MS, Case Management @
California State University-Los Angeles
I have worked in a variety of settings within the health care industry for over 20 years, and more than 15 years in Health Services/Care Management. I am currently managing my consulting business that provides two service lines: Organizational contracts that involve building-up or revamping operations, infra-structure, team-building, programs' design, P&Ps, workflows, information system redesign, staff training,
I have worked in a variety of settings within the health care industry for over 20 years, and more than 15 years in Health Services/Care Management. I am currently managing my consulting business that provides two service lines: Organizational contracts that involve building-up or revamping operations, infra-structure, team-building, programs' design, P&Ps, workflows, information system redesign, staff training, and Interim Management. The other line of business involves advocacy & Policy concerns. I am a Doctor in Health Services with Health Management & Policy Specialization. I also serve as an adjunct faculty at the University of Phoenix and California State University in Los Angeles.
My goals include influencing policy development concerning timely access to health care services and quality of life for the under-insured (working poor). Also, to further my writing and publication career, and participate more in speaking engagements, as well successfully serve my role as President of the CMSA SoCal Chapter promoting Care Coordination and Multi-State Licensure concerns.
President/CEO @ Founder of The Almaden Group, Inc.: Care Management & Life Care Planning Consultants:
*Interim Management assignments: HMOs/MCOs, Hospital-systems, MSOs/IPAs.
*Managing consultant: planning and executing system-wide training projects for CDI , MS-DRGs, & RAC prep.
*Consultant for software design and Beta-testing.
*Small employer group 24/7 on call case management services.
*Speaker, Researcher, Contributor to White-Papers & National projects, author of care management articles, and mentor/coach. From August 2005 to Present (10 years 5 months) Adjunct Faculty @ I teach on campus and on-line. Certified for 35 courses ranging from organizational development and leadership to Community Health and Population-focused care, Legal and Ethical Updates, Case Management, and Influencing the Future of Nursing and Health Care among many other courses. From April 2006 to Present (9 years 9 months) Adjunct Faculty @ Part-time Faculty teaching Leadership & Management, Research/EBP,CM, and Legal & Ethical aspects of Nursing. From June 2011 to August 2013 (2 years 3 months) Greater Los Angeles AreaPresident, CMSA-SoCal Chapter @ President From 2012 to 2012 (less than a year) Board Member @ Director & Chair of Care & Outcomes Committee (COMI) From 2008 to 2011 (3 years) VP Health Services @ UM/CM/QM/Appeals & Grievances, & Credentialing From March 2006 to March 2007 (1 year 1 month) Director @ Oversight of Case Management (CM), Discharge Planning, & Social Services at an acute care facility. From February 2004 to August 2006 (2 years 7 months) Clinical Operations Manager @ Centralized Appeals & Grievances Operations, streamlined processes for efficiencies & effectiveness, & acted as CMS/QIO liaison From 2003 to 2004 (1 year) Regional Manager @ Western Region Manager Appeals & Grievances. Prior to that Manager Medicare Case Management when CIGNA was in The Medicare+C Market. From July 1999 to June 2003 (4 years) Regional Manager @ Oversight of AGCs Operations at the National Appeals Unit West of the Mississippi and Health Plan's Liaison to DMHC, DHS, CMS, & DOI From 1999 to 2003 (4 years)
Ph.D., Health Services-Health Management & Policy @ Walden University From 2007 to 2010 MS, Case Management @ California State University-Los Angeles From 1997 to 1998 MS, Nursing Administration @ California State University-Los Angeles From 1985 to 1988 BS, Nursing @ American University of Beirut From 1974 to 1977 Dr. Almaden is skilled in: Healthcare Management, Healthcare, Medicare, Healthcare Consulting, Healthcare Industry, Managed Care, Leadership, Training, Disease Management, Healthcare Information Technology, Nursing, Team Building, Hospitals, Health Policy, HIPAA
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