Skills
Healthcare Operations: Managed Care, Care Management, Care Transitions, Medicare/Medicaid experience,
Utilization Management
Clinical & Regulatory: RN, LTSS, Behavioral Health, Clinical Protocols, Auditing
Operational Excellence: Process Improvement, Quality Metrics, Business Operations, Continuous
Improvement, Performance Management
Technical Proficiency: Microsoft Office, Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft
Powerpoint, Epic, Tableau, Power Bi
About
-15+ years in healthcare with 8 years in management, overseeing clinical operations, compliance, and process improvement.
- Demonstrated success in optimizing care transitions, denials management, and adherence to Medicare/Medicaid guidelines with a proven record of ~100% appeal success rate.
- Led cross-functional teams and mentored staff in dynamic environments, integrating standardized protocols for efficient care management.
- Managing multiple multi million dollar markets with 7 offices.
Profile Photo
