Integrated Care Manager & Medicare Advantage Leader
Resume:
Jen Jaros
Anthem, AZ *5086
Cell: 623-***-****
Email: *******@*******.***
Profile: Dedicated professional with a passion for leading and motivating community members toward better health outcomes throughout the life span. Extensive background with experiences across industries including Managed Care, Community Health, Hospice, Acute, and Post-Acute settings.
Professional Experience
Integrated Care Manager Hospice of the Valley August 2025- October 2026
Integrated care management including transition of care and complex care management.
Performed weekly Interdisciplinary meetings for coordination of care, and Re-Certification for Medicare Services.
Opportunity to liaison/Network for group homes in North Phoenix for admissions and growth of team.
Integrated Care Manager Blue Cross Blue Shield of Arizona, October 2020 – August 2025
Conduct daily integrated care management, including staff onboarding and presentations to the Medicare Advantage market.
Participated in the rapid response team pilot team to address urgent cases and collaborate with company leads including real-time emergent collaboration with the Medical Director, contracting, and authorization teams.
Ensure adherence to CMS, MCG, and URAC guidelines.
Post Acute Team Lead Humana Inc., Phoenix, AZ, August 2019 - October 9, 2020
Led the UM program for Navi Health's post-review team, including program development, education, and implementation for the post-acute market.
Led Interdisciplinary Teams (IDTs) and collaborated with all business lines.
Clinical audit experience for the Medicare Advantage line of business.
Market Lead for Hospice/Palliative Care Program Humana Inc., Phoenix, AZ, April 2015 - April 2016
Initiated and implemented Hospice and Palliative care program development in Pima County with the company and markets.
Led weekly meetings with multiple teams and lines of business, managing five direct reports.
Integrated Care Manager Humana Inc., Phoenix, AZ, July 2012-April 2015
Integrated care management, including transition of care and complex care management.
Care Manager Hospice of Arizona, Phoenix, AZ, September 2006 - October 2011
Managed hospice field case management with 6-8 direct reports.
Extensive experience with Medicare recertification criteria and after-hours triage nursing.
Leadership and administrative experience.
Critical Care RN Banner Thunderbird East critical care, Glendale, AZ, May 2005 - September 2006
Served as charge RN, Team lead, and educator for staff.
Member of the development team for the Code Blue Rapid Response Team.
Experience in extensive sepsis management, ventilator support, and multisystem organ failure management.
Travel Nurse Mayo Clinic Hospital Medical/Surgical unit, Scottsdale, AZ, October 2002- May 2005
Provided primary RN care with a 5:1 patient ratio.
Various Medical floors, including ICU, Trauma, Neuro, EENT and Plastics, Bone Marrow Transplant, Transplant Medicine, and Medical-Surgical units.
Experience as Charge Nurse with responsibilities for collaboration and assignment delegation.
Prior experience 1993-2005 Bryan Memorial Hospital and Milder Manor Lincoln, Nebraska
Education
Fall 2009-March 2012 University of St. Mary, Online
Completion of BSN Graduated with GPA of 3.9
July 1994-July 1995 Bryan Hospital School of Nursing. Lincoln, Nebraska Graduated with RN diploma.
Spring 1992-Spring 1993 Southeast Community College. Lincoln, Nebraska.
Graduated with LPN certificate.
Graduated with Distinct honors GPA of 3.9
Certified Case Manager certification: 2012, active through 5/31/28
Skills
Staff Education and Mentoring
Program Development and Implementation
Regulatory Compliance CMS, MCG, NCQA, URAC
Leadership and Team Collaboration
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