Post Job Free

Resume

Sign in

Registered Nurse Manager

Location:
Salt Lake City, UT
Posted:
March 25, 2021

Contact this candidate

Resume:

Emily A. Guth MSN, RN, CMRN

610-***-**** adk6rp@r.postjobfree.com www.linkedin.com/in/emily-guth-70833787 Profile Summary

Nurse manager with ten years of experience in leadership, value-based payment models, population health, care management, inpatient staffing, and bed management. Successfully implemented a value-based care management department working with over 1500 providers to ensure quality care to patients. Experience working within and training interdisciplinary teams in the inpatient and the ambulatory care settings. Professional Experience

Lehigh Valley Health Network (LVHN) June 2010 – Present Manager, Care Management March 2020 - Present

• Oversees care management for over 110,000 patients within the value-based insurance contracting population and all communication with the ACO and LVPHO groups.

• Responsible for the organization’s care management strategy with direct oversight of the $5.5 million budget in coordination with the Director of Care Coordination.

• Close collaboration with inpatient case management, utilization management, and value-based insurance contracting teams.

• Worked with multiple health information vendors to extract data to assist with care gap closure and improve patient outcomes. (MetaVision, NextGen, Elsevier, EPIC, Navinet, Theon, iCollaborate, and Optum).

• Monitor and evaluate management information and key performance indicators from EPIC, Tableau, and Clinical dashboards to drive service delivery improvement.

• Lead Project Manager responsible for creating audit tools, data analysis reports, and documentation for NCQA requirements related to care management program. Lead Care Manager, Care Management January 2018 – March 2020

• Implementation of a centralized value-based care management department consisting of nurse care managers, social workers, and medical assistants responsible for providing care coordination to patients’ post-discharge.

• Supported implementation of a care management program to focus on risk contracts earning an increased quality payout in commercial contracts of over $20 million and achieving shared saving for two consecutive years with commercial up and downside risk contracts delivering over $10 million to LVHN organization.

• Actively build a professional network and affiliated network with ACO and LVPHO to ensure key metrics are met.

• Worked with multiple health technology vendor to determine best approach with integration of existing system. (MetaVision, NextGen, Elsevier, EPIC, Navinet, Theon, iCollaborate, and Optum).

• Improving overall Medicare Stars Rating, with achieving over a 4 for the last two years with the implementation of the value-based care management program.

• Provide operational subject matter expertise in the development of over 75 workflow processes related to transitions of care, care management services, and care gap closures.

• Responsible for the overall education and counseling of 40 staff members. Education Specialist/Patient Care Specialist January 2016 – January 2018

• Designed and streamlined a new hire orientation process for a new department consisting of interdisciplinary team members (nurses, social workers, pharmacists, and medical assistants).

• Monitored quality outcomes for over 10 programs. Lead project manager.

• Assist with the design and implementation of nurse-led protocols for diabetes, sepsis, COPD, and heart failure. Directly managed over 250 staff members.

Nursing House Supervisor January 2014 – January 2018

• Managed staffing and assignments for 729-bed, level-one trauma center hospital. Addressed urgent concerns and issues with multiple disciplinary teams.

• Evaluated performance and provided immediate feedback to staff members.

• Reported to HR and senior management. Resolved employee issues and disputes. Inpatient Registered Nurse June 2010 – January 2016

• Held roles in the Float Pool, step-down, and medical-surgical units.

• Obtained the Certified Medical-Surgical Registered Nurse certification. Member of Quality Improvement Committee, Peer Review, Super User for EPIC, and Inpatient Practice Council. Teaching Experience

Adjunct Faculty, DeSales University January 2018 – Present

• Responsible for clinical site instruction for BSN students.

• Serves as project consultant for BSN students.

• Instructed Clinical based-skills classes.

Adjunct Faculty, Cedar Crest College January 2018 – Present

• Responsible for clinical site instruction for BSN students.

• Instructed Pharmacology classes.

Nurse Residency Faculty, LVHN June 2017 - Present

• Teach Shared Decision-Making in the Nurse Residency Curriculum

• Provides ongoing monthly mentorship to 6-8 nurse residents. Education

Doctor of Nursing Practice (DNP), Executive Leadership June 2021 Chamberlain University, Chicago, IL

Scholarly Project: “The Impact of Telephonic Follow-Up within Two Days Post-Discharge on 30-Day Readmission Rates for Patients with Type 2 Diabetes.” Master of Science in Nursing, Public Health March 2019 Aspen University, Denver, CO

Bachelor of Science, Nursing May 2010

Cedar Crest College, Allentown, PA

Professional Certifications/License

RN Licensed in Pennsylvania Expires October 2021 RN Licensed in Montana Expired December 2022

RN Licensed in Utah Expires January 2023

BLS Certification Present

Crucial Conversation Certified March 2016

Certification in Medical-Surgical Registered Nurse 2015 – Present NICHE Certified October 2011



Contact this candidate