* Recognized for 100% staff retention, increasing productivity, and expanding community outreach well-versed in recruiting and directing top performing teams, prioritizing workload, and implementing performance initiatives. * Metrics driven with extensive experience in case management, quality, clinical services management, clinical review of adverse events, utilization management, audits, reporting, HealthPlan grievance, and CTM response. * Proficient in strategic planning, budget administration, designing, executing, leading, and monitoring programs, driving vendor management efforts for key performance indicators, and assessing and redirecting scenarios. * Registered Nurse with background in geriatrics/specialty services, nursing/ambulatory surgery, neonatology/

Highlights:

• Case Management
• Quality
• Quality Assurance
• Monitoring
• Triage
• Audit
• CMOS
• Documentation
• Management
• Medicare