At Optum Health - United Healthcare, I provide case management, preventive care, and care coordination to members. I develop individualized care plans and ensure documentation meets regulatory and NCQA requirements.
At Blue Cross Blue Shield NC, I supervised and coached telephonic case management nurses, conducted nurse case audits, and led NCQA regulatory audits. I also designed quality measures and presented case management data to leadership.
At Piedmont Health, I oversaw six primary care clinics and partnered with the nurse manager to coordinate care for more than 15,000 patients. I implemented 10 quality improvement projects within 90 days and established training plans and EHR reporting procedures.
