Christine Spooner
Westport
Summary
Dynamic health care manager with a track record of driving patient outcomes through strategic oversight of case management operations. Proven ability to implement quality improvement initiatives, resulting in enhanced compliance and successful audits. Expertise in developing training materials and fostering collaboration among healthcare providers to optimize patient services.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Manager of Case Management
Molina Healthcare
Long Beach
09.2022 - Current
- Led case management teams to coordinate efficient patient care services.
- Implemented quality improvement initiatives that streamlined case management processes.
- Collaborated with healthcare providers to improve patient outcomes.
- Analyzed case data to identify trends, facilitating informed decision-making.
- Facilitated effective communication between patients and healthcare providers.
- Oversaw compliance with regulatory requirements in case management operations.
- Managed resource allocation to ensure efficient delivery of patient services.
- Evaluated existing processes, recommending enhancements to optimize case management systems.
Interim Director of Care Management ( MMP)
Neighborhood Health Plan of RI
11.2021 - Current
- Provide oversight and direction for CM Operations ( MMP)
- Enhanced compliance and production performance through targeted initiatives
- Identified and pursued collaborative opportunities to improve patient outcomes
- Conducted Blue Peak audit to ensure compliance with regulatory standards.
- Conducted validation report audit to assess data accuracy and reliability.
- Developed onboarding and training materials to support clinical teams and managers
- Oversaw onboarding of 32 new hires, including 2 managers.
- Maintained the role of SNF manager while serving as interim Director, overseeing 22 direct reports and a total of 104 staff.
Manager of Care Management
Neighborhood Health Plan of RI
02.2020 - Current
- Oversee operational activities of Care Management area of Medical Management department.
- Developed and monitored programs enhancing operational efficiency across Care Management.
- Developing and operationalizing new programs and insuring regulatory and contractual requirements are met.
- Reorganized Skilled Nursing team by geography and programs, improving efficiency and team relationships.
- Achieved zero turnover of skilled nursing facility team during pandemic by fostering a supportive work environment.
- Cross-trained SNF team during pandemic to ensure continuity of care and support.
- Staff development including overseeing frontline supervisors
- Identified inaccurate reporting for management of members pending home care
Director of Clinical Operations
Optum Care/ Complex Care Management
03.2015 - 11.2019
- Strategize, develop and direct clinical operations to ensure the provision of high quality, cost effective medical services across multiple programs and/or lines of business
- Directed and strategized all market clinical programs to align with organizational goals
- Managed clinical operations budget for multiple programs, ensuring resource allocation aligned with strategic priorities
- Lead clinical business development for all programs
- Led clinical innovation initiatives across all programs and supported new business development efforts
Director of Clinical/Branch Director
Gentiva Home Health Services
07.2012 - 03.2015
- Oversaw branch operations and P&L to align financial performance with organizational goals.
- Monitored clinical and financial metrics to ensure compliance.
- Developed action plans through analysis and expertise to address operational challenges.
- Cultivated a highly engaged multidisciplinary team of clinicians to enhance collaborative care.
- Works in collaboration with sales, operations, compliance, finance and human resources
Director of Nursing
Independence Health Services, LLC.
Providence
05.2011 - 12.2011
- Oversaw administrative and clinical operations for start-up JCAHO accredited, Medicare and Medicaid certified home care organization, ensuring high-quality care standards.
- Oversaw nursing staff and operations at Independence Health Services, LLC.
- Developed and implemented nursing policies and procedures for quality care.
- Coordinated patient care plans with multidisciplinary healthcare teams.
- Delivered specialized care to Southeast Asian and other minority populations in Providence, Rhode Island, enhancing healthcare accessibility and cultural competency.
Director of Nursing & Quality
10.2010 - 05.2011
- Oversaw 24/7 operations with over 100 FTEs, managing care for 1000+ patients across three clinical sites in two states, ensuring high-quality service delivery.
- Developed and implemented quality improvement plan for home care, hospice, rehabilitation, and adult care services, enhancing service effectiveness and patient outcomes.
- Acted as primary contact for regulatory surveys, ensuring compliance with state and federal standards, thereby maintaining operational integrity.
Visiting Nurse Association of Southeastern Massachusetts
Fall River
01.1994 - 01.2011
- Seventeen-year career with progressing and expanding responsibility and scope.
- The VNA serves patients across 40 cities and towns in Southeastern Massachusetts and Rhode Island and operates three clinical sites.
Director of Hospice & Palliative Care
Southeastern Mass VNA
02.2010 - 10.2010
- Oversaw 24/7 operations of a multi-site, multi-state hospice and palliative care team.
- Collaborate with the Medical Director to achieve patient and programmatic outcomes
- Direct the integration of a formerly free-standing hospice into a large VNA and foster collaboration between hospice staff and VNA organizational resources
- Oversee the orientation of new hospice team members including nurses, chaplains, social workers, nursing assistants and volunteers
- Develop relationships with community service and other provider organizations to drive enrollment
- Managed daily operations of hospice services and patient care programs.
- Developed and implemented strategic plans for hospice service delivery.
- Coordinated with healthcare teams to ensure quality patient care standards.
- Managed budgets and resource allocation for hospice operations.
- Monitored compliance with regulatory requirements in hospice operations.
Clinical Nurse Manager
01.2004 - 01.2010
- Managed daily operations to ensure effective and efficient care delivery
- Direct supervision of over 25 FTEs including care managers, nurses and clerical staff
- Selected team members and facilitated their training and evaluation.
- Participated in labor relations contract negotiations to support workforce stability
Patient Care Manager
01.2001 - 01.2004
Quality Assurance Manager
01.2000 - 01.2001
Case Manager/Field Nurse
01.1994 - 01.2000
Education
Master - Health Care Administration
Bellevue University
Bellevue, NE01-2008
Bachelor of Science - Nursing
University of Massachusetts
Dartmouth, MA01-2004
Associate of Science - Nursing
Bristol Community College
Fall River, MA01-1990
Skills
- Case management oversight
- Care management
- Patient care coordination
- Regulatory compliance
- Quality improvement
- Data analysis
- Resource allocation
- Performance management
- Team leadership
- Collaborative problem solving
- Effective communication
Certification
- Massachusetts, Registered Nurse License, #195042
- Rhode Island, Registered Nurse License, #RN36081
- Connecticut, Registered Nurse License, # 21444
- New York, Registered nurse License, # 885833
Credentials
- MHA
- BSN
Membership
Sigma Theta Tau International Honor Society of Nursing
Timeline
Manager of Case Management
Molina Healthcare
09.2022 - Current
Interim Director of Care Management ( MMP)
Neighborhood Health Plan of RI
11.2021 - Current
Manager of Care Management
Neighborhood Health Plan of RI
02.2020 - Current
Director of Clinical Operations
Optum Care/ Complex Care Management
03.2015 - 11.2019
Director of Clinical/Branch Director
Gentiva Home Health Services
07.2012 - 03.2015
Director of Nursing
Independence Health Services, LLC.
05.2011 - 12.2011
Director of Nursing & Quality
10.2010 - 05.2011
Director of Hospice & Palliative Care
Southeastern Mass VNA
02.2010 - 10.2010
Clinical Nurse Manager
01.2004 - 01.2010
Patient Care Manager
01.2001 - 01.2004
Quality Assurance Manager
01.2000 - 01.2001
Visiting Nurse Association of Southeastern Massachusetts
01.1994 - 01.2011
Case Manager/Field Nurse
01.1994 - 01.2000
Master - Health Care Administration
Bellevue University
Bachelor of Science - Nursing
University of Massachusetts
Associate of Science - Nursing
Bristol Community College