Program Manager Patient Care

SHARON GREGERSEN, BSN, RN, CCRN

Apex, NC ***** 919-***-**** *********.******@*****.*** linkedin.com/in/sharon-gregersen-6698a122/ HEALTH CARE PROGRAM MANAGER

Program Manager with solid experience in advancing provider evaluation programs and creating value-added initiatives to achieve dynamic, member-centric goals. First-hand in optimizing resources and workflows, planning events, and creating well sequenced processes to ensure effective program execution. Areas of expertise in mastering new platforms, data analysis and data application. KEY SKILLS

Provider outreach Data Analysis Cotiviti Medical Network Intelligence Optum OPA Platforms Excel Quality Management Critical and Urgent Care Nursing Strategic Planning Change Management Process Improvement Microsoft Office PowerPoint

PROFESSIONAL EXPERIENCE

MGA HOMECARE, Raleigh, NC March 2024 – September 2024 Clinical Nurse

Provided effective communication across varied medical teams to enable critical and appropriate pediatric patient care.

Recognized by colleagues as resource for technological and prescription healthcare skills.

Delivered high-quality patient care as per ethical and professional standards of medicine and the institution’s policies.

Educated families and patients of the medical treatment and patient care.

Patients were well cared for and educated regarding the patients treatment as noted by colleague’s feedback, patient gratitude, and lack of major health incidents. BLUE CROSS BLUE SHIELD NORTH CAROLINA, Durham, NC February 2014 - August 2023 Program Manager

Devised program goals and continually assessed and aligned goals to complete successful program events and objectives.

Oversaw developing, implementing, and managing health related programs.

Identified, analyzed, and understood target audiences and their specific program needs including managing performance metrics and goals.

Provided detailed knowledge related to quality metrics, cost, and efficiency criteria for multiple specialties along with clinical practice guidelines.

Conducted day-to-day operations for specialty provider, and facility tiering programs including data analysis, writing policies and procedures, provider education and relationship building.

Skilled with engaging diverse types of physicians and organizations to implement programs and initiatives.

Evaluated various healthcare vendors to increase vendor ability to meet program needs.

Results included: decreased co-pay for members, increased business for providers with reduced provider risk and push-back, a more efficient provider evaluation program, and increased quality for plan members as seen by members using higher quality providers.

BAYADA April 2011 – January 2014

Clinical Nurse

Provided effective communication across varied medical teams to enable critical and appropriate patient care.

Recognized by colleagues as resource for technological and prescription healthcare skills.

Delivered high-quality patient care as per ethical and professional standards of medicine and the institution’s policies.

Educated families and patients of the medical treatment and patient care.

Patients were well cared for and educated regarding the patients treatment as noted by colleague’s feedback, patient gratitude, and lack of major health incidents. WHEATON ACADEMY, West Chicago, IL September 2007 – March 2011 School Nurse

Provided effective communication across varied medical teams to enable appropriate and essential patient care.

Recognized by management for persistence, tranquility, and exceptional healthcare skills.

Established and implemented school policies and procedures.

Earned certifications including BSN, and RN (NC #265462).

Delivered high-quality patient care as per nursing philosophy and organizational standards.

Educated staff and students in first aid skills, and special needs immediate care.

Students were well cared for, said they felt safe, and no major health incidents happened. ADDITIONAL RELEVANT EXPERIENCE

HOSPITALS and CLINICS

Clinical Nurse

Provided effective communication across varied medical teams to enable critical and appropriate patient care.

Recognized by colleagues as resource for technological and prescription healthcare skills.

Delivered high-quality patient care as per ethical and professional standards of medicine and the institution’s policies.

Implemented hospital and office policies and procedures.

Earned certifications including BSN, RN (NC #265462) and CCRN.

Educated families and patients of the medical treatment and patient care.

Patients were well cared for and educated regarding the patients treatment as noted by colleague’s feedback, patient gratitude, and lack of major health incidents. EDUCATION

Bachelor of Science in Nursing, BSN

Eastern Mennonite University, Harrisonburg, VA

CERTIFICATIONS

Registered Nurse, RN (NC #265462)

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