With over 10 years of experience in nursing management, compliance, audit, and case management, I am passionate about providing quality care to customers and providers in the Medicare and Medicaid managed care programs. As a Nurse Care Manager at Suvida Healthcare, I oversee the implementation of compliance framework, respond to escalated risks and issues, and assess care management business operations and processes. I have a proven track record of leading and developing teams of nurses and social workers, establishing performance metrics and goals, and driving process improvement and quality initiatives. I have also conducted audits and monitoring for care management business operations, developed oversight and process improvement plans, and worked with network operations teams to develop strategies and identify gaps. I hold a master's degree in Health Care Administration and certifications in Case Management, Health Care Compliance, and Health Care Auditor. I am currently enrolled in Certification for Professional Coding with expected completion in June 2023.