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MICHELE D. ADAMS BSN, RN, CCM 6288 State Route 95, Butler, Ohio 44822 (614) 588-4777 [email protected] PROFESSIONAL SUMMARY A Population Health Leader with experience in: Population Health (ACO, Shared Savings, PMPM) & Managed Care Case Management, Disease Management & Motivational Interviewing Care Coordination, Transitions of Care (TOC) & Chronic Case Management (CCM) Payors: Medicare, Medicare Advantage, Commercial & Dual Eligible Staff Needs: Quality, Hiring, Training, Staff Development & Mentoring Analysis of data to identify actionable items & create proactive goals Leadership, business development, and strategic planning Experience: Healthcare = 24, Leadership = 10+, Direct Reports = 4+ PROFESSIONAL NURSING EXPERIENCE Population Health Manager of Ohio 10/3/2015 to Present American Health Network (AHN) – Population Health & ACO Management of ACO, Population Health & Clinical Transformation with a regional cross-functional clinical team; onsite, remote, and telecommuters. Facilitating with senior leadership, regional medical directors & key area healthcare partners to implement initiatives. Driving execution of ACO clinical plan and ongoing practice engagement. Achieved CMS ACO Shared Savings for 2015. Population Health Nurse - RN 9/29/2014 to 10/2/2015 American Health Network - ACO/Population Health Working onsite at 3 primary care offices identifying patient care opportunities in AHN’s Ohio North area. Creating positive work relationships with providers & offices’ key team members to educate & facilitate the objectives of the ACO & Population Health. Clinical & Project Team Lead 10/31/11 to 12/3/2013 Aetna, Inc. - Aetna One Premier Team- Designated Disease Management

Adams Michele Resume 9-2016

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Page 1: Adams Michele Resume 9-2016

MICHELE D. ADAMS BSN, RN, CCM6288 State Route 95, Butler, Ohio 44822(614) 588-4777 [email protected]

PROFESSIONAL SUMMARY

A Population Health Leader with experience in:

Population Health (ACO, Shared Savings, PMPM) & Managed Care Case Management, Disease Management & Motivational Interviewing Care Coordination, Transitions of Care (TOC) & Chronic Case Management

(CCM) Payors: Medicare, Medicare Advantage, Commercial & Dual Eligible Staff Needs: Quality, Hiring, Training, Staff Development & Mentoring Analysis of data to identify actionable items & create proactive goals Leadership, business development, and strategic planning Experience: Healthcare = 24, Leadership = 10+, Direct Reports = 4+

PROFESSIONAL NURSING EXPERIENCE

Population Health Manager of Ohio 10/3/2015 to PresentAmerican Health Network (AHN) – Population Health & ACO

Management of ACO, Population Health & Clinical Transformation with a regional cross-functional clinical team; onsite, remote, and telecommuters. Facilitating with senior leadership, regional medical directors & key area healthcare partners to implement initiatives. Driving execution of ACO clinical plan and ongoing practice engagement. Achieved CMS ACO Shared Savings for 2015.

Population Health Nurse - RN 9/29/2014 to 10/2/2015American Health Network - ACO/Population Health

Working onsite at 3 primary care offices identifying patient care opportunities in AHN’s Ohio North area. Creating positive work relationships with providers & offices’ key team members to educate & facilitate the objectives of the ACO & Population Health.

Clinical & Project Team Lead 10/31/11 to 12/3/2013Aetna, Inc. - Aetna One Premier Team- Designated Disease Management

Working in an administrative telecommute and in-office position to support a national DM unit & 40 RN’s; professional presentations, project management, mentoring, coaching, auditing, quality improvement, data collection & analysis, collaboration with Executive Management, Sales, Medical Directors, and other Aetna Units. Identified as a “Best Performer” and “Future Leader” by management.

Nurse Care Manager/Health Coach Consultant 7/16/2007 to 10/30/2011Aetna, Inc. – National & Designated Disease Management

Being a health educator and advocate for Aetna members to help them better understand proper management of their chronichealth conditions, plus make and achieve health goals via motivational interviewing. The ability to telecommute was awarded after 6 months in the office, with proven mastery and independence in this DM job role. Created local and

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national best practices for the unit and worked on national committees.

President 02/15/2004 - 07/01/2007Adams Enterprises, LLC

Start-up and small business experience managing a land development company, which included working with direct reports, government officials, legal advisors, financial institutions, realtors, and subcontractors.

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Licensed School Nurse - Ohio Board of Education - 8/22/1999 –06/14/2000

Columbus Public Schools

Working with school aged children age 3 to 21 within an urban school setting. This includes taking care of about 1800 students’ medical records, state mandated testing, and daily medical needs.

OB Charge Nurse, Registered Nurse & Childbirth Educator 6/16/1997 - 09/15/2004 Mount Carmel St. Ann's - L&D, High-Risk, Mother-Infant, & NICU

Working with perinatal mother and infants, including surgery, labor, women’s clinic, post-partum, nursery, and charge nurse duties.

EDUCATION & CERTIFICATIONS

Brigham Young University – Provo, Utah

Health Science1989-1992

Otterbein University – Westerville, Ohio

Bachelors in Nursing1993-1997

School Nurse Certification (LSN)1999

Commission for Case Manager Certification (CCMC)

Certified Case Manager (CCM)2015

Western Governors University (WGU) – Salt Lake City, Utah

Masters in Business AdministrationMarch 1st, 2017 – Estimated completion date

TECHNICAL SKILLS

EHR/EMR – Various SystemsMicrosoft Office Suite

MillimanGPRO – CMS

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Kronos - Varent

LEADERSHIP & COMMUNITY INVOLVEMENT

BYU Management SocietyCentral Ohio Chapter

Boy Scouts of America Volunteer LeaderBadge Counselor

Clear Fork Area Historical SocietyBoard Member

Relief Society - Women’s Service Organization

New Albany, Ohio - 1st Counselor 2010 – 2012

Mansfield, Ohio – Secretary2016 to Current