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Canyon College

Jean M. Hope, MBA, RN, LRC, CDMS, CCM, LNCC

Biographical Information

EDUCATION
Northeastern University: MBA (Master of Business Administration) 1994
Fullerton College School of Nursing: 1970

LICENSES AND CERTIFICATIONS
Licensed Registered Nurse (RN): California
Licensed Rehabilitation Counselor (LRC): Massachusetts
Certified Disability Management Specialist (CDMS)
Certified Case Manager (CCM)

PROFESSIONAL EXPERIENCE
Research & Development: Developed Case Management components for program managing 14 chronic diseases. Lead initial research, developed the implementation, customer service, quality improvement and contract management components. Responsible for program implementation with managed care organizations. Provided ongoing research, customer service, contract management and outcomes reporting. Developed core curriculum and trained staff in continuous quality improvement (CQI).

Academic Affiliations: Research and syllabus development for on-line teaching of Case Management for the Healthcare Manager. Developed for non-case managers obtaining Master of Healthcare Administration (MHA) to better manage Case Management departments in all settings.

Marketing and Healthcare Systems Knowledge: Sales and marketing of insurance reimbursement systems including third party administrators, self-insured employers, insurance carriers, managed care organizations and case management organizations.

Management: Program development, recruiting and managing of nurses, vocational counselors marketing representatives and support staff, providing case/disease management and rehabilitation services. Budgeting, forecasting and accountability for regional growth.

Managed Care Case Management: Provided medical case management and vocational rehabilitation services; coordinated medical care with emphasis on cost effective quality care within insurance reimbursement systems. Responsible for program research, development, administration, planning, marketing and training.

Compliance: Employer consultation for compliance with Americans with Disabilities Act (ADA). Performed employer audits, developed compliance plans, provided recommended policies, procedures, job descriptions and documentation processes.

WORK HISTORY
1999 to 2000:
Access Quality Outcomes
North Carolina

1992 to 1995:
Access Managed Care
New Hampshire

Healthcare Consultant and Educator

• Research and syllabus development for on-line teaching of Case Management


• Instructor at Canyon College for distance learning in graduate Healthcare program


• Program development, administration, planning, marketing, training and consultation


• Medical case management and vocational rehabilitation


• Employer consultation


• Employer audits; developed compliance plans, recommended policies and procedures


• Wrote job descriptions and developed documentation processes for ADA compliance


• In development with other Universities to offer distance learning healthcare programs


• Hospital bill auditing for insurers

1995 to 1999
Accordant Health Services, Inc
Greensboro, North Carolina

1995 to 1997: Manager of Case Management Services
1997 to 1998: Manager of Customer Service (Contract Management)
1999 to 1999: Manager of Quality Improvement

• Research and development, outcomes reporting, contract management and staff training.


• Developed policies and procedures, starting all of the above from concept to implementation.


• Communicated and coordinated terms and sensitivities of contracts to operations staff.


• Supported sales and ensured compliance with contract terms.


• Configured initial case management software. Team member for evaluation and selection of new case management software, and its configuration.


• Developed search template process for identifying members with managed diseases from claims data.


• Created program and training module for continuous quality improvement (CQI). Trained staff in CQI.


• Developed and provided workshops for project management.


• Team Manager for physician, provider and employee training, data management and reporting.

1991
Lindsey Morden
New England

Regional Manager

• Developed, managed and marketed New England region.


• Recruited, trained and managed nursing and counseling staff.


• Fiscal responsibility for region.


• (Reason for leaving: company closed entire national division).

1990 to 1991
Hillhaven Head Injury Treatment Services
Massachusetts

National Insurance Marketing Representative

• Sales and marketing of insurance carriers, third party administrators and self insurers.


• Exhibited at national and regional conferences, providing education and establishing leads.

1988 to 1990
Kerr & Kerr
Maine

President

• Medical case management, vocational counseling, job modification/placement within Rules and Regulations of Maine, Long Term and other disability compensation systems.

1986 to 1988
Comprehensive Rehabilitation
New England

District Manager

• Opened new region of New England


• Recruited, managed and marketing services in New England


• Budget planning and fiscal responsibility for region

1984 to 1986
Comprehensive Rehabilitation
Maine

Rehabilitation Specialist

• Medical case management and vocational rehabilitation

1981 to 1984
Goodwill-Hinckley/Achievement Place
Maine

Behavior Modification Consultant and Medical Coordinator

• Individual and family counseling while administering behavior modification program


• Coordinated family and community resources


• Developed and implemented medical and community re-entry programs

1976 to 1980
CRS and Travelers Insurance
California

Rehabilitation Nurse and Marketing Representative

• Tripled referrals to CRS through marketing, education and service ability


• Provided training to insurance personnel


• Sole responsibility for Traveler's medical management and vocational rehabilitation referral

1973 to 1976
Parker-Hannifin
California

Occupational Health Nurse

• Emergency first aid, employee counseling


• Administered self-insured programs, 5 group health insurance plans and employee benefits

COMPUTER SKILLS
Excellent typing and computer skills
MS Office, Windows and NT, word processing, spreadsheets, presentations, data bases, configuration, e-mail and Internet

PUBLICATIONS
Kraus V, Wood, J. "Using Population Assessment Methods to Target Disease Management Interventions in High Impact/Low Prevalence Diseases" J. of Care Management 1998;4(1):11-31.

Wood, J. "Strategic Planning and Diversification" The Rehabilitation Professional 1995; 3(4):9-31.

HONORS
Recipient of 1997 President's Award at Accordant Health Services, Inc.
Corporate award to honor employee of the year for:

• "Behavior consistent with IRA (Identify, Recommend, Act)


• Projection of a Positive Attitude


• Commitment to service principals


• Productivity and sense of urgency


• Utilization of Project Planning work tactics and team leadership


• Quality and Quantity of Work, impacting company's progress for 1997"

PROFESSIONAL AFFILIATIONS
Case Management Society of America (CMSA)
International Association of Rehabilitation Professionals (IARP): former New England President