Manager Care Coordination
Manager of multiple RN case management teams supporting a Medicare client population located across the United States.• Direct supervision of team of registered nurses providing telephonic case management services to a Medicare population in collaboration with Social Workers, Pharmacists, Medical Director and Infield Case Managers. • Designed and implemented clinical telephonic engagement team to assess and identify health care gaps and unmet needs of client membership and assign cases to appropriate clinicians and/or disciplines to facilitate member centric case management services. • Collaborate with multidisciplinary team, consistently meeting contractual outcomes and performance guarantees for clients. • Developed process workflows for DME process as well as creating client report to analyze and demonstrate DME productivity and outcomes. • Successfully initiated operational process changes for increased quality and efficiency using rapid cycle process improvement techniques.• Partner with IT programmers and business analysts to design, build and implement new operational platform.• Provided staff training and support for successful transition to new electronic platform.• Analysis after launch of new platform to identify and remediate any barriers to success of platform from operational and reporting perspective.• Analyze and identify reporting requirements to facilitate development of internal and external operational reports