Licensed Practical Nurse with CCM Leadership Experience, Liaison

Carrie Grossi, LPN

978-***-**** *********@*****.***

Professional Summary

Results-driven Licensed Practical Nurse with 25 years of experience, including 5 years in remote Chronic Care Management and managed healthcare environments. Community liaison and resources. Proven success in leading clinical teams, optimizing workflows, and implementing operational improvements that enhance patient outcomes and streamline processes. Skilled in fostering collaboration across multidisciplinary teams, maintaining high productivity, and delivering cost-effective, patient-centered care.

Licensed in Massachusetts and Rhode Island

Core Competencies

• Chronic Care Management Utilization Review HEDIS Data Abstraction Care Coordination

• Clinical Team Leadership Staff Training & Development Workflow Optimization

• Prior Authorizations Quality Audits Performance Metrics & Reporting

• Patient Advocacy Medicare & Medicaid EMR/EHR (Epic, Orb)

• Interdisciplinary Collaboration Transition of Care Preventative Health Strategies

Professional Experience

Chronic Care Manager (Remote) — Southcoast Health Sept 2020 – Present

• Lead Chronic Care Management initiatives, coordinating care for high-risk Medicare/Medicaid members. Managed a large Medicare CCM panel with consistent monthly metrics and timely follow-up.

• Co-developed and launched an enrollment workflow, improving efficiency and increasing revenue.

• Created Epic smart phrase shortcuts, streamlining documentation and reducing provider workload.

• Train and mentor new hires, enhancing onboarding and improving retention.

• Provide patient education, care navigation, and social resource referrals to ensure continuity of care.

• Facilitate communication between multidisciplinary teams to optimize care plans and outcomes.

HEDIS Data Abstractor (Remote) — Change Healthcare Jan – May 2020 (Seasonal)

• Abstracted patient data for HEDIS quality measures, ensuring accuracy and compliance.

• Organized and reviewed medical records to identify performance improvement opportunities.

Intake Coordinator/LPN — Health Alliance Home Health & Hospice VNA Aug 2019 – Dec 2019

• Coordinated referral intake and OASIS documentation, ensuring timely SOC and ROC visits.

• Provided telephonic triage and collaborated with interdisciplinary teams to ensure patient needs were met.

• Managed provider referrals and facilitated smooth transitions of care.

Triage Nurse/LPN — Montachusett Internal Medicine Sept 2014 – Jun 2019

• Delivered patient education and telephonic triage for acute and chronic conditions.

• Conducted prior authorizations and appeals to secure medically necessary services.

• Utilized Epic EMR to document, manage schedules, and coordinate patient care and resources.

School Health Nurse (Temp) — West Boylston School District Mar – May 2014

• Monitored infection control and advocated for student healthcare needs.

• Coordinated between families, school staff, and healthcare professionals.

Telephonic Triage Nurse — Medical Associates Pediatrics Sept 2008 – Dec 2012

• Served as a central contact for patients and families, providing education and support.

• Delivered telephonic care guidance and escalated cases as needed.

Telephonic Triage/Clinical Nurse — Primary Care Cardiology Sept 2000 – Sept 2008

• Managed chronic care patients via phone follow-ups and care planning.

• Conducted prior authorizations and medical necessity reviews.

Education & Training

• Utilization Review, E-Learning (2021)

• Medicare Chronic Care Management, E-Learning (2019)

• Associate of Science in Human Services — Mount Wachusett Community College, Gardner, MA

• Licensed Practical Nursing — Montachusett Regional Vocational Technical School, Fitchburg, MA

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