Denise Mcdowell

Denise Mcdowell Email and Phone Number

Retired @
Denise Mcdowell's Location
Palm Coast, Florida, United States, United States
Denise Mcdowell's Contact Details
About Denise Mcdowell

Accomplished and resourceful health care executive with over 30 years of broad scope experience coordinating, planning, and delivering health care across the continuum and within multiple industry echelons. Proven track record in meeting the most challenging organizational goals. Experienced problem solver, self-starter and consensus builder. Skilled in acute and outpatient health care, quality based reimbursement, regulatory compliance, physician practice management, strategic planning, infection prevention, case management/care coordination, patient satisfaction, risk management. utilization review, health information management, medical/legal nursing, The Joint Commission Accreditation and the Military Health System.

Denise Mcdowell's Current Company Details
McDowell Medical Legal Consulting, LLC  (MMLC)

Mcdowell Medical Legal Consulting, Llc (Mmlc)

Retired
Denise Mcdowell Work Experience Details
  • Mcdowell Medical Legal Consulting, Llc  (Mmlc)
    Owner/Certified Legal Nurse Consultant
    Mcdowell Medical Legal Consulting, Llc (Mmlc) Jan 2016 - Present
    Palm Coast, Fl
    MMLC is a small, privately owned nursing consultative business that upholds a strong belief in providing attorney-clients comprehensive nursing knowledge, expertise and health care delivery experience to enhance justice for all clients served. Our company can:* Screen medical cases to eliminate the expense of non-meritorious lawsuits. * Analyze electronic medical records, hospital policies and procedures and interpret their relevance to your case.* Identify and locate the best medial expert witnesses to strengthen the credibility of your case.* Develop reports and chronologies to highlight the significant medical events and how they fit into the overall case analysis.
  • Adventhealth
    Director Care Management
    Adventhealth Jan 2017 - Mar 2021
    Daytona Beach, Florida
  • Medstar Health
    Director, Outpatient And Pulmonary Services
    Medstar Health Sep 2013 - Apr 2015
    Leonardtown, Md
    * Pioneered a new role in the acquisition of employed physician practices. Created, directed and implemented policies and procedures for outpatient services and inpatient and outpatient pulmonary services function. On-boarded 6 employed licensed independent practitioners and started-up four separate outpatient medical practices within 9 months of assignment to include support staff recruitment, equipment and supply ordering, service support contract development, electronic medical record deployment, billing and claims process establishment, and performance metric selection. Monitored, evaluated, and modified programs to adhere to corporate, hospital and regulatory guidelines and standards of care. New physician practices included gynecology, colorectal surgery, general surgery, vascular surgery, and pediatric specialty care. * Oversight for established outpatient programs to include ophthalmology, orthopedics, cardiopulmonary rehabilitation, wound healing center and outpatient pulmonary services resulting in an overall 10% profit margin FY 2014 during a challenging year of cost containment.* Crucial leader in business development efforts with broad scope team of subject matter experts resulting in a master plan for shared space and renovations to accommodate market share growth.
  • Medstar St. Mary'S Hospital
    Director, Performance & Clinical Resource Management
    Medstar St. Mary'S Hospital May 2008 - Sep 2013
    Leonardtown, Md
    * Responsible for aligning performance measures with clinical and financial resources to improve health care quality, facilitate patient safety, guide quality improvement activities, provide external accountability and contribute to pay for performance programs. * Facilitated organizational regulatory compliance for accreditation by the Centers for Medicare and Medicaid (CMS) as well as The Joint Commission (TJC) resulting in two (2) successful TJC accreditation surveys and two (2) successful unannounced surveys by CMS . * Instrumental to the achievement of seven (7) QIO sponsored Medicare Excellence Awards for Quality Improvement in Hospitals, three (3) consecutive Healthgrades Patient Safety Awards, and 2013 Top 100 by Truven Health Analytics. As a result of high clinical quality metrics, achieved #2 of 45 hospitals in the Maryland statewide ranking for quality based reimbursement for two (2) consecutive years. * Hospital leader in the establishment and sustainment of processes to respond to the CMS mandated Recovery Audit Contractor program resulting in a high rate of early resolution at Level 1 and tremendous success at the Administrative Law Judge level. * Instrumental to cross continuum collaboration for multiple State and local agencies, physician practices, skilled nursing and rehabilitation facilities, home health, pharmacies and payers through the development of a Cross Continuum Team chartered to improve care coordination and handoff communication. Reduced overall hospital readmissions from 8.13% to 7.87%. *Served as a subject matter expert on the Veterans Regional Advisory Council for the Tri-county Council of Southern Maryland. Efforts led to improved availability of much needed resources for our veterans as well as improved communication of information across the region.
  • Us Navy
    Director, Process Management And Integration
    Us Navy May 2007 - May 2008
    Bureau Of Medicine & Surgery, Washington, Dc
    * Responsible for the coordination of information and policy development as a Senior Executive for Navy Medicine. Led a team of five senior officers in Strategic Communication training at Navy's Executive Learning Program Office resulting in the development of a Concept of Care Model for Navy Medicine, a model used to demonstrate the role and function of Navy Medicine during peacetime and wartime contingencies. * Task Manager for two multi-year strategic management contracts totaling $1M in support of Navy Medicine Strategic Planning. Conceptualized transformation of primary drivers toward strategic goal development resulting in a First 100-Days Plan for a newly appointed Navy Surgeon General thereby jump-starting Navy Medicine's highest priorities. * Provided contract oversight for General Electric, Inc. to educate and facilitate implementation of Lean Six Sigma (LSS) throughout Navy Medicine. Served as advisor for business rule development and the use of LSS as a continuous process improvement strategy. Coordinated efforts between Headquarters and four (4) geographic regions within the United States.
  • Us Navy
    Commanding Officer & Executive Officer
    Us Navy May 2004 - May 2007
    Naval Health Clinic, Patuxent River, Md
    * Oversight for comprehensive, operational, contingency and healthcare support to 12,000 enrolled active duty and other regional beneficiaries assigned to Naval Air Systems Command, Naval Air Warfare Center Aircraft Division, Naval Test Wind Atlantic and Naval Air Station. $14M operating budget and cost containment for $10M civilian network care. * Received full accreditation by The Joint Commission and successful Navy Medical Inspector General Survey for Federal Law compliance. Received accolades for medical readiness of active duty deploying to combat. Successful Occupational Safety and Health Program survey and College of American Pathology Accreditation. * Instrumental to the twice tested integration of a coordinated Emergency Management Plan between the medical treatment facility, Naval Air Station, local community Emergency Management System and civilian network hospital resulting in improved regional disaster preparedness. * Partnered with local community hospitals to provide seamless delivery of health care between military outpatient care and civilian network inpatient admissions through the use of the Hospitalist programs as well as expanding the network referral management system resulting in improved access to care for enrolled beneficiaries. * Member, Multiservice Market Commander's Executive Board composed of regional Army, Navy and Air Force Commanding Officers within the National Capital Area contributing significantly to transformation efforts for a unified medical command.
  • Tricare®
    Director Of Operations
    Tricare® Jul 2002 - May 2004
    Tricare Mid-Atlantic Region 2, Norfolk, Va
    * Regional oversight for $3.3 billion managed care. Responsible for population health and disease management, claims and customer service, information technology, policy and analysis and HIPAA implementation for the TRICARE region between Virginia and North Carolina.* Coordinated region wide implementation of disease management programs to include diabetes, hypertension, breast health and asthma resulting in organized epidemiological surveillance of and treatment for diseases endemic to the region. * Instrumental to the disestablishment of the regional office in support of new TRICARE contracts facilitating relocation of over 50 civilian employees to positions in newly established regional offices thereby ensuring continued employment of valuable employees with no decrease in regional service levels.
  • Us Navy
    Other Significant Within The U. S. Navy
    Us Navy 1981 - 2003
    * Former trauma/critical care nurse with a wide variety of positional that included assignments at two of Navy's three largest, world class, military treatment facilities as well as tours of duty in Europe and Asia. * Among the first group of women to transit the Suez Canal on a Navy vessel during wartime operations--an event that forever changed the history of women in military combat. * Served as Executive Assistant to the Director of the Navy Nurse Corps, the highest ranking Nurse Corps officer and total of two assignments at the Bureau of Medicine & Surgery, the policy development level for Navy Medicine.

Denise Mcdowell Skills

Leadership Management Strategic Planning Healthcare Program Management Process Improvement Microsoft Office Customer Service Hospitals Microsoft Excel Powerpoint Healthcare Management Outlook Microsoft Word Dod Military Teaching Security Clearance Team Building Public Speaking Training Leadership Development Patient Safety Electronic Medical Record U.s. Health Insurance Portability And Accountability Act Business Process Improvement Veterans Emr Hipaa Managed Care Government Analysis Medical Malpractice Personal Injury Litigation

Denise Mcdowell Education Details

Frequently Asked Questions about Denise Mcdowell

What company does Denise Mcdowell work for?

Denise Mcdowell works for Mcdowell Medical Legal Consulting, Llc (Mmlc)

What is Denise Mcdowell's role at the current company?

Denise Mcdowell's current role is Retired.

What is Denise Mcdowell's email address?

Denise Mcdowell's email address is 1d****@****ail.com

What is Denise Mcdowell's direct phone number?

Denise Mcdowell's direct phone number is +124092*****

What schools did Denise Mcdowell attend?

Denise Mcdowell attended Marymount University, Medical University Of South Carolina.

What skills is Denise Mcdowell known for?

Denise Mcdowell has skills like Leadership, Management, Strategic Planning, Healthcare, Program Management, Process Improvement, Microsoft Office, Customer Service, Hospitals, Microsoft Excel, Powerpoint, Healthcare Management.

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