Judith Behanick RN, BSN, MSN
CLINICAL & NON-CLINICAL LEARNING & DEVELOPMENT
STAFF DEVELOPMENT PROJECT MANAGEMENT PROGRAM DEVELOPMENT CLINICAL WORKFLOW DESIGN QUALITY MANAGED CARE PERFORMANCE MANAGEMENT BEST PRACTICES CARE COORDINATION CASE MANAGEMENT TELENURSING PUBLIC SPEAKING CLINICAL CARE ADVISOR RELATIONSHIP MANAGEMENT PATIENT ENGAGEMENT TALENT DEVELOPMENT
Top Performer offering proven results in clinical education, telephone triage, best practices, and case management; primary focus on decisions that advances a company’s vision, values, and goals.
Led innovative and engaging training for clinical and non-clinical teams that significantly evolved culture and professionalism ensuring institutionalized/consistent delivery of evidence-based practices to customers.
Excellent Communicator known for building synergistic and collaborative relationships with administration, clinicians, payers, and patients. Excelling in autonomous and collaborative work environments that generates buy-in.
Improved revenue and drove market share to successfully increase Universal American health plan membership by 24%.
Designed and delivered new training manuals for case management and provider relations, becoming the model protocol adopted by Universal American (UA) today.
Substantially increased comprehensive knowledge, employee satisfaction, and retention rates by 70% by developing and updating medical education programs, with a non-traditional classroom curriculum. (UA)
Delivered best practices via multifaceted education platforms assisting in reduction of readmissions across NY-based regions by 26%. (UA)
Designed successful turnaround strategies that utilized clinical and non-clinical synergies inserting trust and transparencies
into the marketplace, recapturing 30% providers and regaining key player status. (UA)
Throughout career, provided clinical support to sales teams and clinical education to clinicians within hospital systems.
Developed a statewide plan to decrease asthma disparities, bridge gaps, and improve outcomes among asthma populations.
Educated clinical teams on National Institute of Health guidelines, which enabled additional patient services and revenue lines for providers.
Critical proponent that assisted in enactment of new law: Smoke-free parks in NY State (collaborated with NYS Dept. of Health, American Lung Association, and CDC)
Partnered with the American Lung Association and the State University of New York, Decker School of Nursing, to integrate the ALA Open Airways and BSN nursing curriculum.
Universal American, Syracuse, NY 2014 – 2018
Director of Provider Relations (2015 – Present)
Led provider services, developed proactive strategies to recruit new provider networks in existing, and prospective markets. Improved provider satisfaction scores from 55% to 83%.
Provided leadership in performance monitoring, complaint investigation, outcome development, and continuous quality improvement.
Attracted, developed, coached, and retained high-performance team members, empowering them to elevate their level of responsibility, span of control, and performance.
Collaborated with hospital systems to identify and prioritize managed care growth opportunities with the objective of increasing market share, maximizing financial performance, and streamlining delivery of care across the continuum.
Developed and implemented provider relations strategies and policies. Fostered positive relationships with health care providers to support all lines of business. Responsible for the day-to-day supervision and monitoring of provider relations administration and operations. Targeted and fostered positive relationships with strategic partners building cohesion and collaboration, which helped identify and avoid issues.
Managed large-scale training projects and consulted with department heads to identify and develop training needs. Assessed effectiveness of training programs to address those goals.
Developed enterprise-wide new hire orientation program that improved employee on-boarding, retention and productivity.
Judith Behanick RN, BSN, MSN pg2
Universal American, Syracuse, NY 2014 – 2015
Regional Clinical Supervisor (2014 – 2015)
Supervised a team of 12 registered nurses (RNs), 8 care coordinators, and healthcare sites across the State of New York.
Designed, and implemented a comprehensive training program improving individual performance by 80% as evaluated by the Kirkpatrick Evaluation Model.
Enhanced metrics by driving effective assessment, engagement, and management of nursing and care coordination teams.
Oversaw quality improvement program by engaging key stakeholders, testing change strategies, and continuous monitoring of performance to positively impact core quality of care. Increased gap scores by 23%.
Monroe Plan for Medical Care, Binghamton, NY 2010 – 2014
RN BSN Asthma Coordinator Case Manager
Strategically steered the delivery of results-focused professional asthma education to RN’s, NP’s, MD’s and other healthcare professionals across provider practices in NY state. Educated health systems on key best practices and methods to comprehensively reduce healthcare disparities and improve care outcomes.
Successfully managed the collection of quality metrics performed by providers and reported data to internal and external entities.
Improved outcomes by coordinating program initiatives and collaborating with providers / administrators.
UHS Hospitals, Binghamton, NY 1996 – 2010
RN Asthma Coordinator Clinical Educator Tele-Nursing
Developed and implemented a solutions-generating asthma program, including facilitating ongoing program review and continuous improvements.
Responsible for the operational success, implementation, and sustainability of innovative projects and asthma programs that support United Health Services strategic population health initiatives to improve system care delivery, optimize health and disease-based programs, and enhance community health efforts.
Facilitated lunch & learns, keynote speaker at professional development training events, and pulmonary conferences.
Proactively collaborated and partnered with teams at multifaceted healthcare systems to develop individual patient care plans.
Created and implemented provider education platforms and presented provider education on NIH guidelines for chronic disease models, including preparing clinical and fiscal reports required by the NY State Health Department.
Reduced barriers to the implementation of guidelines-based asthma management.
Provided consumer support in a call center environment and educated patients about disease process. Risk assessed patients for adherence to treatment regimen.
Education, Professional Development & Affiliations
Chamberlain College of Nursing
Master of Science in Nursing (Clinical Educator) (Summa Cum Laude International Honor Society of Nurses)
Bachelor of Science in Nursing (President’s List of Scholars)
Broome Community College
Associate of Applied Science in Nursing (Graduated with Distinction)
Certified Asthma Educator (Since 2007) Registered Nurse (Licensed) – State of New York, Pennsylvania, Florida
U.S. Government Liaison, Asthma Coalition of Southern Tier (2007 – 2009)
Hospital Sponsor, American Lung Association – Open Airways Program – SUNY (2007 – 2008)
Mentor, National Asthma Educator (2010 – 2011) Chair, Asthma Coalition of Southern Tier (2005 – 2010)
Member, Sigma Theta Tau International (Since 2015)
Member, National Association of Professional Women (Since 2015)