Care Management North Carolina

Angela Lynn

Address: *** ****** *****, ** ******, NC 28551

********@***.*** 919-***-**** https://www.linkedin.com/in/angela-lynn-5b4b3

Healthcare Executive Strategic Leadership in Care Management, Clinical Operations, and Program Development Expertise in Budgeting and Team Development

I am an accomplished healthcare executive with over 20 years of experience in strategic business planning, care management, and clinical operations. My expertise spans across healthcare law, budget management, program development, and staff leadership, with a proven track record of driving operational excellence and improving patient outcomes.

As the Director of Clinical Teams and Care Management at Blue Cross Blue Shield of North Carolina, I led high-performing teams, managed multi-million-dollar budgets, and implemented innovative programs that delivered measurable results. My strengths include optimizing healthcare delivery, ensuring regulatory compliance, and building strategic relationships that support organizational growth.

I bring a unique combination of clinical expertise and executive leadership, enabling me to bridge the gap between patient care and business strategy. I am passionate about transforming healthcare systems to improve quality, efficiency, and sustainability. With my background in healthcare leadership, I am well-positioned to contribute to organizations seeking to enhance their care management capabilities and achieve long-term success.

Skill Areas: Stakeholder Engagement Operational Excellence Regulatory Mastery Process Improvement

Healthcare Executive Leadership Budget Management Strategic Business Planning

CAREER HIGHLIGHTS AND ACHIEVEMENTS

Led Clinical Teams at Blue Cross NC, improving outcomes for complex healthcare cases.

Managed Multi-Million Dollar Budget, optimizing resources for cost-effective care.

Developed Care Management Programs, resulting in better patient outcomes and regulatory compliance.

Reduced Healthcare Costs by 20% through innovative care strategies.

Drove Organizational Change during restructuring, ensuring high team performance.

Built Strategic Healthcare Partnerships to improve care coordination.

Increased Staff Retention by 25% through leadership and team development.

Ensured Full Compliance with NCQA, HIPAA, and regulatory standards.

Launched Clinical Initiatives that improved patient satisfaction and reduced readmissions.

PROFESSIONAL EXPERIENCES

Blue Cross Blue Shield of North Carolina

Director, Clinical Teams & Care Management

Nov 2005 – Oct 2024

Directed clinical operations and managed care management programs to improve outcomes for over 1 million members with complex healthcare needs.

Developed and implemented strategic initiatives aligned with organizational goals, enhancing service delivery and ensuring compliance with regulatory standards.

Managed a department budget of $10 million, ensuring effective resource allocation and financial sustainability.

Spearheaded cost reduction initiatives resulting in a 20% decrease in healthcare costs through improved care management practices.

Led organizational restructuring efforts, maintaining team performance and morale while fostering a culture of excellence.

UNC Health Lenoir

Staff Nurse – Emergency Dept. Behavioral Health

Jan 2023 – Jul 2024

Delivered high-quality behavioral health services in emergency situations, ensuring patient safety and effective interventions.

Collaborated with interdisciplinary teams to create and implement comprehensive care plans, improving patient outcomes.

Participated in staff training initiatives to enhance clinical skills and promote professional development.

Assessed and prioritized complex patient needs, implementing strategies to mitigate risks effectively.

Engaged in ongoing education, ensuring adherence to best practices in behavioral health and emergency care.

Cherry Hospital

Charge Nurse

May 2008 – Apr 2022

Managed daily operations of the psychiatric care unit, ensuring compliance with safety and quality standards.

Developed individualized care plans for patients, collaborating with interdisciplinary teams to address mental health needs.

Provided training and mentorship to staff, fostering a supportive environment that promotes professional growth.

Advocated for patients to ensure they received appropriate care and support throughout their treatment.

Monitored patient progress and utilized data to drive quality improvement initiatives within the unit.

CIGNA HealthCare

Utilization Management Nurse

Sep 2004 – Nov 2005

Conducted utilization reviews to ensure compliance with medical necessity and healthcare regulations.

Collaborated with multidisciplinary teams to optimize patient care and resource allocation.

Evaluated patient cases for appropriate use of medical services, enhancing operational efficiency.

Monitored healthcare plans and provided recommendations for cost-effective care delivery.

Supported the implementation of case management protocols and best practices in patient care.

Gould and Lamb

Medical Writer/Consultant

Dec 2003 – Jul 2004

Analyzed healthcare data and processes to provide consulting services to medical facilities.

Drafted detailed medical reports and recommendations to improve organizational practices.

Developed content for medical documents used in healthcare regulatory compliance.

Provided strategic insights on healthcare laws and regulations affecting operations.

Assisted in optimizing processes for medical coding and claims management.

Medical Staffing Network

Staff Nurse

Jun 2001 – May 2004

Delivered direct patient care across multiple healthcare settings, focusing on high-quality care.

Monitored patient conditions and collaborated with healthcare teams to ensure best outcomes.

Administered medications and treatments per physician directives.

Provided patient education and support to promote healing and recovery.

Participated in interdisciplinary team discussions to enhance care planning and service delivery.

Nurse Care 2000

Staff Nurse

Jun 1999 – May 2001

Delivered patient-centered care in various medical settings, ensuring adherence to care plans.

Assessed patient conditions and provided timely interventions for improved health outcomes.

Worked with families to ensure patient needs were met throughout the treatment process.

Monitored vital signs and administered prescribed treatments with precision.

Collaborated with other healthcare providers to enhance continuity of care.

Registered Nurse Consultant

Jan 1998 – May 1999

Provided consulting services for healthcare organizations to improve patient care processes.

Developed strategies for case management and nursing protocols.

Collaborated with leadership to enhance healthcare services and ensure regulatory compliance.

Analyzed patient care data to identify trends and recommend improvements.

Implemented best practices in clinical care and nursing standards.

Interim Healthcare

Home Health Nurse

May 1996 – Dec 1997

Delivered personalized home health care to patients, managing complex medical needs.

Monitored patient conditions and communicated with physicians for care adjustments.

Assisted with daily living activities while providing emotional and medical support.

Developed individualized care plans in collaboration with patients and families.

Educated patients and caregivers on home care techniques to ensure continuity of care.

Kaiser Permanente

Clinic Nurse

May 1995 – Apr 1996

Provided clinical support in a fast-paced medical clinic environment, ensuring patient care quality.

Assisted physicians in examinations, diagnostic procedures, and treatments.

Educated patients on preventative care and treatment options.

Maintained patient records and ensured accurate documentation of treatments and interventions.

Collaborated with healthcare teams to streamline clinic operations and enhance patient experience.

Howell’s Center

Staff Nurse

May 1994 – Apr 1995

Provided comprehensive nursing care for patients in a healthcare facility.

Administered medications and treatments, ensuring adherence to physician orders.

Assessed patient needs and developed care plans tailored to individual health requirements.

Worked closely with healthcare teams to manage patient care and treatment goals.

Participated in facility-wide quality improvement initiatives to enhance patient care outcomes.

EDUCATION AND CERTIFICATION

Education:

MSN - Healthcare & Leadership Western Governors University

BSN University of North Carolina at Chapel Hill

ADN Johnston Community College

Skills and Proficiencies:

Healthcare Leadership and Management:

Strategic Planning & Execution

Budget Management & Cost Control

Program Development & Implementation

Staff Recruitment, Training & Development

Cross-functional Team Leadership

Performance Evaluation & Improvement

Regulatory Compliance & Risk Management

Operations & Care Management:

Utilization Management & Case Management

Patient Care Coordination

Quality Assurance & Accreditation Standards

Resource Allocation & Financial Oversight

Healthcare Policy Development

Interdisciplinary Collaboration

Process Improvement & Efficiency

Clinical & Nursing Expertise:

Medical Diagnostic & Procedural Coding

Patient Assessment & Education

Complex Care Planning & Implementation

Medication Administration & Compliance

Behavioral Health & Emergency Nursing

Home Health Care Management

Telehealth & Remote Care Solutions

Analytical & Communication Skills:

Data Analysis & Reporting

Critical Thinking & Problem-Solving

Excellent Interpersonal & Communication Skills

Conflict Resolution & Decision Making

Presentation & Public Speaking

Adaptability & Innovation in Dynamic Environments

Technical Skills:

Microsoft Office Suite (Word, Excel, PowerPoint)

Electronic Health Records (EHR) Systems

Telehealth Platforms

Medical Billing & Coding Software

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