appropriate care pathways.
  • Collaboration with EDWP Teams: Worked closely with multidisciplinary teams across various EDWP providers, ensuring cohesive patient care and effective communication among healthcare professionals.
  • Patient Advocacy and Support: Acted as a patient advocate, ensuring that each individual's health concerns were accurately identified and addressed. Provided essential support and guidance to patients and their families during critical times.
  • Data Collection and Reporting: Meticulously collected and reported patient data, contributing to the improvement of EDWP services and patient care quality. Ensured accurate documentation for each assessment, adhering to healthcare standards and regulations.

Case Management Consultant

Various Clients
07.2021 - 06.2023
  • Leadership in Care Management: Provided clinical supervision and leadership to a team of 10 case managers within the Georgia ICWP program, ensuring high standards of patient care and team performance.
  • Efficient Client Management: Managed a client census of 170, demonstrating exceptional ability in ensuring efficient and effective care delivery.
  • Comprehensive Patient Assessment: Conducted detailed assessments and coordinated personalized care plans, ensuring patient needs were meticulously addressed.
  • MDS Assessment Proficiency: Completed over 1000 MDS Assessments with a remarkable 95% approval rate, showcasing expertise in thorough and accurate patient evaluations.
  • Chronic Care Management Innovation: Implemented and managed Chronic Care Management (CCM) programs for a house calls practice, enhancing patient care through innovative approaches.
  • Process Optimization with AI: Streamlined workflow processes by integrating AI tools, achieving significant time savings of over 2000 hours and cost reductions of $30,000, highlighting skills in process improvement and technology utilization.

Quality Practice Consultant

UHC
01.2019 - 01.2021
  • Optimization of Care for Dual Eligible Patients: Played a key role in assisting primary care practices to enhance care delivery specifically for dual eligible patients, focusing on both efficiency and effectiveness.
  • Quality Care Enhancement: Provided expert guidance and support to healthcare practices, aiming to elevate the quality of care and improve performance metrics across various health parameters.
  • Comprehensive Practice Assessments: Conducted in-depth assessments of healthcare practices, identifying critical areas for improvement. Developed and implemented customized strategies for practice transformation, aligning with contemporary healthcare standards.
  • Value-Based Care Model Implementation: Successfully guided healthcare providers in the adoption and implementation of value-based care models. This initiative led to higher patient satisfaction and markedly improved clinical outcomes.
  • Strategic Advisory and Support: Offered strategic advice and continuous support to healthcare providers, ensuring seamless transition to and execution of advanced care models, ultimately contributing to the overall enhancement of patient care quality.

Clinical Nurse OIC

Major, US Army Nurse Corps Reserve Component
01.2004 - 01.2021
  • Leadership Training: Successfully completed the Captains Career Course and Officer Basic Course, acquiring vital leadership skills essential for military healthcare management.
  • Clinical Supervision and Management: Served as a Clinical Nurse Supervisor, overseeing and managing the delivery of healthcare services within military medical facilities. Demonstrated strong leadership in coordinating patient care and supervising medical staff.
  • Healthcare Excellence in Military Settings: Played a pivotal role in ensuring the delivery of high-quality medical care under challenging conditions, adapting to the unique demands of military healthcare environments and contributing to the overall well-being of service members.

Field Transitions of Care Case Manager

CVA(Aetna)
06.2017 - 05.2019
  • Field Assessments and Care Coordination: Conducted comprehensive field assessments for Humana at Home clients enrolled in Medicare Advantage plans, coordinating effective transitions of care.
  • Interdisciplinary Team Collaboration: Worked collaboratively with interdisciplinary teams to develop personalized care plans, ensuring seamless transitions between various care settings.
  • Patient Resource Facilitation: Assisted patients in accessing essential resources and services, supporting their healthcare needs and enhancing their overall well-being.
  • Compliance and Outcome Optimization: Maintained strict adherence to Medicare guidelines and regulations, optimizing patient outcomes and significantly reducing hospital readmissions.

Senior Clinical Consultant

Anthem
05.2015 - 06.2017
  • Practice Transformation Leadership: Assisted both large and small healthcare groups in transitioning to value-based programs, playing a pivotal role in guiding practice transformation.
  • Clinical Quality Improvement Initiatives: Provided expert guidance and support in clinical quality improvement initiatives, leveraging my knowledge in practice transformation and the implementation of Plan-Do-Study-Act (PDSA) cycles.
  • Collaboration for Optimal Outcomes: Worked closely with healthcare providers to optimize clinical outcomes, significantly enhancing patient experiences and driving operational efficiency within value-based care models.

Education

MBA - Entrepreneurship

Walden University
Minneapolis, MN
06.2012

Bachelor of Science - Nursing

University of Virginia
Charlottesville, VA
05.2006

No Degree - RN Diploma

Bon Secours Memorial College of Nursing
Richmond, VA
08.2003

Skills

  • Clinical Expertise
  • Healthcare Consulting
  • Project Management
  • Change Management
  • AI and Automation Implementation
  • Strategic Planning
  • Data Analysis
  • Patient Care Coordination
  • Team Leadership and Coaching
  • Healthcare Technology Integration
  • Quality Assurance and Compliance
  • Communication Skills

Certification

  • Integrated Case Management
  • Project Management
  • Lean Six Sigma Yellow Belt
  • Telemedicine Certification
  • ChatGPT Certification
  • Prompt Engineering Certification


References

  • Kimberly Mayes, 713-447-0277, kimbrebry757@yahoo.com
  • Nichole Benson, 678-499-1102, nyahtal@jumpstarths.com

Timeline

CCM Implementation Consultant

Various Primary Care Providers In GA
09.2022 - Current

Case Management Consultant

Various Clients
07.2021 - 06.2023

Clinical Supervisor

GA ICWP Case Management Provider
01.2021 - Current

Quality Practice Consultant

UHC
01.2019 - 01.2021

Field Transitions of Care Case Manager

CVA(Aetna)
06.2017 - 05.2019

Senior Clinical Consultant

Anthem
05.2015 - 06.2017

Nurse Assessor

Various EDWP Providers
01.2015 - Current

Clinical Nurse OIC

Major, US Army Nurse Corps Reserve Component
01.2004 - 01.2021

MBA - Entrepreneurship

Walden University

Bachelor of Science - Nursing

University of Virginia

No Degree - RN Diploma

Bon Secours Memorial College of Nursing
  • Integrated Case Management
  • Project Management
  • Lean Six Sigma Yellow Belt
  • Telemedicine Certification
  • ChatGPT Certification
  • Prompt Engineering Certification


Tasha Young