Kimberly Clarridge Email & Phone Number

Implemented Cityblock’s Delegated Case Management Program to complement Cityblock’s value based care model to provide personalized, community-based care to improve the health and well-being of underserved populations. Oversight of federal, state & contractual quality compliance requirements.Responsible for conducting end-to-end audits for CMS and state-led.

Lead a cross-enterprise team to obtain and maintain medical, behavioral, physical health, Credentialing, and pharmacy accreditations with URAC, NCQA, ACHC, TJC, Legitscript, NABP, and Health on the Net. Participated on the NCQA Standards committee to develop the Stand-alone Case Management Program standards. Built a comprehensive delegation oversight.

Phoenix, Arizona Area

Responsibilities include resource expert for NCQA and/or URAC standards and their interpretation. Utilization of web-based accreditation platforms. Provide gap analysis; develop and manage a project plan designed to identify, track and close gaps. Conduct mock audits, identifying issues and communicating to business leads. Complete on-line applications.

Phoenix, Arizona Area

Identified candidates for case management utilizing available resources. Identified problems or gaps in care requiring intervention; ability to identify if member is able and willing to accept intervention. Developed care plan in collaboration with member/family addressing gaps and focusing on areas for maximum impact. Consistently assessed plan of care.

Scottsdale, Arizona

Responsible for providing patient care in all critical care areas including: neuroscience, cardiothoracic surgery, medical, surgical and trauma; Preceptor to student nurses, new graduates, and new hire nurses during the orientation process; Member of the Rapid Response Team fostering collaboration between critical care nurses and medical-surgical nurses.

Mesa, Arizona

Responsible for assessing and completing nursing care plans for each resident. Over saw the organization, planning and coordination of care on a weekly basis for Medicare/Medicaid, Long Term Care and private pay residents. Evaluated and solved quality of care issues, ensuring individualized care for all residents. Responsible for the design and delivery of.

Master Of Science In Nursing (M.S.N.), Registered Nursing/Registered Nurse

Master Of Business Administration (M.B.A.), Healthcare

Bachelor Of Science (B.S.), Registered Nursing/Registered Nurse

Activities and Societies: ASASU-Student Government, President of the College of Nursing, Alpha Delta Pi, Student Nurses Association