Anne Grubaugh
Tewksbury
Summary
Dynamic Registered Nurse with a track record of leading remote clinical operations in high-growth environments. Achieved sustained audit compliance rates above 95% through effective team mentorship and streamlined chronic care management processes. Committed to enhancing patient outcomes and operational efficiency within value-based care settings.
Overview
4
4
years of professional experience
Work History
Team Lead/Clinical Manager
Lumina Care
08.2024 - Current
- Promoted to RN Team Lead within two months of hire after excelling as a Case Manager.
- Led and mentored remote team of care managers in value-based care model, overseeing chronic care management workflows and ensuring CMS-compliant documentation.
- Conduct routine audits driving documentation accuracy and sustaining compliance rates above 95%.
- Oversaw ICD-10 coding accuracy and medication reconciliation, optimizing workflows in high-growth startup environment to enhance operational efficiency and quality outcomes.
Case Manager
Innovive Heath
04.2023 - 06.2024
- Managed a caseload of 12-22 patients, completing comprehensive OASIS assessments, wound care, and chronic disease management.
- Maintained timely documentation and Medicare compliance, contributing to reduced rehospitalization rates through proactive care coordination and targeted patient education.
- Collaborated with interdisciplinary teams to enhance continuity of care and improve patient outcomes.
Admissions and Charge Nurse
Beth Israel Lahey Health
01.2022 - 06.2023
- Led admissions assessments and CIWA/COWS monitoring, facilitating crisis stabilization and minimizing transfer-outs through timely interventions.
- Oversaw unit operations and medication safety as charge nurse, coordinating emergency response in a fast-paced, high-risk behavioral health setting.
- Managed high-acuity detox and psychiatric patients per shift, addressing severe withdrawal and seizure risk to ensure patient safety.
Education
BSN -
MCPHS University
Boston, MA01-2021
BS - Criminal Justice
University of Massachusetts Lowell
Lowell, MA01-2018
Skills
- Chronic care management
- Healthcare compliance
- Clinical Documentation
- Clinical Quality Assurance
- Medication Reconciliation
- Patient Assessment
- Value-based care
- Complex chronic care
- Home Health & Hospice Care
- Mental Health Management
- Workflow optimization
- Remote Team Leadership
- EMR systems
Timeline
Team Lead/Clinical Manager
Lumina Care
08.2024 - Current
Case Manager
Innovive Heath
04.2023 - 06.2024
Admissions and Charge Nurse
Beth Israel Lahey Health
01.2022 - 06.2023
BSN -
MCPHS University
BS - Criminal Justice
University of Massachusetts Lowell