Jessica Stevens
California
Summary
Dynamic Senior Care Manager with extensive experience at Health Net Federal Service for Tricare and Home State Health managed care, excelling in crisis intervention and team leadership. Achieved the lowest readmission rates through innovative care plans and effective training development. Proven ability to enhance patient outcomes while maintaining compliance with regulations and fostering collaborative relationships across multidisciplinary teams.
Overview
2026
2026
years of professional experience
Work History
Senior Care Manager
Health Net Federal Service
Rancho Cordova
12.2022 - 12.2025
- Managed caseloads effectively, prioritizing needs and ensuring timely access to necessary services.
- Developed and maintained positive relationships with clients, families, and healthcare providers to support integrated care.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Monitored and evaluated the effectiveness of care plans, making adjustments as necessary to meet clients' evolving needs.
- Communicated with patients with compassion while keeping medical information private.
- Explained policies, procedures and services to patients.
- High Risk Pregnancy RN BSN CCM TriCare West working with military members and families for best pregnancy and neonatal outcomes.
- Provided subject matter expertise during meetings with senior leadership team members in order to discuss potential opportunities or challenges.
Supervisor Care Management
Home State Health, Centene
St. Louis
01.2017 - 08.2022
- Supervised daily operations and workflows within healthcare service teams with Lead, High Risk Pregnancy, NICU, CHSR, Lead, TOC, TB, ESRD, Substance and Mental Health.
- Trained new staff on policies, procedures, and best practices in patient care.
- Education and Certification of 12 Community Health Workers.
- Evaluation, identification and implementation of plans of care for Very Low Birth Weight Babies and NICU trends to reduced admissions to less than seven percent, the lowest company metric.
- Revamp of transitions of care with lowest readmission rate and compliance with state and healthcare metrics.
- Collaboration with President, VP, directors, managers and Missouri State entities as a SME and point of contact for quick resolution and implementation of new programs and metrics.
- Complete participation and presented cases for ECQRO, NCQA and state contract for successful redetermination and accreditation.
Care Manager II
Home State Health
St Louis
05.2015 - 01.2017
- MManaged care plans and coordinated services for diverse patient populations in High Risk Pregnancy and NICU average 165 members with 70-100 active cases.
- Call rate of average successful enrollment and follow-up of member calls per day not limited to additional contact to providers and team members.
- Member experience team, external partnerships, initiation of doula services.
- 100 percent audit rates.
- Operation of the Jefferson City Branch.
- Contact member success rates and follow-ups excelled beyond expected outcomes.
- Development and participation in local programs such as the diaper bank.
- March of Dimes Nurse of the Year finalist.
Care Manager I
Home State Health
St Louis
03.2013 - 05.2015
Registered Nurse, Labor and Delivery
North Kansas City Hospital
North Kansas City
05.2007 - 03.2013
Registered Nurse, Labor and Delivery
SSM Health St. Mary's Hospital
Jefferson City, MO
Women’s and Children’s Medical Surgical RN
Medical Center of Independence (Centerpoint)
Independence
Education
Bachelor of Science - Nursing
University of Central Missouri
Warrensburg, MO12-2004
Skills
- Crisis intervention
- Adaptability and flexibility
- Team leadership
- Conflict resolution
- Training development
- Workflow coordination
- Certified Care Manager, valid until 05/2030
- Mental Health First Aid
- Medication reviews
- Outcome assessment
- Person-centered thinking
- Motivational interviewing
- Care Radius, Trucare, EMR, Office, Excel
- Policy adherence
Accomplishments
- Care Management Spotlight first of its kind Centene Promo.
- Multiple patient recognitions for direct care
- Central Methodist University News anchor
- Multiple 1st place in debate with Central Methodist University
Affiliations
- Phi Kappa Theta Honors
- Delta Pi Omega Sorority
- Community advocate and volunteer locally.
Timeline
Senior Care Manager
Health Net Federal Service
12.2022 - 12.2025
Supervisor Care Management
Home State Health, Centene
01.2017 - 08.2022
Care Manager II
Home State Health
05.2015 - 01.2017
Care Manager I
Home State Health
03.2013 - 05.2015
Registered Nurse, Labor and Delivery
North Kansas City Hospital
05.2007 - 03.2013
Registered Nurse, Labor and Delivery
SSM Health St. Mary's Hospital
Women’s and Children’s Medical Surgical RN
Medical Center of Independence (Centerpoint)
Bachelor of Science - Nursing
University of Central Missouri