Judy Peasley
Mesa
Summary
Healthcare professional with extensive experience in complex case management at United Health Group. Expertise in care coordination and communication has led to improved patient outcomes. Proficient in policy compliance and team leadership, with a proven ability to mentor staff and enhance operational efficiency. Resourceful in managing high-risk populations and developing effective care plans, ensuring exceptional service delivery.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Medicare Telephonic/ Field based Case manager
Molina HealthCare
07.2024 - Current
- Telephonic/ field based complex case manager, TCM, D-SNP
SNP case manager
Alignment healthcare
Orange
10.2023 - 07.2024
- Telephonic complex case manager, TCM, DSNP , SNP
Case manager
United Health Group
Eden Prairie
01.2010 - 01.2023
- Telephonic complex case manager, TCM, UM , SNP
Clinical Supervisor
United Health Group
01.2010 - 01.2017
- Supervise telephonic case and disease management team, field based TCM team and triage team at varies time as a supervisor on provider operations team. This includes interviewing, hiring and training employees; provide on-going coaching and mentoring, and development of employees, establish performance goals and monitors progress; plans, schedules and direct the work of employees; evaluate employees performance and productivity. Participate in presentations to internal and external clients. Develop policies, procedures, job aids and workflows as needed to assure ongoing compliance based on established plan/state/federal and accreditation standards and criteria.
On site Field base case manager- TCM
United Health Group
01.2015 - 01.2016
- Help members transition from the hospital to the community
Quality Auditor and Custom Case management team
United Health Group
01.2014 - 01.2015
- Provided complex/ personalized telephone case management
Telephonic case manager, disease manager, CCM and preceptor
United Health Group
03.2010 - 01.2014
Clinical Supervisor Paseo Urgent care
Cigna Healthcare
Glendale
01.2008 - 03.2010
- Customer service, scheduling nurses and assignments, training and resource, electronic health record training, hiring, new employee process, reviews, Counseling and disciplinary actions, Triage, Injection, IV therapy, payroll processing, monthly reporting, budget and orders, Credential updating, CLIA, STAT labs, Chart review. Develop policies, procedures and workflows as needed to assure ongoing compliance.
Triage
Cigna Healthcare
01.2008 - 03.2010
- Phone triage, Protocol refills, patient advisory, Injection, wound care, IV therapy, patient teaching, prior auths. Documentation.
RN
Scottsdale Health Care Shea
Scottsdale
06.2007 - 12.2007
- Wound care, IV therapy, medication administration. Documentation, Discharge, Assessments, Total Patient Med. Surg. Nurs
Assistant HCBS
United Cerebral Palsy of Central AZ
Phoenix
01.2004 - 09.2005
- Customer service, in coming and out going calls, scheduling, training, hiring, new employee process, reviews, corrective action plans, home visits, intakes, habilitation programs, ISP meetings, collecting referrals, getting Authorizations, payroll processing, monthly reporting. Develop policies, procedures and workflows as needed to assure ongoing compliance.
Education
RN -
Mesa Community College
Mesa, AZ01.2007
Medical Assistant - Phlebotomist, CNA
Phoenix Community College
Phoenix, AZ12.1997
Skills
- Case management and coordination
- Telephonic assessment
- Disease management and policy compliance
- Customer relationship management
- Medical documentation and risk assessment
- Team leadership and conflict resolution
- Effective communication skills
- Time management and multitasking
- Data analysis and problem-solving
- Employee training and service coordination
- Healthcare navigation and motivational interviewing
- High-risk population identification
- Interpersonal skills and teamwork
- Reliability and professional demeanor
- Written communication
Certification
- RN, AZ, RN146980
- CCM, 4202443
- Medical aesthetics certification
- Sound bowls healing
References
upon request
Timeline
Medicare Telephonic/ Field based Case manager
Molina HealthCare
07.2024 - Current
SNP case manager
Alignment healthcare
10.2023 - 07.2024
On site Field base case manager- TCM
United Health Group
01.2015 - 01.2016
Quality Auditor and Custom Case management team
United Health Group
01.2014 - 01.2015
Telephonic case manager, disease manager, CCM and preceptor
United Health Group
03.2010 - 01.2014
Case manager
United Health Group
01.2010 - 01.2023
Clinical Supervisor
United Health Group
01.2010 - 01.2017
Clinical Supervisor Paseo Urgent care
Cigna Healthcare
01.2008 - 03.2010
Triage
Cigna Healthcare
01.2008 - 03.2010
RN
Scottsdale Health Care Shea
06.2007 - 12.2007
Assistant HCBS
United Cerebral Palsy of Central AZ
01.2004 - 09.2005
RN -
Mesa Community College
Medical Assistant - Phlebotomist, CNA
Phoenix Community College