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R PRP
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R P

@rp07

Case Management leader at Molina Healthcare overseeing an 18-person team and supporting the launch of New Mexico’s DSNP division.

United States
Message

At Molina Healthcare, I oversee a Case Management team of 18 and verify adherence to federal, state, and company requirements. I assisted in launching the New Mexico DSNP division and am responsible for change management and compliance for its new HIDE dual Medicare/Medicaid program.

At Desert View Hospital, I directed Case Management and was responsible for policies, staffing, and an $8 million yearly revenue stream. The department maintained 100% compliance audits during my tenure, and I was able to recoup approximately $200,000 in denials.

Experience

Work history, roles, and key accomplishments

PH

Charge RN

Pahrump Health and Rehabilitation Hospital

Oct 2019 - Jan 2020 (3 months)

Served as Charge RN, overseeing nursing operations and patient care.

Education

Degrees, certifications, and relevant coursework

MB

MBA

MBA

Completed an MBA in 2009.

BS

BSN

Bachelor of Science in Nursing, Nursing

Completed a Bachelor of Science in Nursing in 2007.

AS

ASN

Associate of Science in Nursing, Nursing

Completed an Associate of Science in Nursing in 1998.

Tech stack

Software and tools used professionally

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