Mimi Fairley is a eficient professional, who works in Aetna main office of which is in 110. on the position of Director of Clinical Services from 2016. This person gained professional experience in more than 13 positions at various companies. Mimi Fairley went to the Lake Forest Graduate School of Management and received education there from 2011 to 2013. Park Ridge, Illinois is the city, where the professional was known to settle. This person's email address and phone can be easily accessed through Connexy by request.
Name variants:
Jemima Fairley,
Mary Fairley,
Miriam Fairley,
Wilhelmina Fairley
Contact Information
Last Update
Jul 4, 2022
Email
mi**@yahoo.com, mf**@landoflincolnhealth.org
Location
Park Ridge, IL
Company
Workplace
Director of Clinical Services
Hartford, CT
Industry
Insurance, Health Insurance Providers, Drugs, Drug Proprietaries, and
Colleagues
Work History
Director of Clinical Services
151 Farmington Ave, Hartford, CT 06105
Collaborate and partner with other business areas across/within regions or segments and within other centralized corporate areas to ensure all workflow processes and interdependencies are id...
from May 2016
Director, Clinical Operations and Population Health Management
Chicago, IL
Established various clinical programs in adherence to the CMS, Affordable Care Act (ACA), and NCQA standards and focused on the utilization management, case management, disease management, ...
Jan 2015 — May 2016
Regional Director
6750 Alexander Bell Dr SUITE 200, Columbia, MD 21046
Provides clinical and administrative oversight to Case and Disease Management for Population Health Management for both external and internal clients
Meets needs of new and existing busine...
Jan 2014 — Jan 2015
Director, Medical Management, National Custom Account
300 east Randolph St, Chicago, IL 60601
Completed the establishment of a high-touch model, Primary Nurse Model, which served as the single point of contact for the member for all their health care needs; including health and well...
2010 — Jan 2014
Manager, Book of Business Accounts, Custom Accounts, Federal Employee Program, and Transplants
300 east Randolph St, Chicago, IL 60601
Completion of custom and book of business client audits .with over 90% or greater satisfaction rating
Successful implementation of various custom programs in Case Management (Preadmission,...
2008 — 2010
Senior Clinical Supervisor
300 east Randolph St, Chicago, IL 60601
Senior Clinical Supervisor for Kraft and United Parcel Service
Development of a customized high touch member outreach
Implemented successful collaboration of staff with external vendor pa...
2005 — 2008
Case Manager
300 east Randolph St, Chicago, IL 60601
Team Lead for two Custom groups performing preadmission and post discharge outreach calls, identifying members for case management and managing high dollar members.
Provided utilization ma...
2001 — 2005
Homecare Nurse
Infusion Nurse for post surgical and chemotherapy patients.
Provided on call support for the administration of hydration therapy, chemotherapy (5FU), pain administration, antibiotic therap...
2000 — 2001
On Site and Catastrophic Case Manager
Coordinated the care and services of 35 to 40 injured employees on a monthly basis.
Areas of expertise: on site and telephonic case management of catastrophic injuries
1998 — 2000
Nurse Clinician
Responsible for the education of patients with nutritional problems.
Received certification for Peripheral Inserted Central Catheters (PICC).
Skilled with providing relating to hyper alim...
1996 — 1998
Case Manager
9241 Lbj Fwy SUITE 210, Dallas, TX
Full time case manager for Medicare and non Medicare patients.
Managed a monthly 30 patient case load.
Provided services such as, wound care, intravenous antibiotic and pain management th...
1993 — 1996
Medical and Surgical Intensive Care Unit
251 east Huron St, Chicago, IL 60654
Full time nurse in a surgical floor and surgical intensive care unit
1989 — 1993
Medical and Surgical Nurse
7447 west Talcott Ave, Chicago, IL 60631
Full time nurse in a medical and surgical floor
1987 — 1989
Education
2011 — 2013
upto
2012 — 2012
upto
1989 — 1991
Occupations
Executive
Director
Partner
Health Specialist
Hospital Care Professional
Operations Manager
Chief Executive
Health Professional
Health Practitioner
Skills
Healthcare
Medicare
Healthcare Management
Utilization Management
Disease Management
Managed Care
Leadership
Hospitals
Nursing
Clinical Research
Management
Hipaa
Case Managment
Healthcare Information Technology
Home Care
Utilization Review
Healthcare Industry
Healthcare Consulting
Quality Improvement
Medicaid
Informatics
Program Development
Health Policy
Revenue Cycle
Patient Safety
Provider Relations
Data Analytics
Heath Care Management
Program Outcomes
Member Centric
Value Based Program
Client Presentation
Project Management
Project Planning
Customer Engagement
Vendor Relationships
Meditech
Performance Guarantee
Mba
Clinical Management
Member Engagement
Intensified Member Outreach
Condition Management
Treatment Decision Support
Vendor Integration
Clinical Collaboration
Microsoft Excel
Power Point
Standard Operating Procedure Development
FAQs about Mimi Fairley
What's the main profession of Mimi Fairley?
This professional's job is Director of Clinical Services
What are the profession of Mimi?
These person's professions are Executive and Director
Where does Mimi Fairley live?
Mimi Fairley lives in Park Ridge, Illinois.
Does Mimi have the email address?
mi**@yahoo.com and mf**@landoflincolnhealth.org is The professional's email address.
How many companies did Mimi Fairley work at?
The professional worked at 13 jobs.
What education does Mimi Fairley have?
Mimi studied at the Lake Forest Graduate School of Management from 2011 to 2013.
Are there any special industries Mimi Fairley works in?
This person works in Hospital & Health Care industry.
What are professional skills of Mimi Fairley?
This professional has such skills as Healthcare, Medicare, Healthcare Management, Utilization Management, Disease Management, Managed Care, Leadership, Hospitals, Nursing, and Clinical Research.