Nursing Professional with over 25 years of experience in various health care settings such as Home Health, SNF, Sub Acute, PICU and the Case Management/Utilization Management field. Extensive experience providing innovative support to Medi-Cal members, navigating complex health/social needs and connecting individuals to community resources. Oversight of daily operations and specialized Care Management Programs for Seniors and Persons with disabilities. Participated in the transition and integration of Community Based Adult Services into managed care. Successful management and leadership of a virtual Population Health team of Registered Nurses and Licensed Clinical Social Workers, Health Educators, Outreach Specialists, and Medical Management Specialists to improve health and quality outcomes and preventing inpatient and ER readmissions through patient centered care. Development and implementation of Readmission Statewide Strategy, see video below for a success story: