Horse Farm Referral Specialist
Resume:
CHRISTEN TERRORE, BSN RN MSHI
LEVERAGING CLINICAL, INFORMATICS & UTILIZATION MANAGEMENT LEADERSHIP EXPERTISE WITHIN A MANAGED CARE SETTING TO STRUCTURALLY TRANSFORM THE HEALTH CARE MODEL AND IMPROVE QUALITY OUTCOMES 29 Brentwood Lane Fairport, New York 14450 Mobile Phone: 585-***-**** Email: ******@***.*** PROFESSIONAL OBJECTIVE AND SUMMARY
Seeking an executive appointment within the QUALITY IMPROVEMENT or HEALTHCARE OPERATIONS space in which to bring a unique blend of clinical, managerial, informatics, and UM expertise to ensure best-in-class outcomes for all stakeholders. Qualifications include rigorous academic and professional credentials; exceptional relationships throughout the regional health care community; experience with NCQA and state regulatory requirements; and a solid record of achievement in influencing the use of new technological tools and processes to drive quality managed care solutions. Further qualified by the ability to quickly assimilate complex data and effectively manage multiple concurrent projects. A reputation for innovative leadership, inclusivity, and a desire to assist wherever needed to drive high quality and timely deliverables. Core Competencies:
Strategic Leadership/Planning Improving Outcomes through Digital Transformation Utilization Management
Program Growth/Optimization Talent Multiplier: Supervision/Development/Mentoring Clinical Health Operations
Quality Audits/Chart Reviews Gathering/Presenting Data for Clinical Decision Support HARP/Network Partnering EDUCATIONAL BACKGROUND
ROCHESTER INSTITUTE OF TECHNOLOGY, Rochester, New York MS Master of Science in Health Informatics, December 2020 GPA: 3.74 MS Master of Science Candidate, Health Systems Management, August 2022 ST. JOHN FISHER COLLEGE, Rochester, New York
BSN Bachelor of Science in Nursing, May 2014 Dean’s List GPA: 3.62 Inducted into Sigma Theta Tau International Honor Society of Nursing, Delta Chapter Winner of the 2014 RAACE Outstanding Adult Student Award WAYNE-FINGER LAKES BOCES SCHOOL OF PRACTICAL NURSING, Newark, New York LPN Licensed Practical Nurse, June 1997
New York State Current Active Nursing License: 22686349 Registered Nurse Expiration February 2023 PROFESSIONAL EXPERIENCE
Per diem bedside RN on busy med/surg unit, 5200, at Rochester General Hospital [July 2021-current]
• Beside RN on busy cardiac- based medical surgical unit
• Perform IV and phlebotomy skills
• Interpret telemetry strips
• Coordination of care for patients in patient and upon discharge
• Collaboration with a multidisciplinary focus for best patient outcomes
• Patient and family teaching as applicable
• Precept new nurses and student nurses
• Demonstrate exemplar professionalism
Assistant Professor, College of Health Careers, Isabella Graham Hart School of Practical Nursing [September 2020- current]
• Teach and mentor practical nursing students during their Med Surg clinical bedside rotation in all aspects of beside medical surgical nursing.
• Offer constructive feedback to adhere and align with current best practices
• Encourage teamwork with multidisciplinary approach Concurrent Review Nurse WellCare Health Plans, Inc. [October 2020 –May 2021] As a member of the UM Team of this multi-line managed care enterprise that operates government-sponsored healthcare programs, have comprehensive responsibility for reviewing IP stays relative to the Medicare line of business. Network with providers/hospitals for level of care and discharge planning. Collaborate cross-functionally to deliver local impact. Highlights:
Developed and tracked CM productivity metrics to quantify CM time management outputs and use as a coaching tool
Created a member education template currently utilized by Fidelis’ QHCM Dept. that optimizes member material transfer
Applied knowledge of NCQA and such NYS regulatory requirements, including TAT, HIPAA, et al.
Credited with consistently enabling and communicating a strategic vision linked to Centene’s purpose and mission RN Supervisor of Clinical Services Fidelis Care [October 2018 – October 2020] Supervised a team of eight Registered Nurses and one PC, including the monitoring and management of team assignments and the management of remote staff with regular travel. Highlights:
Trained/mentored new Care Managers and PCs on the team utilizing staff performance metric development and monitoring
Collaborated with both internal and external customers to meet member needs
Participated in Integration initiatives; assisted in the development of work processes across the spectrum
Actively assisted the team with meeting productivity measures
Facilitated community resources training for the staff; communicated with management requesting and providing feedback Page One of Three
CHRISTEN TERRORE, BSN RN MSHI
LEVERAGING CLINICAL, INFORMATICS & UTILIZATION MANAGEMENT LEADERSHIP EXPERTISE WITHIN A MANAGED CARE SETTING TO STRUCTURALLY TRANSFORM THE HEALTH CARE MODEL AND IMPROVE QUALITY OUTCOMES 29 Brentwood Lane Fairport, New York 14450 Mobile Phone: 585-***-**** Email: ******@***.*** PROFESSIONAL EXPERIENCE
CENTENE, Fairport, New York July 2018 – Present
RN Supervisor of Clinical Services Fidelis Care [October 2018 – October 2020] (CONTINUED)
Re-engaged a team beset with high turnover via promotion of staff achievements and the creation of a more positive culture
Established quarterly team events, weekly team meetings & bi-weekly 1:1 staff coaching sessions; presented data regularly
Advocated for taking on additional roles and leadership assignments, including NCQA chart prepping for multiple audits
Worked closely with the HARP supervisors and NYC offices to successfully lead a highly quantified integration team
Developed and refined workflows and templates to assist case managers’ documentation to align with NCQA requirements
Successfully aligned both the remote and on-site staff through regular and effective communications
Achieved/exceeded all productivity measures by working with CMs and Triage to optimize referral volume
Recognized for chart review expertise and for identifying improvement opportunities vis a vis CM caseload management
Credited with supporting the company’s business needs and promoting the highest standards of excellence Testimonial: “Christen is a strong supervisor who continues to demonstrate growth and is dedicated to her performance. She has met all the goals as outlined in Centene’s Pillars of Leadership. She is a talent multiplier in respect to her continued engagement with onboarding new staff and promoting growth in her existing team members. Christen challenges her team to work to their full potential.” – J. Ruffell, RN Manager of Clinical Operations RN Care Manager Envolve of NY [July 2018 – October 2018 ] Recruited back to Centene to manage a patient population comprising adult and pediatric members with HIV and complex medical conditions. Through its family of companies, Envolve leverages and integrates collective expertise with customized, cost-effective healthcare solutions to deliver on the purpose to transform the health of the community one person at a time.
Partnered with and provided education to the members and providers served
Actively sought out opportunities to collaborate with multiple disciplines, both internal and external St. ANN’S HOME, Rochester, New York 2018
Per Diem Nursing Supervisor
Managed staff assignments and performance for this venerable skilled nursing center, offering long-term care, short-term transitional care, and outpatient rehabilitation.
Assessed residents performing higher level, hands on treatments and therapies
Communicated acute changes in residents’ conditions to families, providers, and hospital staff ROCHESTER REGIONAL HEALTH, Rochester, New York February 2017 – July 2018 Staff RN Cardiothoracic Intensive Care Unit (CTICU) Collaboratively worked with a multidisciplinary team in the RN role to provide care to pre and post-operative patients.
Balloon pump certified
Precepted new nurses and student nurses; provided patient and family education CENTENE, Fairport, New York May 2016 – February 2017 Manager Utilization Management: Envolve of NY [October 2016 – February 2017] Medical Management Trainer/Auditor: Envolve of NY [May 2016 – October 2016]
Maintained oversight for all intake metrics, 18 non-licensed personnel, staff performance management & call center goals
Trained new staff members in the utilization management, care management, and referral specialist roles
Provided support in the preliminary stages of identifying opportunities for process improvement and clarification
Collaborated with the management team to define processes and disseminate information to the staff, as appropriate
Established a calm, high performance culture conducive to a professional environment
Audited staff nurses in the utilization and care management areas JEWISH HOME OF ROCHESTER, Rochester, New York August 2015 – March 2016 Per Diem Nursing Supervisor
Managed staff assignments and performance for this venerable skilled nursing center, offering long-term care, short-term transitional care, and outpatient rehabilitation.
Assessed residents performing higher level, hands on treatments and therapies
Communicated acute changes in residents’ conditions to families, providers, and hospital staff Page Two of Three
CHRISTEN TERRORE, BSN RN MSHI
LEVERAGING CLINICAL, INFORMATICS & UTILIZATION MANAGEMENT LEADERSHIP EXPERTISE WITHIN A MANAGED CARE SETTING TO STRUCTURALLY TRANSFORM THE HEALTH CARE MODEL AND IMPROVE QUALITY OUTCOMES 29 Brentwood Lane Fairport, New York 14450 Mobile Phone: 585-***-**** Email: ******@***.*** PROFESSIONAL EXPERIENCE
TRILLIUM HEALTH CARE, Rochester, New York March 2015 – June 2015 (Adecco); June 2015 – April 2016 Adult Day Health Patient Educator Clinical RN
Performed RN duties in the clinic with a heavy emphasis on triaging via phone and face to face for this provider of affordable primary and specialty care, including LGBTQ+ health care. Facilitated care across healthcare systems.
Educated patients and new staff; performed care planning with a patient centered focus; assisted in emergency responses
Assisted in the interview process for new staff in conjunction with oversight of new staff UNIVERSITY OF ROCHESTER MEDICAL CENTER URMC, Rochester, New York November 2014 – February 2015 Adult ED – Medical Surgical RN Adult ED – Supplemental RN Assignment Within both assignments at this major teaching hospital, provided a high level of care to complex adult patients.
Communicated within a multidisciplinary team to ensure a high level of care to the patient served in this environment
Performed care to adult patients in the ED during high volume periods PREVIOUS EXPERIENCE
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Served as a Licensed Practical Nurse for 17 years. FLACRA, Per Diem LPN Acute Substance Detoxification Unit [January 2014 – November 2014] FLACRA, RN Medical Representative Quality Assurance and Incident Review Boards [May 2014 – November 2014] MAXIMUS FEDERAL SERVICES, Clinical Nurse Adjudicator Medicare/CMS [November 2012 – November 2013] FINGER LAKES DONOR RECOVERY NETWORK, Organ Procurement Coordinator [2002 – 2003 and 2009 – 2011] STRONG MEMORIAL HOSPITAL, Solid Organ Transplant Office UNOS Data Coordinator [2006 – 2009] In addition to the positions and assignments listed above, worked on the Step Down Ventilator Unit at Genesee Hospital, IV Insertion Specialty Team at RGH and Strong Memorial Hospitals, Pediatric and Adult EDs at RGH and Unity Hospital, Adult ED at Strong Memorial Hospital, Urgent Care Center, and MCC Jail, 1997 – 2002, 2011 – 2012, and 2013 – 2014. TEACHING EXPERIENCE
ISABELLA GRAHAM HART SCHOOL OF PRACTICAL NURSING, Rochester Regional Health, Rochester, NY Clinical Instructor [Per Diem September 2020 – Present] VOLUNTEER WORK
BOARD MEMBER, Sigma Theta Tau International Honor Society of Nursing, Delta Chapter, 2016 VOLUNTEER, Fairport Boys Rugby Club Member of Emergency Response Support Personnel VOLUNTEER, Care for Stables and Horses at Horse Farm (Current) REFERENCES
WILLIAM M. VALENTI, MD DEBORAH C. STAMPS, EdD, MBA, MS, RN, GNP, NE-BC (She, Her, Hers) Co-Founder Chief of Innovation Executive Vice President Staff Physician Chief Nursing Education and Diversity, Equity, and Inclusion Officer Trillium Health Isabella Graham Hart School of Practical Nursing College of Health Careers ********@**************.*** 585-***-**** ******.******@*****************.*** First Reference Second Reference
MIRLEINE CHARLES, BSN RN
Manager UM Operations
Fidelis Care
*********@***********.***
Third Reference
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