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Specialties: CCM: Certified Case ManagerCompact Nursing License
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Case ManagerWellcare Health Plans Sep 2017 - Aug 2022Tampa/St. Petersburg, Florida Area -
Registered NurseWellcare Health Plans Sep 2017 - Aug 2022United States -
Director Of Operations - Dental + DoctorOne Call Care Management Feb 2015 - Jun 2016Tampa, FloridaWith 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. -
Director Product Development, Pharmacy ServicesTechhealth Apr 2009 - Aug 2011Tampa/St. Petersburg, Florida AreaTechHealth 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
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Manager Utilization ReviewCoventry Health Care Sep 1996 - Apr 2009Tampa/St. Petersburg, Florida AreaSuccessfully 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 -
3-11 Charge NurseUsa Knollwood Park Hospital Jan 1981 - Sep 19953-11/11-7 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
Darlene Parker Education Details
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Chamberlain College Of NursingNursing -
Mississippi Gulf Coast Junior CollegeNursing
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.
What is Darlene Parker's email address?
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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.
Not the Darlene Parker you were looking for?
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Darlene Parker
Communications Professional | Passionate About Organizational And Social Change.Seattle, Wa -
2hntb.com, hntb.com
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4howard.com, aol.com, hotmail.com, howardcomputers.com
1 +160131XXXXX
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DARLENE PARKER
Spencer, Nc2yahoo.com, netzero.net
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