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Carlo CaradoCC
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Carlo Carado

@carlocarado

I lead care management, utilization management, and value-based clinical operations that improve outcomes and reduce costs.

United States
Message

What I'm looking for

I'm looking to lead care management, utilization, population health, or clinical operations teams where I can improve quality, affordability, workforce engagement, and value-based outcomes through data-driven collaboration.

At Keck Medical Center of USC, I direct care coordination, case management, utilization management, discharge planning, and transitions of care across a 343-bed academic medical center. I lead approximately 60 clinical professionals and reduced average length of stay by 15%, from 7.8 to 6.6 days, while maintaining an observed-to-expected LOS ratio below 1.0.

Previously, I served as Nurse Executive and Senior Clinical Program Advisor at Cigna Health Care, partnering with providers, clients, and market leaders to improve quality, affordability, value-based performance, and customer satisfaction. At Blue Shield of California and Blue Shield Promise Health Plan, I led care management operations with a $23M annual budget and 190 staff while supporting NCQA, Medi-Cal, and Medicare audit success.

Across Cedars-Sinai Medical Network and payer-provider organizations, I've built high-performing clinical teams, strengthened care coordination, reduced avoidable utilization, and advanced workforce engagement through data-driven improvement and interdisciplinary collaboration.

Experience

Work history, roles, and key accomplishments

KU
Current

Director of Care Coordination Case Management & Utilization Management

Oct 2025 - Present (10 months)

Directs care management, utilization management, discharge planning, and transitions of care across a 343-bed academic medical center. Leads a multidisciplinary team of approximately 60 clinical professionals and achieved a 15% reduction in average length of stay through data-driven interventions.

Education

Degrees, certifications, and relevant coursework

CU

Concordia University

Doctor of Education, Transformational Leadership

Doctor of Education (Ed.D.) with a focus on Transformational Leadership.

Tech stack

Software and tools used professionally

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