Experienced Clinical Leader with a demonstrated history of working in the health care industry, both on the clinical and the payer side. I combine a collaborative, professional and creative leadership style to allow my teams to flourish and use their individual skills to be successful. I am skilled in healthcare management, multi-specialty departmental leadership, occupational health, quality, human resources; hiring, training, coaching and performance evaluations, employee health, patient experience and patient safety. I have spent the last few years on the payer side, leading both Care Management and Utilization Management departments. I am a strong healthcare services professional with a Registered Nurse license and a Bachelor of Science in Human Resource Management from St. Mary's University Minneapolis, MN. I am looking forward to further my career as a leader in the healthcare industry.Thank you in advance for considering me as a trusted future employee.
Emblemhealth
View- Website:
- emblemhealth.com
- Employees:
- 2774
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Manager Of Care ManagementEmblemhealthOwatonna, Mn, Us
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Manager Of Maternal & Child Care ManagementUcare Nov 2022 - PresentMinneapolis, Mn, Us• Monitor team member performance including quality outcomes, HEDIS outcomes and productivity measures. • Deploys strategies to improve performance.• Building and finalizing the Prenatal, Postpartum and NICU Care Management programs • Building relationships with community partners; including Public Health, Family Home Visiting and WIC programs• Provides coaching and mentoring to team members to address performance related issues. • Collaborates with other functional areas within organization to ensure that care managers are implementing Plan policies, procedures and all regulatory mandates, including NCQA and CMS.• Developed and Prenatal, Postpartum and NICU programs under the Population Health Management umbrella, with a focus on rural health, race and ethnicity, social determinants of health and cultural biases. -
Manager Of Care ManagementEmblemhealth Jul 2021 - PresentNew York, Ny, Us• Monitor team member performance which includes quality, outcome and productivity measures and deploys strategies to improve performance. • Provides coaching and mentoring to team members to address performance related issues. • Collaborates with other functional areas within organization to ensure that care managers are implementing Plan policies, procedures and all regulatory mandates, including NCQA and CMS.
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Health Services ManagerSouth Country Health Alliance Aug 2016 - Jul 2021• Developed health services programs, including Case Management and Utilization Management. • Worked closely with Medical Director in developing medical and program policies. • Ensured processes met NCQA and CMS criteria. • Developed and operated programs under the Population Health Management umbrella, with a focus on rural health, race and ethnicity, social determinants of health and cultural biases.
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Nurse ManagerMayo Health System Owatonna Sep 2014 - Aug 2016• Responsible for operations of the following departments: Medical Specialties, Internal Medicine, Dermatology, Cardiology, Rheumatology, Neurology, Endocrinology, Infusion Therapy, Same Day Clinic, Shot Clinic and Anticoagulation Clinic. • Managed EPIC workflows and processes.• Managed all RN processes and procedures, including RN competencies
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Director Of NursingNorthfield Hospital & Clinics Aug 2010 - Sep 2014Northfield, Minnesota, Us• Responsible for supervision and staff management for all clinical functions of the Family Health Clinics, Women’s Health Clinic, Orthopedic and Fracture Clinic, General Surgery, Ophthalmology and other developing practices in the clinic division. • Responsible for integration and standardization of clinical functions across all clinics applying evidence-based practice guidelines to nursing, laboratory, imaging, medication management, infection control and triage. • Worked closely with the Clinic Administrator and Medical Director participating in submission, interpretation of results, and planning response to clinic quality data.• Daily operations, budget development and constraints, and strategic direction. • Prepared for implementation of the EPIC EMR roll out. -
Disease ManagerPreferredone Aug 2009 - Aug 2010Golden Valley, Mn, Us• Assisted in the development of a Disease Management department within the PreferredOne Company as the decision to transition from using an outside vendor was made. • Promotion into leading this department in January 2010, as the operationalizing of this department was completed. -
Quality ConsultantFairview Health Services Dec 2005 - Aug 2009Minneapolis, Mn, Us• Provided quality improvement support to assist clinics in meeting targeted system goals and outcomes regarding quality of care in the clinic practice. • Quality Improvement: I supported the development, implementation and evaluation of care system quality improvement initiatives for clinics, including FPA, ICSI, health plans. • I identified and recommended opportunities to reduce variation, improve patient safety and improve financial opportunities for clinics. • Content expert for clinical practice in all Fairview clinics. Implemented and trained clinical staff of all Fairview clinics to optimize quality scores. -
Clinic ManagerFairview Health Services Mar 1996 - Dec 2005Minneapolis, Mn, Us• Assisted in the growth of this 3 physician, 7 FTE primary care clinic to a 12 provider, 50 FTE clinic in 9 years. • Responsibilities included day to day clinic operations: Employee Health, Safety, Infection Control, Human Resources, Clinical Quality, maintenance of staff competencies.• Implementation of the EPIC Electronic Medical Record.
Judy Kay Education Details
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St. Mary'S University Minneapolis, MnHuman Resource Management -
Rochester Community And Technical CollegeRegistered Nursing/Registered Nurse
Frequently Asked Questions about Judy Kay
What company does Judy Kay work for?
Judy Kay works for Emblemhealth
What is Judy Kay's role at the current company?
Judy Kay's current role is Manager of Care Management.
What schools did Judy Kay attend?
Judy Kay attended St. Mary's University Minneapolis, Mn, Rochester Community And Technical College.
Who are Judy Kay's colleagues?
Judy Kay's colleagues are Cheron Bennett, Michele Thomas Bsn, Rn, Ccm, Cdces, Bijaya Shrestha Shrestha, Beth Scruton, Victoria Werner, Michelle Ng, Ifeoluwa Arabambi.
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