Darlene Parker

Darlene Parker Email and Phone Number

Retired Case Manager
Darlene Parker's Location
Tampa, Florida, United States, United States
Darlene Parker's Contact Details

Darlene Parker work email

Darlene Parker personal email

About Darlene Parker

Specialties: CCM: Certified Case ManagerCompact Nursing License

Darlene Parker's Current Company Details

Retired Case Manager
Darlene Parker Work Experience Details
  • Wellcare Health Plans
    Case Manager
    Wellcare Health Plans Sep 2017 - Aug 2022
    Tampa/St. Petersburg, Florida Area
  • Wellcare Health Plans
    Registered Nurse
    Wellcare Health Plans Sep 2017 - Aug 2022
    United States
  • One Call Care Management
    Director Of Operations - Dental + Doctor
    One Call Care Management Feb 2015 - Jun 2016
    Tampa, Florida
    With the acquisition of TechHealth by One Call Care Management in 2011, I continue in my role as Pharmacy Director and Regulatory support. In February 2015 I accepted the role of Director of Operations for the Dental + Doctor operations along with my pharmacy duties.
  • Techhealth
    Director Product Development, Pharmacy Services
    Techhealth Apr 2009 - Aug 2011
    Tampa/St. Petersburg, Florida Area
    TechHealth was acquired by One Call Care Management in 2011.The dual role as the director of the pharmacy program and product development demonstrates my ability to carry out multiple tasks simultaneously. • Responsible for overall operations of TechHealth Pharmacy Program. Work in close collaboration with the designated Pharmacy Benefit Management team to develop an environment that promotes excellence in clinical practice, regulatory readiness/compliance, and customer satisfaction, while striving for optimal efficiency and productivity of all resources• Responsible for creating and continually developing TechHealth products such as the PT Progress, TechRx, Pharmacy newsletter and Medicare Set-Aside program. Continually review and enhance processes, system and work tools to minimize cost, time and errors while increasing quality and service• Created a learning and motivational environment through effective use of coaching, mentoring and positive reward recognition techniques• Maintain dynamic relationships with multiple large and small client• Created client level pharmacy presentations to provide overview of pharmacy services• Collaborated in a company-wide “Task Force” which included key participants to identify opportunities for process and productivity improvement and to implement solutions. During this 5 month endeavor, several mapping exercises and productivity improvements were executed and carried to completion.• Responsible for regulatory review for pharmacy department with added responsible for companywide regulatory added in 2013• Development and maintain policy and procedures for company• Provide monthly pharmacy productivity reporting to executives
  • Coventry Health Care
    Manager Utilization Review
    Coventry Health Care Sep 1996 - Apr 2009
    Tampa/St. Petersburg, Florida Area
    Successfully lead a team of 30+ staff to complete 32,000 utilization reviews annually with a 99 percent compliance with jurisdictional turnaround times. Developed processes that increased production from 9 reviews to 12-15 review per day by each nurse. Proactively monitored cases to track trends for learning opportunities for staff development• Implement new business• Maintain dynamic relationships with multiple large and small customers• Personally provided in-depth retrospective chart review for select client for medical necessity and cost containment• Coordinate/assist with national audits to maintain corporate certification• Serve on committees for review and development of policies and procedures
  • Usa Knollwood Park Hospital
    3-11 Charge Nurse
    Usa Knollwood Park Hospital Jan 1981 - Sep 1995
    3-11/11-7 Relief House Supervisor 1994-1996• Staffed based on Acuity/Census reports• Emergency Liaison• Logged reports on activities that transpired during shiftsA.D.N. Charge Nurse 1987 to 1996• Served as charge nurse of a 50 bed unit • Level II on a Clinical Ladder for hospital expertise.• Monitored and assigned preceptor for orientation of new employees• Revised and developed unit policies• Developed and presented a quarterly educational in-service• Assisted with the opening of a 20 bed Orthopedic/Surgery unit

Darlene Parker Skills

Ccm Certified Case Manager Healthcare Utilization Review Managed Care Health Insurance Hipaa Process Improvement Healthcare Information Technology Insurance Strategic Planning Workers Compensation Medicare Healthcare Management Medicaid Leadership Provider Relations Team Building Customer Service Business Process Improvement Healthcare Information Technology

Darlene Parker Education Details

  • Chamberlain College Of Nursing
    Chamberlain College Of Nursing
    Nursing
  • Mississippi Gulf Coast Junior College
    Mississippi Gulf Coast Junior College
    Nursing

Frequently Asked Questions about Darlene Parker

What is Darlene Parker's role at the current company?

Darlene Parker's current role is Retired Case Manager.

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What schools did Darlene Parker attend?

Darlene Parker attended Chamberlain College Of Nursing, Mississippi Gulf Coast Junior College.

What skills is Darlene Parker known for?

Darlene Parker has skills like Ccm, Certified Case Manager, Healthcare, Utilization Review, Managed Care, Health Insurance, Hipaa, Process Improvement, Healthcare Information Technology, Insurance, Strategic Planning, Workers Compensation.

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