Christine McHenry, RN, BSN, CCM
Sophia
Summary
Demonstrates leadership, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Case Manager RN- ECS PHM Payer
Optum
02.2023 - Current
- Prepared presentations to present for high-risk rounds for complex patients with client and health plan.
- Participated in various Health Plan audits for NCQA adherence.
- Coaching for staff members, answering questions, monthly meetings to review quality, and HEART evaluations.
- Monitored program performance and outcomes for successful delivery of services by monitoring daily reporting.
- Provided leadership, guidance and support to staff members.
- Oversaw implementation of new program processes, collaborating with upper leadership to achieve smooth operations.
Case Manager RN- ECS PHM Payer
Optum
10.2020 - 02.2023
- Identifying SDOH barriers and assisting with needed resources and support.
- Outreach to hospital post discharge patients to educate and develop interventions to prevent readmission.
- Assisted with training new hires and SME for platforms utilized in daily role.
- Developed and implemented comprehensive case management plans to address patients needs and goals.
- Conducted thorough assessments of patient situations, identifying issues, goals, and necessary interventions.
- Enhanced communication between patients and providers through consistent follow-ups and progress updates.
A4me
UnitedHealth Care
06.2017 - 10.2020
- Provided member health education, community resources, health plan benefit information in an inbound call setting.
- Served as team SME for processes and systems, shift lead, and precepting for new hires.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Worked effectively in fast-paced environments.
- Proven ability to learn quickly and adapt to new situations.
Registered Nurse
Carolina Cardiology
07.2012 - 06.2017
- Clinical supervisor for last year of employment
- Insurance Authorizations for procedures, exams, and medications
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Educated family members and caregivers on patient care instructions.
- Evaluated patient histories, complaints, and current symptoms.
Education
BSN-Bachelor of Science - Nursing
Capella University
10.2020
Associate in applied science - Nursing
Guilford Technical Community College
05.2012
Skills
- Patient Care Planning
- Comprehensive Case Management
- Staff Training Development
- Strong Organizational Skills
- Team Leadership
- Proficient in Verbal and Written Communication
- Collaborative Teamwork
- NCQA Standards Knowledge
- Epic EHR System Experience
- Performance Monitoring
Accomplishments
Heart Mastery 2025
CCM Certification 2025
Experience in Word, Excel, and Power point
Certification
Certified Case Manager, 4266821, 05/31/29
Timeline
Senior Case Manager RN- ECS PHM Payer
Optum
02.2023 - Current
Case Manager RN- ECS PHM Payer
Optum
10.2020 - 02.2023
A4me
UnitedHealth Care
06.2017 - 10.2020
Registered Nurse
Carolina Cardiology
07.2012 - 06.2017
Associate in applied science - Nursing
Guilford Technical Community College
BSN-Bachelor of Science - Nursing
Capella University
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