AVP Quality & Training at Intellicare
Portland, Maine Area
AVP Quality & Training at Intellicare
Portland, Maine Area
Development and Implementation of Health Care Quality Programs and Process Improvement Programs for Health Plans, Home Care Agency, Physician Practice and Health Call Center.
Leading and achieving JCAHO Accreditation for Ambulatory Care Organization
Leading and achieving URAC Accreditation for Managed Care Health Plan in multiple modules, including Network, Case Management, currently preparing for Health Call Center Accreditation
Disability Medical Review Consultant and Manager - Medical/Surgical, Orthopedic, Psychiatric, for Short Term, Long Term and Extend Disability
Consulted in Long Term Care Insurance Management and QA program development
Consulted in Long Term Care Facility compliance with state and federal regulations
Development and Implementation of Organizational Training Programs
Leadership in the following arenas: Managed Care, Disability Management, Long Term Care Facility, Home Care Agency and Health Care Call Center, specializing in Quality, Process Improvement, Training and Development, Compliance and Accreditation
(Public Company; 1001-5000 employees; Hospital & Health Care industry)
Currently holds this position
(Privately Held; 51-200 employees; Hospital & Health Care industry)
July 2005 — July 2006 (1 year 1 month)
Developed and emplemented customized training to case managers, medical directors, social workers in health plan and acute care facilities, on site and web based, on the effecient and effective use of the web based care management tool. Other presentations included "Train the Trainer", "Care Across the Continuum", "Risk Management", to name a few.
(Non-Profit; 201-500 employees; Hospital & Health Care industry)
September 2004 — July 2006 (1 year 11 months)
Responsible for oversight of this organizations physician practices' and health plan's Quality Program, JCAHO and URAC Accreditation and Six Sigma and TQM Process Improvement Program
(Public Company; 10,001 or more employees; Insurance industry)
1998 — 2002 (4 years)
BS, Organizational Leadership, 1999 — 2001
ADRN, Nursing, 1992 — 1993