Lee Rowe Email & Phone Number

www.benroweproject.org

Provides process, project, and change management methodology & consulting support to both local and company wide initiatives; Trusted expert advisor and provides strategic direction in large scale projects; Proactively identifies opportunities for improvement; Researches, develops, and implements related best practices; Identifies and develops plans to.

East Region

Responsible for ensuring the overall success of all Prospective Revenue Management programsManages the activities related to CMS Medicare Risk Adjustment and Provider Outreach and Education.Develop metrics, policies and procedures in support of required deliverables and validation of programs ROI while ensuring the programs are in compliance of CMS program.

Relationship owner and point of contact for large Accountable Care Organizations (50,000 plus attribution each) participating with Value Based Care arrangements.Responsible for consulting with practice leadership to improve efficiencies of provider practices and clinical processes leading to shared savings ($2.7M payout to one ACO in 2018).100% success.

Relationship owner and point of contact for large Accountable Care Organizations participating with Value Based Care arrangements.Responsible for consulting with practice leadership to improve efficiencies of provider practices and clinical processes.Promote efficiencies and identify actions to achieve shared savings (all assigned groups successful, 3 with.

Responsible for clinical operations across the care continuum.Oversee case management and utilization management duties, maintaining quality and reducing costs associated with complications.Lead role in setting direction and development of program which yields annual revenue of $8.9M.Coordinates and collaborates with others to gain efficiencies and.

Supports management team in daily operations of busy and growing program. Performs and trains team in case and utilization management. Reviews, audits and coaches nurses on performance and areas of improvement.Participation and preparation in client and accredidation audits such as URAC, NCQA and ISO.Develops and edits policies and educational aids.

Albany County Department Of Health

Responsible for providing in home nursing care to a diverse population.Maternal-Child care specialist.In home assessments and education.Synagis prior authorization and administration to at-risk infants.Assess physical and psychosocial needs of clients, and perform nursing duties as needed.Teach and demonstrate healthcare techniques to clients and.

Niskayuna, New York

Responsible for care of infants in a level III NICU.Served as Charge Nurse, overseeing staff of five to eight RN’s.Attended all high-risk deliveries and cesarean sections.Neonatal Resuscitation as needed.Lactation support.Served as preceptor for new employees and graduate nurses.Participated in QA/CQI programming.Audit preparation and participation (JCAHO).

Master'S Degree, Health/Health Care Administration/Management

Bsn, Nursing Science

Activities and Societies: President's List, Highest Honors Diploma conferred June, 2015

Associate'S Degree, Nursing

English Language And Literature, General