Meaghan W. Email & Phone Number

Portland, Or, Us

United States

Performed call and documentation audits to preserve program integrity and clinical efficacy. Provided timely feedback to clinical and support professionals resulting in improved member responsiveness and optimal health outcomes. Identified and analyzed trends that drove organizational improvement efforts. Engaged in cross-departmental collaborative efforts to improve measurement of quality and overall program design. Analyzed and interpreted data and consistently met with operations managers for two Humana specialized programs to address compliance, insights, and trends as well as make recommendations to positively impact clinical quality outcomes. Developed and facilitated group and 1:1 quality improvement training to clinical care managers leading to increased knowledge, skills, and patient health outcomes. Developed two separate audit tools informed by earlier audit work. Contributed to identifying care plan gap closure and development of specific methods to improve member outcomes through comprehensive assessment and effective intervention. Led three monthly calibration sessions with multiple stakeholders to increase consistency of the audit process and strengthen partnerships. Achieved an award in 2020 for being a key partner in developing a new shadowing process for in-home care managers that enhanced collaboration and learning efforts. Achieved an award in 2021 for contributions to two different care management programs leading to increased patient engagement and profit. Facilitated virtual care plan quality training to over 300 nurses and behavioral health professionals to drive internal improvements and enhance strategic efforts. Developed Assess for Success comprehensive assessment training with operational partners. Delivered this training to over 300 associates to improve clinical quality documentation and the effectiveness of care management.

Tampa/St. Petersburg, Florida Area

Managed a remote team of 18 telephonic care managers serving over 11,000 Medicare members. Supported care managers in meeting organizational initiatives by assessing performance, providing support and resources, and engaging in collaborative coaching sessions. Interviewed job candidates, trained new associates, and mentored new leaders. Collaborated with cross-departmental leaders to develop and deliver a compelling PowerPoint presentation to an executive leadership team and audience of 300+ clinical managers resulting in increased knowledge of active interventions and care planning. Organized and oversaw a project to improve Motivational Interviewing training curriculum resulting in increased member responsiveness to care management efforts. Collaborated with a multi-disciplinary team to deliver this training to over 100 clinical care managers. Improved overall call quality 10 percent by collaborating with others to implement motivational interviewing training sessions to 200 care managers. Enriched associate engagement by being hand-selected to mentor 15 leaders through a 12-week Culture of Excellence training.Excelled at implementing strategies to improve STARS performance by developing an interactive resource. Earned two awards for earning a high percentage of HEDIS compliance measures.

Tampa/St. Petersburg, Florida Area

Provided telephonic support to over 400 Medicare members to improve health outcomes and reduce hospitalizations. Enhanced profitability and improved health outcomes by providing members with health education, guidance, resources, and care coordination. Assessed and evaluated members’ needs and provided appropriate interventions to remove barriers and promote optimal wellness. Exceeded expectations for model of care and quality standards by up to 50 percent.

Greater San Diego Area

Supervised a team of 25 mental health counselors in a residential treatment program serving 14 developmentally delayed and emotionally impaired adolescents. Managed multiple facets of participant care including developing schedules, planning activities, and coordinating daily operations. Trained new hires and acted as a liaison between the clinical team, milieu team, and other agency staff to ensure effective communication and identification of training or supervision issues. * Awarded Employee of the Year in 2008 for welcoming participants and demonstrating leadership while embracing the mission, goals, vision, and values of the specialized residential program.

Master'S Degree, Business, Management, Marketing, And Related Support Services

Bachelor'S Degree, Social Work