*Oversight of Duals/DSNP audit and Nurse Educator team processes including the organization and development of high performing teams*Accountable for oversight of implementation and adherence with established practices, policies and procedures in compliance with MMP, FIDE and DSNP plan requirements*Oversight of audit teams alignment with external auditing requirements including NCQA, waiver and CMS*Develop, initiate, monitor and communicate performance expectations*Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills*Consistently demonstrate the ability to serve as a model change agent and lead change efforts*Ability to evaluate and interpret data, identify areas of improvement and focus on interventions to improve outcomes through implementation of Heart At Work Behaviors

*Optimize members level of wellness and independence by avoiding unnecessary hospitalizations or service duplication, provide continuity of care, cost containment, and improve clinical and financial outcomes resulting in improved quality of life*Serve as liaison between the member, the providers, the payer and the community*Use clinical expertise of rare conditions to conduct telephonic health assessments and provide appropriate education and clinical interventions to members*Collaborate with multidisciplinary healthcare teams to coordinate quality, cost-effective care and minimize fragmentation of the healthcare delivery system

*Direct day to day operations, management and oversight of 38 nursing team members within Travel Health Clinics across 20 locations in the US and Western Canada territory offering immunization and medication services to clients prior to travelling abroad*Hold direct accountability for overseeing all functional operations, including proceduraldevelopment, staff recruitment and selection, business growth, continuity of care, process improvement and compliance management*Oversight of start-up and acquisition of new clinic locations in Canada and US*Educate nursing teams on Handling Objections to promote health, safety and protection for international travel as well as ensuring vaccine booster compliance*Increase territory Nurse Productivity Rate (average revenue per client) to meet and exceed national average target goals including 1:1 coaching with each RN quarterly*Develop and implement ongoing quality improvement by writing and updatingnursing operational policies and procedures within the guidelines of CDC and WHO*Lead quality improvement education through the development and implementation ofPassport Health RN Travel Nurse Education program *Manage all performance and/or disciplinary issues such as termination, on-boarding, training and scheduling along with fielding calls to the Nurse Hotline*Play a lead role in diffusing escalated operational situations for continued processimprovement and quickly addressing client concerns and feedback*Travel to corporate clinic locations for inspections and nurse assessments*Maintain documentation of client care services by auditing client records adhering to HIPAA*Ongoing credentialing and education through workshops, professional publications review andparticipating in professional societies such as CDC courses, OSHA, ATHNA (American Travel Health Nurses Association) and ISTM (International Society of Travel Medicine)

Field Case Manager/Nurse Consultant (Novartis/Ely Lilly)(Relocated to U.S.)*Developed In-Home phlebotomy service for Gilenya patients*Medical Device Injection training-Humatrope (Eli Lillly)*Reimbursement specialist-completion of Prior Authorization forms from variousinsurance companies to secure coverage on behalf of neurologists for patients prescribed Gilenya and Forteo*Coordination/assistance from enrolment of Gilenya to therapy start, specialauthorization renewal and documentation/ reporting of adverse events*Detailed documentation in patient database (Salesforce)-home office based*Responsible for managing all aspects of the patient support program for assignedphysicians and act as their single point of contact*Provide continual updates to physicians on patient status including customizedmonthly reports and field service calls*Provide therapy guidelines to manage MD expectations regarding reimbursement*Work collaboratively with sales representatives and national managers*Work directly with physicians and office staff to provide seamless service*Implement a business initiative to increase patient program enrolment and improve patient outcomes*Sound knowledge of regional government payer policies and procedures*In home visit for patient training for Humatrope injection/ patient teaching*Mobile lab/In-home services for Gilenya patients

*Assist physicians in completing Prior Authorization forms for reimbursement,prescription renewals, enrolment forms and other documentation*Provide a seamless experience to patients prescribed Humira (Abbvie) from enrolment tostart of treatment and ongoing follow up to promote adherence, health and wellness*Assist patients with coordination of TB screening, reimbursement, pharmacy services and injection training*Patient teaching of product information, side effects and management,reimbursement process, disease-specific education and all patient related inquiries*Detailed documentation in patient database (Salesforce)-home office based*Responsible for managing all aspects of the patient support program for assignedphysicians and act as their single point of contact*Provide therapy guidelines to manage physician expectations with respect to reimbursement*Work collaboratively with sales representatives and district managers*Work directly with physicians and office staff to provide proactive and seamlessservices with respect to the program by assessing the ongoing needs of the clientsuch that the service levels exceed that of other patient support programs*Implement a business initiative to increase patient program enrolment and improve patient outcomes