Martine Molett, RN, BSN, CCM

6244 Greenbudd Drive

Goshen, OH 45122
(513) 509-0471 mobile
mm7b4a78@westpost.net

AREAS OF EXPERIENCE

* Registered Nurse
(inpatient and outpatient care)
* Certified Case Manager
* Case Management
* Disease Management
* Utilization Management
* Process Improvement
* Software Inside/Outside Sales
* Software Marketing
* RFP Response Writing
* Subject Matter Expertise
* Current On-Line Graduate Student (MHA/Informatics)
* Account Manager/Customer Relations
* Work Comp/Disability Case Management
* Quality Management
* Project Management
* Pediatric ER Nursing
* Medical File/Bill Review
* Appeals/Grievances

AREAS OF PROFESSIONAL EXPERTISE

Quality Management, RN Coordinator October 2009 - June 2010
Amerigroup Ohio, Inc. Cincinnati, OH
* Project management for the State of Ohio's Pay-for-Performance (P4P) initiativ
es within the organization.
* Responsible for Process Improvement Plan's (PIPs) and Quality Improvement Proj
ects (QIPs).
* Provide organizational education about quality care for members and P4P initia
tives.
* Support NCQA standards and processes within the health plan.
* Participate within and attend state and community collaboratives.
* Responsible for completion and presentation of the quality department's descri
ption, work plan and evaluation.
* Engage with senior level management to analyze resources necessary to promote
desired clinical and operational outcomes.
* Responsible for completion and submission of contractual documents and reports
related to Quality Management and P4P initiatives within the health plan.

Subject Matter Expert - Case Management December 2007 - July 2009

CH Mack, Inc. Cincinnati, OH
* Provided business process and subject matter expertise to the following funct
ions: QA, engineering, sales, marketing, and project management.
* Supported customer engaged staff in their efforts to sell and deliver specific
 implementations of our solutions.
* Directly contributed to industry-specific content; assessments, workflows, req
uests for proposals, reporting
* Acted as an "in-house customer" for discussion and review of features and impl
ementation
* Assisted in the coordination and presentation of the user advisory group, incl
uding being responsible for communications, collection of information, relaying
of feedback both to and from the development team and management.
* Supported team in analysis of customer business processes, both industry and c
ustomer-specific requirements gathering capacity and in workflow creation and pr
ocess improvement role as appropriate at various stages of development and deplo
yment.

Health Care Sales Manager

March 2005 - November 2007
CH Mack, Inc. Cincinnati, OH
* Responsible for over 4.5 Million Dollars in Sales Revenue
* Reported directly to Vice President, Sales and Marketing Strategy
* Presented integrated care management software solutions to target markets - Ho
spitals, Managed Care Organizations, Insurance Companies, Departments of Social
Service and Area Agencies on Aging
* Worked closely with Marketing Manager to develop targeted marketing materials
for the health care industry.
* Assisted in development of responses to RFP's from potential clients
* Sales Forecasting
* Served as a cross-functional member of the sales team to effectively create an
d execute targeted sales campaigns.

Telephonic Case Manager/Utilization Review Nurse September 2001

- March 2005
Genex Services, Inc. Cincinnati, OH
* Responsible for assessment, planning, implementation, coordination, monitoring
and evaluation of assigned patients.
* Identified potentially unnecessary services and care delivery settings, and re
commend alternatives, if appropriate, by analyzing clinical protocols, standards
and guidelines (Milliman, InterQual and Official Disability Guidelines).
* Provided patient education to assist with self management
* Interacted and negotiated with Medical Directors, Adjusters, Attorneys, Therap
ists, Hospital UR personnel and other members of the health care team on challen
ging cases
* Participated in Quality Reviews for state certification and URAC accreditation
* Case Manager orientation and training

Telephonic Case Manager/Utilization Review Nurse June 1998 -

September 2001
Anthem Managed Comp - Integrated Comp Ci
ncinnati, OH
Primary Pediatric Nurse
August 1997 - June 1998
Baby's Milk Fund/Hopple Street Health Center
Cincinnati, OH
Emergency Room Nurse
1994 - August 1997
Cincinnati Children's Hospital Medical Center
Cincinnati, OH
Graduate Nurse, High Acuity Unit
1993 - 1994
Cincinnati Children's Hospital Medical Center
Cincinnati, OH
EDUCATION

University of Phoenix In Progress (On-line program)

Masters of Health Care Administration and Informatics 2009
Xavier University Cincinnati, OH
B.S. Nursing August 1995
Christ Hospital School of Nursing Cin
cinnati, OH
Diploma - RN
Au
gust 1993
LEADERSHIP
Board of Directors
2008
- 2010
Southern Ohio Valley - Case Management Society of America
Nursing Advisory Board
2008 - 201
0
Bohecker College of Nursing Cincinna
ti, OH
Trauma Prevention Resource Committee
1995 - 1997
Cincinnati Children's Hospital Medical Center Cincinn
ati, OH
Faculty Liaison Leader 1992 - 1993
Christ Hospital School of Nursing Cincinnati, OH
Class President 1991 - 1993
Christ Hospital School of Nursing Cincinnati, OH

PROFESSIONAL ORGANIZATIONS
Case Management Society of America (National and Local Chapter)
Member since 1995

LICENSE AND CERTIFICATION

Ohio State # RN - 254622
Certified Case Manager (CCM) - #00076869
References available upon request