Healthcare Data-Driven Care Management Analyst

CHINYERE ADA CHOICE, MBA, MSN

Baltimore, MD ***** • 443-***-**** • **********@*****.***

DILIGENT INPATIENT UTILIZATION REVIEW AND CARE MANAGER

RN Care Manager • Clinical Supervisor • Inpatient Care Manager • Senior Patient Care Coordinator

Patient Care Delivery • Utilization Review • Clinical Case Management • Risk Mitigation

WORK EXPERIENCE

Sinai Hospital of Baltimore July 2021 - June 2022

Inpatient Care Coordinator / Manager

●Enabled an +80% decrease in readmission to acute care and insurance denials.

●Achieved a 90% reduction in customer complaints by enhancing patient service quality.

●Boosted organizational capacity by collaborating effectively across multiple departments.

●Reduced process bottlenecks by training and coaching employees on best practices.

Ascension Health, Saint Agnes Hospital, Baltimore, MD March 2020 - July 2021

Inpatient ED Utilization Review Nurse

●Analyzed ED patients to determine the appropriate level of care and support care providers.

●Ensured effective treatment plan implementation by engaging with supervisor and practitioners.

Corizon Health April 2019 - March 2020

Continuous Quality Improvement

●Improved patient safety and care quality by monitoring metrics and providing recommendations.

●Contained costs and drove efficiencies by evaluating and updating key internal processes.

Medstar Washington Hospital Center May 2017 - April 2018

Inpatient Utilization Review Nurse

●Enhanced medical outcomes by ensuring the delivery of high-quality care and treatment.

●Forged strong communication channels with colleagues, service staff, clients, and physicians.

United Health Care Nov 2016 - May 2017

HEDIS Data Analyst

●Generated thousands of dollars in savings by identifying and addressing long-standing issues.

Maryland Physicians Care, Aetna MCO May 2016 - Nov 2016

Appeals Analyst/Utilization Review RN

●Resolved complex cases by working effectively with external partners and healthcare providers.

EDUCATION

Grand Canyon University, Phoenix, AZ

Master of Business Administration

Master of Science, Nursing

TECHNOLOGIES

Cerna • IQ • MCG • Powerchart

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