Keith Gosselin
Healthcare Administration Leader
- Role
- Clinical Utilization Map Director (Elderserve Health Plans) at CareSource
- Location
- Fort Lee, NJ, US
- LinkedIn followers
- 500 followers
About Keith Gosselin
I am a top-performing Healthcare Administration Executive with extensive experience in healthcare, team leadership, and strategic planning. I am highly skilled in overseeing all facets of daily operations, directing cross-functional teams to ensure adherence to overarching strategies, policies, procedures, and best practices. I also have a proven ability in evaluating existing operations to identify inefficiencies, redundancies, and risks, innovating process improvements to optimize workflow, maintain internal controls, and drive organizational growth.
Experience
Clinical Utilization Map Director (Elderserve Health Plans)
Sep 2020 — Present · Bronx, NY, US
In my current role, I develop and implement Utilization Management processes and department. I also outline MAP plan processes and policies and fostered growth strategies while ensuring Care Managers comply with CMS and DOH guidelines and regulations.• Monitored and documented cases to ensure effective and efficient administration of patient care in compliance with Medicaid and Medicare guidelines.• Partnered with Quality Department on all HEDIS measures, audits, critical incidents, and compliance, successfully enhancing patient care, satisfaction, and organizational growth.
Education
Brookdale Community College
A.A.S, Business Administration
2005 — 2007
Rutgers University
MSW, Social Work
2011 — 2014
Hudson County Community College
ASN, Registered Nursing/Registered Nurse
2018 — 2020
Berkeley College
Bachelor of Science, Management - Entrepreneurship
2008 — 2011
Brick Computer Science Institute
Technical Certification, Systems Technician and Microsoft Certifications
1996 — 1998
William Paterson University of New Jersey
Bachelor of Science - BS, Registered Nursing/Registered Nurse
Skills
- Inventory Management
- Microsoft Office
- Sales
- Transportation
- Social Networking
- Publishing
- Customer Relations
- Contract Negotiation
- Project Management
- Public Speaking
- Crisis Intervention
- Medical Social Work
- Outlook
- Psychotherapy
- Microsoft Word
- Customer Service
- Blogging
- Social Media
- Management
- Team Building
- SEO
- Crm
- Problem Solving
- Word
- Program Management
- Windows
- Marketing
- Process Improvement
- Online Marketing
- Excel
- Account Management
- Entrepreneurship
- Social Services
- Trade Shows
- Powerpoint
- Microsoft Excel
- Marketing Strategy
- Digital Marketing
- Strategic Planning
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