Suzanne Kunze Email & Phone Number

Dallas, Texas, United States

Norristown, Pennsylvania

Area of focus included providing subject matter expertise with the care management industry. Supported key customer initiatives including: system implementation, system optimization, vendor selection evaluations, solution design and development of care management assessments.

Built and delivered within production milestones all clinical content for clinical products. Created content for the development of new clinical products e.g. care planning, bundle and transition of care applications.Managed the integration of analytics with clinical assessments to drive member engagement and optimal clinical outcomes.Provided Clinical Consulting Services for Care Management workflow and product development

Senior Director Health Care Operations ( 2007 to present) Senior Operation Director of Utilization Management and Case Management responsible for oversight of 3 clinical care centers. Scope of responsibilities includes management of inbound call center for a total of 48,000 calls per month and management of case management. Area of focus includes process standardization; improve and stabilize service and implementation of new operations. Director of two directors of operation, workforce management director, call center director, and director of reporting.

Operation Director of Utilization Management, Case Management, Health Advocacy and 24 Nurse Line. Led the Health Advocacy, Nurse Line, Utilization and Case Management operations. Scope of responsibilities included management of inbound call centers (Utilization Management and Nurse line) for a total of 6,000 calls per day and management of case management operation with focus on prevention and management of acute medical conditions. Directed 5 group managers and 300 staff in 5 locations across the U.S.

Led the Utilization, Disease, and Demand Management Units. Managed an inbound call center of 2,500 calls per day within the utilization management operation. Led a team of 8 supervisors and 100 employees (customer service and clinical nurse reviewers).

Case Management Manager Disability DivisionManaged a telephonic case management operation with responsibility of 3 supervisors and 50 employees in customer service and telephonic case management. Emphasis was on providing quality case management and customer service with the focus on returning an injured worker to work and achieve maximum medical improvement

Bs, Health Sciences

Diploma, Nursing

Master Of Business Administration (Mba), Business Administration And Management, General

M.S., Management

Diploma, General Studies