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There are 14 item(s) tagged with the keyword "Management".

Displaying: 1 - 10 of 14

I Am! Nurse Advocacy

I Am! Clinical Advocacy       

The Advanced Plan for Health I Am! clinical advocacy solution transforms actionable insight into targeted action. We provide advanced and proven longitudinal analytics through our Poindexter platform and combine them with our proven I Am! nurse advocates, resulting in improved impact on the health and well-being of those who need it most.

Tags: Population Health Management, Data Analytics, Tool, Insight, Population, Poindexter, Predictive Modeling, Big Data, Trends, Healthcare, Conditions, Gaps in Care, Admissions, Readmission, Analysis, Individual health status, Costs, Risk Score, behavioral analytics, Hospital, Care Management, Health, Better Health, Lifestyle, Risk Prevention, Management, Compliance, Business, Guidance, Intervention, Benefits
Nurse Care Navigators' Value to the Self-Insured Health Plan

To nurse care navigators, care management is exactly that – managing people with care. 

Mentoring clinicians and health plan professionals in learning how to guide and support people, wherever they are on the healthcare continuum, is my opportunity to pass on the secrets of population health management that so many wonderful professionals have shared with me.

Making a difference in people's health, while optimizing resources so that people and health plans get the desired results, is my idea of success.   

Tags: Advanced Plan for Health, Nurse Care Navigator, Self-Funded, Employers, Health Plan, Management, Action Items, Care Management, Health, Medical Management, Population Health Management, Healthcare, Spend, Bottom Line, Clinicians, Outcomes, Data, Poindexter, Predictive Modeling, Drill-Down, Opportunities, Individual Health Status, High Risk, Chronic Health Conditions, Health System
Elements of Top-Notch Data Analytics Risk Engine

In today’s healthcare world, benefits brokers are primed to gain a competitive edge through harnessing the power of big data analytics. With the right analytics engine, brokers can streamline risk analysis to provide their clients with key insights – at micro and macro levels – that shed light on crucial aspects of their member population and generate actionable results (1 Year $1 Million Saved: CEBG). The next major step in healthcare technology is here and ready to assist in the effort to improve population health.

Tags: Healthcare, Data, Analytics, Engine, Benefits, Brokers, Insurance, Big Data, Member, Population Health, Insight, Claims, Management, Compliance, Preventive, Customization, Predictive Analytics, Care Gaps, Health, Risk Score, Identify, Admissions, Re-admissions, Employers
Chris Galanos - Director, Medical Services

Chris Galanos was Vice President Customer Solutions–Care Management for UMR, the third-party administrator (TPA) unit of UnitedHealthcare. He was responsible for the UMR portfolio of care   management services.

Tags: Bachelors, History, English, Texas Tech University, Harvard University, Harvard School of Public Health, Health, Customer Solutions, Care Management, UMR, Third Party Administrators, TPA, United Healthcare, Management, Sales, Medical Management, Strategic Planning, Product Development
Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations

Dr. Rutkowski is a Medical Management Professional with more than twenty years of experience in operations, integrated medical management for Medicare and self-insured employers, hospital and managed care quality, and employee development.

Tags: Medical, Management, Professional, Integrated Medical Management, Medicare, Self-Insured, Employers, Hospitals, Managed Care Quality, Employee Development, Strategic Business, Health, Systems, Consulting, Organizational Development, Leadership, Team Building, Network, Risk, Clinical, Credentialing, Reinsurance, Regulatory Compliance, Wellness, Disease Management, Utilization, MedisGroups, Outcomes, Design, Development, Vice President, Nursing, University of Florida, Doctor, Education, Indiana University, Registered Nurse, American Journal of Nursing, Chamber of Commerce, Health Care Excel, Operations, Masters of Science
Susan Mutto, RN, MA - Director, Clinical Development

Sue Mutto contributes to Advanced Plan for Health’s capabilities and expertise with a well-rounded background in clinical, quality, informatics, and health plan management. She holds a Master of Health Services Management from Webster University in St. Louis, Missouri. She is a Registered Nurse (RN) awarded with a Paralegal Certificate from the American Institute of Paralegal Studies in Chicago, Illinois.

Tags: Advanced Plan for Health, Health, Clinical, Informatics, Health Plan, Management, Health Service, Webster University, Registered Nurse, Paralegal Certificate, American Institute of Paralegal Studies, Hospital System, Quality, Safety, Risk, Hospital System National Malcolm Baldrige Award, Project Management, Surgical Software, EHR, Vendor Software, Contracting, Project Planning, Analysis, HEDIS, Medicare Advantage
Neil Godbey - President/CEO

Neil Godbey is President/CEO of The Godbey Group and Chairman/CEO of the Advanced Plan for Health. Mr. Godbey has extensive experience in the healthcare industry.

Tags: President, CEO, The Godbey Group, Advanced Plan for Health, Experience, Healthcare, Industry, Operations, Management, Urgent Care, Occupational Medicine, Clinics, Mobil Diagnostics, Hospital, Nursing, Home Management, Start-Up, Managed Care, Organization, IPA, HMO, Strategic, Mergers, Acquisitions, Development, Healthcare Companies, Health Plans, Care Centers, Physician, Health System, Toledo, University, Masters of Business, Administration, Texas Christian University, Healthcare Provider
Introducing Poindexter

Poindexter is no ordinary predictive modeling engine typical of the Population Health Market. Poindexter is APH's industry-leading phenotype, cross-dimensional predictive modeling engine that examines the entire population.

Tags: Poindexter, Data Analytics, Manage Risk, Health Plan, Data Analytics Engine, Population Health, Phenotype, Risk Trends, Predictive Modeling, High Cost Members, Drill-Down, Database, Healthcare, Employees, Healthy, Management
Joy McGee-Cory - President CEBG/Senior Vice President Advanced Plan for Health

Joy McGee-Cory advises health systems, managed care organizations, integrated delivery systems, and physician groups on managed care operations, provider compensation and contracting, regulatory compliance, and accreditation issues.

Tags: Health Systems, Managed Care Organizations, Integrated Delivery Systems, Physician Groups, Managed Care, Provider Compensation, Contracting, Regulatory Compliance, Accreditation, Analysis, Proposal Development, Employer-Sponsored, Health Plan, Provider Network, TPA, Third Party Administrators, Medical, Management, Data, Firms, Policies, Procedures, Utilization Review Agent, URA, Medical Review Organization Certification, National Committee for Quality Assurance, Assessment, NCQA, Policy, Procedure, Payor, Reimbursement, Analysis, CEO, Members, CHIP, Participants, Market, COO, IPA, Capitated, Senior-Vice President, Medical Education, Hospital-Physician, Medical Group, Masters, Business Administration, University of Arkansas, Certified Physician Management Executive, Certified Purchasing Manager, Medical Group Management Association, Texas Association of Preferred Provider Organizations, TAPPO, Nonprofit Health Corporations
Neil Godbey - President/CEO

Neil Godbey is President/CEO of The Godbey Group and Chairman/CEO of the Advanced Plan for Health. Mr. Godbey has extensive experience in the healthcare industry.

Tags: President, CEO, The Godbey Group, Advanced Plan for Health, Experience, Healthcare, Industry, Operations, Management, Urgent Care, Occupational Medicine, Clinics, Mobil Diagnostics, Hospital, Nursing, Home Management, Start-Up, Managed Care, Oranization, IPA, HMO, Strategic, Mergers, Acquisitions, Development, Healthcare Companies, Health Plans, Care Centers, Physicians, Health System, Healthcare Provider, Toledo, University, Masters of Business, Administration, Texas Christian University

Displaying: 1 - 10 of 14