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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
MICHELE D. ADAMS (614) 588-4777 Page 2
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.
MICHELE D. ADAMS (614) 588-4777 Page 3
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
MICHELE D. ADAMS (614) 588-4777 Page 4
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