Monique Peele
Manager, Field Care Management, Children s Medical Services Regions 1, 2 & 4 @Sunshine Health
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WORK HISTORY
Manager, Field Care Management, Children s Medical Services Regions 1, 2 & 4 @Sunshine Health
Ensures all programs and clinical operations are following state and contractual regulations- Proactively monitors appropriate metrics to drive up efficiency- Ensures compliance with plan’s emergency management policies, procedures, and processes- Monitors the effectiveness of existing procedures and outreach/intervention efforts in demonstrating positive outcomes for members- Ensures appropriate case planning, education and interventions are conducted for members defined to be at risk- Ensures staff coordinate exchange of information between behavioral health and medical providers in developing comprehensive care plans for at-risk members- Monitors data to address quality measures, trends or potential improvement opportunities including provider issues, service gaps and members needs.
EDUCATION
Howard University
Bachelor of Arts (B.A.), Sociology
Barry University
Master of Social Work (MSW), Social Work
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