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Work Background
Blue Cross and Blue Shield of LouisianaSenior Value Program Representative
Nov. 2022 - Aug. 2025Baton Rouge, LA• Educated and supported BCBSLA partners in Value Based Programs to enhance healthcare quality. • Conducted performance review meetings focusing on HEDIS and Star measures, driving strategic improvement initiatives. • Collaborated with Value Based teams to implement and maintain programs, fostering strong provider relationships. • Increased participation in new programs, aligning with corporate strategies to reduce care costs and improve patient experiences.
Midwife Grace, LLCNursing Administrator
Sep. 2021 - Oct. 2022Madisonville, Louisiana, United States
Blue Cross and Blue Shield of LouisianaCare Transformation Consultant
Sep. 2018 - Sep. 2021Baton Rouge, Louisiana Area
United HealthcareManager Clinical Quality
Jan. 2017 - Sep. 2018Greater New Orleans Area• Manage and directs Community & State Quality Program team of seven RN, Clinical Practice Consultants. • Conducts on-site and virtual presentations for providers and/or executive staff for medical practice. • Accountable for Quality department Program Description, Work Plan and Evaluation • Team support with HEDIS data analysis and strategy for providers to manage gaps in care for assigned members. • Monitor and report standards for NCQA accreditation and EQRO audit evaluations • Collaborative work with various departments within UHC for Performance Improvement Projects, corrective action plans and program development. • Supports utilization projects under Health Service Director for Population Health.
JL Ferguson & Associates, Inc.Legal Nurse Consultant
Jul. 2015 - Dec. 2016Madisonville, LA (remote access to Houston, TX LNC firm)Legal Nurse Consultant • Request and review the medical records of clients with alleged injuries from qualifying implant/pharmaceutical products. • Investigate claims of damage; build a timeline of events, identify confounders and report limitations • Assign case value based on product/manufacturer identification, damages suffered and limitation to the plaintiff attorney for use as discovery in class action lawsuit.
State Volunteer Mutual Insurance CompanyLegal Nurse Consultant - Risk Evaluation Services
Aug. 2011 - Jun. 2015Greater Memphis AreaRisk Evaluation Consultant • Conduct comprehensive on-site risk evaluation for policyholders that include facility review; evaluation of policies and procedures; medical chart review and analysis and interviews with staff and physicians. • Prepare Evaluation Reports and assist assigned group accounts with strategies, resources and activities to help improve risk status. • Present general and topic specific education to office staff • Prepare and present Executive summary Reports to administration/leadership of large medical groups.
SymbionStaff RN
Feb. 2010 - Aug. 2011Southaven, MississippiStaff RN - Pre-Operative Area
Methodist HealthcareStaff RN
Feb. 2007 - Feb. 2010Germantown, TennesseeStaff RN - High Risk Antepartum
St. Francis HospitalClinical Coordinator
Oct. 2005 - Feb. 2007Bartlett, TennesseeClinical Coordinator – Labor and Delivery / GYN-Med Surg September 2006 – March 2007 • Planning, presenting and implementing project goals for department growth • Planning and implementing educational opportunities for staff members • Review and revision of policy and procedures Staff RN – Labor and Delivery October 2005 – September 2006
Slidell Memorial HospitalStaff RN
Mar. 1994 - Jul. 2001Slidell, LAStaff RN - Labor & Delivery
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