Open to opportunities

Footylicious Shoes

@footyliciousshoes

Message

I lead healthcare quality, compliance, and operations improvements that strengthen patient care.

United States

Message

What I'm looking for

I'm targeting a Director of Nursing role where I can use clinical insight, quality improvement, compliance, and operational leadership to strengthen nursing performance, patient care, and organizational outcomes.

At Aetna CVS Health, I lead Provider Relations Management and clinical operations initiatives that improve provider engagement, care quality, member satisfaction, and workflow efficiency. My work includes using Tableau, Lean principles, root-cause analysis, compliance tools, and project planning to improve performance and reduce repeat incidents.

Previously at United Health Corporation, I led Medicare Star Quality Management and advised provider practices on HEDIS measures, documentation, coding alignment, quality metrics, and corrective and preventative actions. At Molina Healthcare, I increased program enrollment by 80% while leading case management operations and interdisciplinary care teams.

I'm a registered nurse with critical care and shift-supervision experience at Riverside Methodist Hospital, as well as operational leadership experience in the United States Navy. I bring clinical insight, healthcare management education, and a focus on quality improvement, compliance, and operational delivery.

Experience

Work history, roles, and key accomplishments

Current

Director, Clinical Strategist and Operations

Current

Aetna CVS Health

Apr 2019 - Present (7 years 4 months)

Lead and develop the Provider Relations Management team, improving provider performance and engagement. Drive practice performance improvements by analyzing claims data and streamlining workflows, resulting in higher care quality and member satisfaction.

Tableau Lean Quality Improvement Root Cause Analysis Excel Compliance Process Automation CRM Data Analysis

Principal Lead Business Project Director/Sr. Clinical Strategist

United Health Corporation

Aug 2016 - Apr 2019 (2 years 8 months)

Oversaw Medicare Star Quality Management and advised large provider practices on HEDIS measures and coding alignment. Collected and analyzed provider performance data to enhance quality and operational performance.

Medicare Star Ratings HEDIS Quality Improvement Data Analysis Provider Relations CAPA

Manager Clinical Programs

Molina Healthcare Corporation

Jun 2014 - Jul 2016 (2 years 1 month)

Conducted strategic planning and oversight of case management operations, achieving an 80% increase in program enrollment. Led interdisciplinary rounds and collaborated with leadership to set performance goals and improve staff retention.

Case Management Strategic Planning Interdisciplinary Collaboration Recruitment Training

Critical Care Nurse/Shift Supervisor

Riverside Methodist Hospital

Jan 2012 - Dec 2015 (3 years 11 months)

Managed and coordinated care for critically ill patients, including those on ventilators and intravenous sedatives. Worked with interdisciplinary teams to maintain smooth unit operations and trained new staff, improving team performance and retention.

Critical Care Nursing Ventilator Management Emergency Response Team Leadership

Operations Specialist Supervisor

United States Navy

Jul 2000 - Jul 2004 (4 years)

Led a team of operations specialists to streamline daily tasks, increasing mission readiness by 20% and ensuring all operations met performance standards.

Operations Management Team Leadership Process Improvement