Amy Roberts
Sharpsburg,GA
Summary
Dynamic strategic leader with a proven track record in defining and executing operational strategies that align people, processes, and organizational culture. Expertise in driving continuous improvement initiatives to enhance efficiency and effectiveness, ensuring alignment with company goals and vision. Committed to fostering an environment of collaboration and innovation for sustainable growth. Adept at navigating complex challenges while maintaining focus on long-term objectives.
Diligent leader with extensive experience in patient care coordination and healthcare navigation. Proven track record in streamlining patient journeys and enhancing communication between multidisciplinary teams. Demonstrated expertise in patient advocacy and critical problem-solving.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Thoracic Nurse Navigator
Emory Midtown Winship Cancer Institute
11.2024 - Current
- Management of proactive and reoccurring risk-based touchpoints to identify and eliminate barriers to care from new patient visit through completion of active treatment.
- Reinforcement of treatment plan by providing education related to care pathways and reinforcement of teaching of chemotherapy, radiation, and immunotherapy.
- Collaboration with multi-disciplinary team members to ensure continuity of care transitions.
- Participation in tumor board conferences weekly.
- Collaboration with the clinical team to identify patients interested in research studies.
- Evaluation of navigation practice and engagement in quality improvement efforts in alignment with evidence-based studies to improve overall patient experience and clinical outcomes.
- Navigation and management of patient caseloads of 200.
Education Coordinator
Emory Midtown Winship Cancer Institute
08.2024 - 11.2024
- Development of educational training programs for new graduate nurses.
- Development and management of onboarding for multiple units.
- Teacher, practitioner, manager and researcher for all new graduate nurses and all nursing staff for multiple units.
- Development and execution of education plans for FY 2025 to meet state and federal regulations.
- Development and execution of training content by establishing program agendas and presenting face to face training with all staff.
- Management and administration of regulatory weekly and monthly audits for multiple units.
- Preceptor to all staff on multiple units.
Registered Nurse
Eagle Health Analytics
01.2021 - 01.2024
- Clinical support for the V-Safe and VAERS program for the United States.
- Inquiry management regarding COVID-19 vaccine safety for the United States.
- Data analysis and reporting for COVID-19 related projects.
- Literature reviews and searches for VAERS database pertinent to vaccine safety.
- Management of Yellow Fever priority case reporting.
- Data entry and analysis in Redcap database.
- Coordinate with the VAERS data team to establish VAERS virtual private network (VPN) access for VAERS reviews.
- Respond to COVID-19 response with questions with VAERS medical record abstraction and escalation when appropriate.
- Creation and construction of medical publications for COVID-19 and other vaccination topics.
- CDC
Practice Manager II
Piedmont Healthcare System
01.2021 - 01.2021
- Manage all aspects of business operations, overseeing new start up Medical Oncology practice.
- Set up and oversight of new start up including identification of areas of improvement.
- Management of cash balancing, billing claims, unbilled charges, auditing, and inpatient billing for maximum reimbursement including financial counseling to ensure the maximization of professional services reimbursement.
- Management of medical supplies and office supplies to adhere to the annual budget.
- Creation of policies, procedures and process flows for the Oncology service line for duplication in future Oncology sites including new patient flow design to ensure adherence to wait times perimeters less than 15 minutes.
- Educate, adhere, and enforce JCAHO and OSHA standards relating to the physician office practice of medicine.
- Management of all financial reports utilizing Tableau including front-end operational reports, annual budget reports, co-pay reports, referral conversions and RVU management for the physician and for the practice.
- Function as a liaison between physicians, and office employees to resolve conflicts and to promote cohesiveness in the practice. Serve as a liaison between the practice and other clinical and administrative components of the Piedmont Medical Care Corporation.
- Management of all education, staff training and staff on-boarding for the department.
- Obtaining and managing contracts with multiple medical entities.
- Management of marketing calendar and strategies including marketing tools to increase patient base and revenue.
- Participation in all staff and group meetings for problem resolution.
- Participation in new EMR system and configuration team for future launch.
UM/ Clinical Review/Nurse Coach/Case Management
Care Centrix
01.2019 - 01.2021
- Telephonic case management of post-acute care patients including clinical review, utilization management, education, patient assessments, medication reconciliation, goal setting, symptom management, and utilization of community resources.
- UM/Clinical Review: Review of clinical requests received for appropriate level of service including extensions of stay in ALFs, In-Patient Facilities, and SNF Facilities, rendering medical necessity approval or recommendation of denial of services requested.
- UM/Utilization of clinical expertise to review clinical information and clinical criteria that determination is rendered within the contractual and regulatory turn-around time standards to meet guideline requirements. Adherence to Utilization Management and URAC/NCQA standards utilizing Interqual/MCG.
- Manage patient base of 30+ patients including initial contact, medication management, goal setting, education, plan benefits and utilization of community services.
Clinical Liaison
Agape Hospice
01.2018 - 01.2019
- Marketing Management of six counties in the assigned territory area. Broke down barriers and forged partnerships with businesses in the service area.
- Rapid growth of accounts from 30 to 80 accounts in 6 months.
- Territory Management/Contract Negotiation/Group Presentation
- F2F Sales.
- Creation and execution of business proposals.
- Development and management of marketing plan including obtaining and maintaining client accounts.
- Education of benefits and services with all accounts.
- Contract procurement and execution for multiple out-patient services and vendors.
- Securing and conducting various speaking engagements, community events and educational programs for the community.
- Review of patient admission eligibility and application of admission criteria.
- Recruitment and training of all staff and physicians.
- Pre/Post admission and continuous care advocacy for the patient population.
Senior Leadership Hospice Administrator
Serenity Hospice
01.2016 - 01.2018
- Provided executive leadership and oversight over three sites. Provided infrastructure to support an organizational culture of quality and operational excellence within a framework that ensures regulatory compliance.
- Management of day-to-day operations, fiscal management, business development and program expansion.
- Management of financial position including daily, monthly, and annual budget perimeters and corporate monthly reporting.
- Management of the marketing team and business plan for three sites including short and long-term goals including engaging in community events and speaking engagements to increase client base.
- Managed service line growth. Vendor management. Face to face marketing with senior executives.
- Contract procurement, execution and management for various out-patient services and multiple vendors.
- Employee training and education including writing and implementation of clinical training programs.
- Participation, configuration, and implementation of new EMR system.
- Management of annual evaluations, coaching, and training off all staff.
- Management of all HR duties including screening, background checks, drug tests, hiring, and management of all HR files for all disciplines including physicians, nurse practitioners, nursing management, nursing staff, social workers, clergy, office staff and volunteers.
- Increased volunteer program by 70% in 12 months.
- Stabilized nursing/staff turnover rate from 30% to 5%.
- Transformed operation from paper charting to electronic charting.
- Secured certification of excellence from state survey report.
- Completed Lean process improvement projects resulting in increased patient satisfaction, staff satisfaction and improved metrics.
- Chart review to ensure adherence to policy and regulations for Medicare.
Hospital Educator and Employee Health Director
HealthSouth Rehabilitation Hospital
01.2014 - 01.2016
- Conducted and managed initial set up of Employee Health Department and Employee Education Department for new start up hospital.
- Creation and implementation of education plan for all employees to meet Joint Commission and State Requirements and obtained an excellent rating and review.
- Teaching and training new entry level nurses.
- Creation and conduction of annual skills fair and continuing education plan for all clinical employees.
- Creation of all educational materials and conduction of all new employee on-boarding training for all disciplines including preceptor assignment and new employee schedules per company requirements.
- Administrator of HealthStream online platform.
- Set up and management of all employee health and employee education records to meet regulatory guidelines and company policy.
- Creation and execution of all employee health requirements including annual vaccinations, mask fittings, and lab draws for all staff.
- Evaluation and management of all Workman Comp injuries and illnesses.
- Leader for fall prevention; Implemented Fall Prevention Team and strategies, decreased fall rate from 10.00% to zero.
- Completed Lean process improvement projects resulting in increased patient satisfaction, staff satisfaction and improved metrics.
Director of Infusion, Hospital Education and Wound Care
Cancer Treatment Centers of America
01.2011 - 01.2014
- Managed Outpatient Infusion Center, Hospital Education department, and Wound Care department for new start up Cancer Center
- Directed start-up/new hospital operation for outpatient Infusion services including budget management, facilities preparation, recruiting and training new staff, equipment purchase, supply procurement and management.
- Management of turn-around times for out-patient chemotherapy visits for Infusion Center.
- Participated in focused group for Joint Commission Survey with focus on National Patient Safety Goals.
- Creation and implementation of education plan for all employees to meet Joint Commission and State Requirements and obtained an excellent rating and review.
- Creation and conduction of annual skills fair and continuing education plan for all clinical employees to meet state regulations.
- Creation of all educational materials and competencies, and conduction of on-boarding for 180 new employees including EMR training and continuous education for all disciplines including preceptor assignment and new employee schedules per company requirements.
- Participated in Job Fair Team screening and interviewing hundreds of potential applicants prior to opening hospital.
- Department management including evaluations, coaching, hiring, education, training, and management of employee records.
- Creation and implementation of process flow for Care Management for eleven specialty physicians.
- Case Management for Medical Oncology team including prior authorizations, referrals to ancillary services, DME provision and FMLA preparation.
- Telephonic Case Management of Oncology patients including education, symptom management, patient education, and community services.
- Acquiring free services for patients who could not afford needed chemotherapy medications and treatments.
- Case Management
Manager of PACU/ UM/ Case Management
St. John’s Hospital
01.2010 - 01.2011
- Directed start-up of new hospital operations for PACU unit.
- Initial set up and management of PACU department for new hospital including hiring staff, scheduling, and inventory.
- Creation of staff policies and procedures.
- Conducted all staff training and education.
- Utilization review using Milliman Care Guidelines for 23-hour observation floor.
- Case Management: placement, utilization review, referrals to outside services to meet patient needs upon discharge.
- Clinical Ladder Committee Team Leader.
Director of Hospital Liaison Team/ Case Manager/ Marketing Manager/ Senior Leadership
Sojourn Care Hospice
01.2003 - 01.2010
- Hospital Team Director for 14 hospitals and staff in the Oklahoma service area. Managed Hospital Liaison Teams to support client base 500 patients.
- Developed, created, and implemented the business plan and marketing plan for the Hospital Liaison Team for a radius of 200 miles with 14 contacted hospitals in the Oklahoma service area.
- Development, execution, and maintenance of the marketing plan resulting in increased patient base from 80 patients to 500 patients.
- Contract negotiation, procurement, and execution for multiple out-patient services and vendors.
- Securing and conducting various speaking engagements, community events and educational programs for the community.
- Planning and conducting community events and projects to increase patient base.
- Creation and conduction of annual skills fair and continuing education plan for all clinical employees.
- Creation of all educational materials and conduction of all new employee on-boarding training for all disciplines including preceptor assignment and new employee schedules per company requirements.
- Recruitment and credentialing of all staff physicians.
- Development and implementation of clinical policies and procedures.
- Lean team project to resolve problems with the ability to retain patients when admitted to the hospital.
- Community, facility, physician, and staff education of the hospice benefit.
- Field Case Management of 50 Oncology patients.
- Managed service line growth. Vendor management. Face to face marketing with senior executives.
RN Oncology/ Med Surg/ Cath Lab/ Cardiac/ ER/ Cardiology/ Orthopedics/ CCU/ PACU/ ASC/ Case Management
Southcrest Hospital
01.2000 - 01.2003
- Administration of Chemotherapy (Chemo Certified).
- Nursing care for all ASC/Oncology/Cardiac/Orthopedic/Medical/Surgical/ER/Cardiology/CCU Cath/ Lab patients.
- Cath Lab scrub nurse for Cath Lab and Interventional Radiology.
- Specialized in blood products and blood transfusions and stem cell transplants.
- Case Management Med Surg/Orthopedics/Oncology/Cardiac CCU/ICU
Specialist in 401K, 403B, Corporate and Keogh Plans
MetLife
01.1994 - 01.1999
- Telephonic management of 401K, 403b, Corporate and Keogh Plans for MetLife Insurance Company
- Daily stock trading per customer choice
- Education of current funds, ratings, and plan provisions
Education
Master of Business Administration - MBA
Western Governor’s University
Salt Lake City, UtahMaster of Nursing Leadership and Management - MSN
Western Governor’s University
Salt Lake City, UTBachelor of Science in Nursing - BSN
Western Governor’s University
Salt Lake City, UtahSkills
- Hospice
- Oncology
- Sales
- Territory Management
- Nursing Education
- Leadership Development
- Innovation
- Change Management
- Clinical Management
- Case Management
- Clinical Review/Audit
- Records Management
- Clinical Business Integration
- Program Development
- Project Management
- Startup Management
- Operational Execution
- Employee Engagement
- Clinical Knowledge and Expertise
- Business Development
- Utilization Management
Certification
- Series 6, 63
- Life, Accident and Health Insurance
- Telephonic management of 401K, 403b, Corporate and Keogh Plans for MetLife Insurance Company
- Daily stock trading per customer choice
- Education of current funds, ratings, and plan provisions
Timeline
Thoracic Nurse Navigator
Emory Midtown Winship Cancer Institute
11.2024 - Current
Education Coordinator
Emory Midtown Winship Cancer Institute
08.2024 - 11.2024
Registered Nurse
Eagle Health Analytics
01.2021 - 01.2024
Practice Manager II
Piedmont Healthcare System
01.2021 - 01.2021
UM/ Clinical Review/Nurse Coach/Case Management
Care Centrix
01.2019 - 01.2021
Clinical Liaison
Agape Hospice
01.2018 - 01.2019
Senior Leadership Hospice Administrator
Serenity Hospice
01.2016 - 01.2018
Hospital Educator and Employee Health Director
HealthSouth Rehabilitation Hospital
01.2014 - 01.2016
Director of Infusion, Hospital Education and Wound Care
Cancer Treatment Centers of America
01.2011 - 01.2014
Manager of PACU/ UM/ Case Management
St. John’s Hospital
01.2010 - 01.2011
Director of Hospital Liaison Team/ Case Manager/ Marketing Manager/ Senior Leadership
Sojourn Care Hospice
01.2003 - 01.2010
RN Oncology/ Med Surg/ Cath Lab/ Cardiac/ ER/ Cardiology/ Orthopedics/ CCU/ PACU/ ASC/ Case Management
Southcrest Hospital
01.2000 - 01.2003
Specialist in 401K, 403B, Corporate and Keogh Plans
MetLife
01.1994 - 01.1999
Master of Business Administration - MBA
Western Governor’s University
Master of Nursing Leadership and Management - MSN
Western Governor’s University
Bachelor of Science in Nursing - BSN
Western Governor’s University
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