Supervisor of Care Management

Jessica M Stevens RN BSN CCM

*** ******* **, ********** ** 65018 816-***-**** **********@*****.***

Objective

To continue to develop as a leader in the role of Care Management supporting a collaborative, innovative team that achieves better member outcomes simultaneously meeting contractual obligations and metrics.

Education

BACHELOR OF SCIENCE IN NURSING DECEMBER 2004 UNIVERSITY OF CENTRAL MISSOURI

Dean’s List Multiple Semesters

High School Diploma with Honors May 1998 Jefferson City High School

●Graduated top 10 of 600

●National Honors Society

●National Hispanic Honors Society

Skills & Abilities

COMMUNICATION

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Experience

SUPERVISOR OF CARE MANAGEMENT HOME STATE HEALTH JANUARY 2017-AUGUST 2022

●Supervised staff of 11-18 team members from various disciplines increasing engagement, promotion, and retention

●Implemented and revised CHSR program and assisted in CHSR certification

●Support the Lead program and reorganization

●Revamped SSFB NICU program allowing collaboration with CCR and Med Directors

●PCS education revamp and established provider relationships to increase member accessibility

●Supported field and remote staff in Private Duty Nursing training, assessment and oversight

●Collaborated on the creation and review of Pivot analysis Data and VLBW babies

●Created member facing materials: Lead Flyer and NICU Journal

●Created Care Maps on Preeclampsia, MFN, Toxins, Healthy Eating

●Member of Dental Advisory Committee statewide

●Member of SDOH committee and workgroup

●Member of Post-Partum Affinity group and collaboration

●Facilitate HSH OB rounds

●Participate in JOCs and PFPs

●Presented in Member Advisory Group MAG for HSH

●Excellent collaboration and rapport with Provider Relations

●Established rapport with multiple clinics and providers through networking

●Community level involvement supporting marketing and SDOH in Central Region

●Involved in the final stages and launch of MA4 Marc Partnerships

●Spearheaded TOC team and increased post TOC compliance with staffing redesign

●Lead HSH MC connections for Corporate

●Provided multiple education sessions on SSFB topics

●Participated in pulling and marking of EQRO and NCQA charts

●Oversight on Tuberculosis Care Management

●Participation and ownership of Find Help expansion and revamp

●Maintained Certification of Care Management

●Expansion of SSFB baby showers in Southwest Region with education and support

●EQRO and NCQA participation with chart pulls, mark-up and interview

●Chart Auditing

CM II HOME STATE HEALTH MAY 2015-JANUARY 2017

●Care manager of SSFB up to 165 members max averaging 70-100 active cases

●Average calls per day 15

●Subject Matter Expert SSFB

●Assisted in onboarding new members

●Assisted in NICU CM with supervisor transition

●Provided education on SSFB topics to staff

●Presented in HSH and corporate rounds

●High success rate of contact with SSFB members and outcomes

●Participated in NCQA and EQRO

●Office Manager, receptionist for Jefferson City office coordinating all services from visitor access, ordering supplies, IT, security, building maintenance and support, desk audits

●Establishment of Doula services and primary contact with Uzazi Village

●SSFB baby Showers in Central Region and SME presentation

CM I HOME STATE HEALTH MARCH 2013-MAY 2015

●Adult, pediatric, and special needs CM

●SSFB care manager

●Assisted in policy review

●EQRO Participation

●Community outreach and marketing in the Central Region

●SSFB Baby showers in Central Region

●Office manager and Receptionist for Jefferson City Location

●Obtained Certification of Care Management

LABOR AND DELIVERY NURSE NORTH KANSAS CITY HOSPITAL MAY 2007-MARCH 2013

●Care of high-risk OB patients from a variety of conditions and cultural backgrounds

●Member of the Antepartum Committee

●Member of shared governance hospital-wide

●Member of the Bereavement Team

●Advanced Fetal Monitoring Certified

●Circulated and recovered Cesarean Sections including cardiac monitoring

●Trained and oriented new staff

●NRP certified

●Float to low level NICU and Post-Partum as well as preop and recovery

●Triaged OB patients and performed NST, BST and BPPs, Oxytocin Stress Tests, BSTs

●Assisted in amniocentesis, genetic testing, external versions

●Chart auditor and JCHCO expert

●Calls to preop patients for education and scheduling

LABOR AND DELIVERY NURSE SSM JEFFERSON CITY, MISSOURI NOVEMEBER 2006-MAY 2007

●Total care and support of antepartum, labor and delivery, post-partum and NICU

●Intrauterine Catheter insertion

●Policy review committee

●Floated to Pediatric Unit

●Performed Antepartal testing and surveillance

●Preoperative, circulation and recovery of cesarean sections

WOMEN’S, CHILDRENS AND MED/SURG MEDICAL CENTER OF INDEPENDENCE (CENTERPOINT) JANUARY 2005-NOVEMBER 2006

●Charge nurse for 12 bed unit specializing in women’s and children’s health

●Direct care of 4-6 total care including low level NICU-geriatric

●Care of complicated Medical Surgical cases including postoperative recovery

●Collaborated with providers and house nurse for admission and bed assignment over a variety of disciplines from OB, Medical, Surgical, Infectious Disease and Pediatric specialties

●Assisted in complex medical procedures Bone Marrow Biopsy, T- Drain placements, Spinal Taps, Leeching, NG tube placement and maintenance

●Methotrexate Administration

●G-Tube feeding and medication administration

●Cardiac Catheter Recovery

●Orthopedic Care and Recovery

●Telemetry Monitoring

Recognitions and Awards

●March of Dimes Nurse of the year finalist 2015

●Multiple patient recognitions for direct care

●CM spotlight through Centene Promo

●Phi Kappa Theta Honors Fraternity

●Delta Pi Omega Sorority

●Central Methodist University News Anchor

●Multiple 1st Place in state debate at Central Methodist University

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