Charlotte, NC 28226 704-906-0547 Personal Health Care Solutions 2002 Current Owner I am a Professional Certified Geriatric Care Manager and Patient Advocate provid ing personalized services to assist older adults and their families. In additio n to providing comprehensive case management assessments and recommendations, I assist with financial and insurance questions. While striving to give families alternatives and options, I offer advice on eligibility requirements for private and public services. In times of crisis, I will assist families with setting u p home care or finding placement in appropriate residences. I work closely with Physicians, Home Care Agencies, Hospital Case Managers, Senior Care Residences, Insurance Companies, Medicare and Medicaid. Resources for Senior Living 2001 20 02 Executive Director, The Laurels and The Haven in Highland Creek I was responsible for the operations of two assisted living residences, one trad itional and another for residents with Alzheimers and related dementia diagnoses . It was my responsibility to administer the budget and maintain high quality s ervices for the residents in a safe, clean and cheerful environment. Coventry Health Care of the Carolinas, Inc. 1999 -2000 Director, Network Operations I was responsible for contract negotiations and implementation, medical and util ization management and quality assurance for HMO, POS and PPO products. It was my responsibility to manage the successful delegation of the managed Medicaid pr oduct in Mecklenburg County. Carolinas HealthCare System 1995 1999 Vice President, Managed Health Resources I was responsible for managed care contracting, operations and relationships for Carolinas HealthCare System (CHCS) which accounted for more than 60 % of the an nual revenue. It was my responsibility to develop a system wide Clinical Care M anagement Department responsible for over 70,000 discharges per year. I also ma naged the Third Party Administrator (TPA) for CHCS which paid claims for all CHC S employees under the self insured insurance plan. Prudential Insurance Company 1992 1995 Manager of Provider Relations and Member Services I managed the Provider Relations and Member Services departments in Charlotte an d Texas, involving multiple provider networks, physician recruitment, contract m anagement and development of hospital relationships and ancillary networks. CIGNA, Houston, Texas 1991 1992 Manager of Contracting and PPO Development I was responsible for the development and ongoing management of PPO markets in a six-state region. I worked closely with large multi-state employers and nation al account sales offices to develop and support PPO markets. New York Life (Sanus/HealthPlus) Houston and Washington, DC 1985 -1991 Director of Provider Relations, Medicare Services and New Products I was responsible for recruitment, contract negotiations and provider network ma nagement. I directed the startup, marketing, sales, regulatory compliance, manag ement and day to day operations of one of the first HMO Medicare Programs in the country.
Education Master of Science, Gerontology University of Southern California Master, Public Administration University of Southern California BS, Biology, Queens College, Charlotte, NC
PROFESSIONAL LICENSES AND CERTIFICATIONS
Certified Care Manager, National Academy of Certified Care Managers Licensed Administrator for Assisted Living Residences Licensed NC Life and Health Insurance Agent Licensed Medicare Supplement/Long-Term Care Agent Advanced Professional, National Association of Professional Geriatric Care Manag ers