Accomplished Nurse Manager with extensive experience at Intermountain Healthcare Systems, specializing in case management and regulatory compliance. Demonstrates a proven track record in leading teams to elevate customer service and enhance clinical outcomes. Proficient in data analysis and staff coaching, fostering a culture of excellence and continuous improvement in healthcare delivery. Committed to advancing healthcare practices through innovative strategies.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Nurse Manager of Care Management
Intermountain Healthcare Systems
Las Vegas
03.2019 - Current
As a case management manager, I provide leadership and management of the Transition of Care Management Team's services, activities, and responsibilities.
I actively promoted an organizational culture committed to high-quality customer service to clients, their families, physicians, and other members of the healthcare delivery system.
I work collaboratively with the contracting department, provider relations, vendor management, quality, utilization management, data analytics, and administrators to develop and maintain clinically appropriate, cost-effective case management processes.
I provide leadership and management for the Transition of Care Management Team's services, activities, and responsibilities.
I actively promote an organizational culture that is committed to delivering high-quality customer service to clients, their families, physicians, and other members of the healthcare delivery system.
I am involved in creating policies, procedures, and work processes that enhance efficiency, and focus on achieving positive outcomes. Part of my responsibilities includes performing audits and adjusting processes to continuously improve metrics.
I have extensive experience in conducting clinical assessments for clients with complex medical, emotional, and social needs. I also possess the ability to understand and apply contractual guidelines effectively.
My experience includes coaching, counseling, and implementing corrective measures, while fostering a team environment that encourages employees' personal growth and development.
I collaborate with our data analysis team to produce metric reports that track and analyze clinical metrics and patient outreach.
I supervise 39 fully remote staff members, both clinical and administrative, and jointly oversee an additional 35 hybrid staff members.
I work closely with leadership and other department leaders across inpatient, outpatient, and long-term care settings to ensure that patients receive quality care in the most cost-effective manner. This includes evaluating interdepartmental processes to enhance workflows and communication.
My team actively engages with multiple departments, including utilization management, durable medical equipment, pharmacy, and ancillary teams, and works to improve efficiency and ensure a focus on outcomes.
Nurse Manager of Case Management
Sunflower Health Plan- Kancare MCO Centene Corporation
Lenexa
11.2013 - 10.2018
Directed and oversaw the services, activities, and responsibilities of the regional care management team.
Promoted an organizational culture committed to high-quality customer service to clients, their families, physicians, and other members of the healthcare delivery system.
I possess in-depth experience with clinical assessment for clients with complex medical, emotional, and social needs.
Led and effectively managed activities of the Case Management Team across State LTSS Waivers and Complex Case Management.
Fostered a team atmosphere promoting employees' growth and development. I was responsible for interviewing and recommending applicants for hire, as well as evaluating staff, counseling, and addressing unsatisfactory performance promptly, which included administering and monitoring corrective action.
Supervised employee-led team on events and activities, ensuring smooth execution.
I was responsible for monitoring and assessing data and trends to ensure that department goals and objectives were met. Including developing and communicating team action plans through regular staff meetings and other communications (video, conference calls, monthly 1:1s).
Facilitated collaborative relationships between transitional care, long-term services and supports, complex case management, and internal/external departments.
I was responsible for ensuring that the regional team complied with regulatory standards by implementing applicable work processes, policies, and procedures.
As a team, we collaborated to establish and maintain an integrated continuous quality improvement process to assure high-quality care, customer satisfaction, and contribution to financial performance.
As part of the leadership team, I was responsible for incorporating new work processes and approaches to improve efficiency and quality services, including developing and participating in hands-on team member training when appropriate.
Assisted leadership in preparing for various onsite audits and credentialing reviews such as BBA audit, NCQA accreditation review, state audits, SNP preparation, and RFP readiness. Partnered with Quality in preparing NCQA and HEDIS reports, including tracking and trending measures, and reporting to medical directors.
Coordinated with contracting, provider relations, vendor management, quality, utilization management, data analytics, and administrators on developing and maintaining case management processes.
Facilitated multiple Vendor Delegated Oversight committees to enhance outcomes and manage costs. Collaborated with diverse vendors to ensure effective policy review and contractual oversight.
Collaborated with the medical director to develop cost-reduction and outcome-improvement initiatives.
Education
BBA - Health Care Administration
Western Governors University
Salt Lake City, UT
04-2026
Associate of Applied Science - Nursing
Neosho County CC Mary Grimes School of Nursing
Chanute, KS
04-2004
Bachelor of Science - Nursing
Oklahoma Wesleyan
Bartlesville, OK
Skills
Case management
Conflict management
Workload management
Policy development
Delegation
Work Planning and Prioritization
Staff coaching and mentoring
Department management
Health policy
Regulatory compliance
Data analysis
Customer service
Team leadership
Nursing informatics
Multitasking and organization
Policy optimization
Strong clinical judgment
Affiliations
2002 Phi Theta Kappa - Lifetime member
2003-2004 National Dean's List
2004 United States Achievement Academy - National Collegiate Nursing Award
2010 - Present American Legion Auxiliary member
2015-2020 Chronic Disease Alliance
2016-2020 State of Kansas Non - Emergent Transport Steering Committee
2017-2020 Core Leadership Development Team Kansas Help Me Grow
Certification
Nevada State Licensed RN since 2019
Kansas State Licensed RN 2004-2020. LPN 2003-2004
Certified Diabetic and Chronic Disease Self-Management Leader 2015
References
References available upon request.
Timeline
Nurse Manager of Care Management
Intermountain Healthcare Systems
03.2019 - Current
Nurse Manager of Case Management
Sunflower Health Plan- Kancare MCO Centene Corporation
11.2013 - 10.2018
BBA - Health Care Administration
Western Governors University
Associate of Applied Science - Nursing
Neosho County CC Mary Grimes School of Nursing
Bachelor of Science - Nursing
Oklahoma Wesleyan
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