Vice President of Medical Management
Danielle has over 18 years of Nursing Experience and nearly 14 years experience in the healthcare insurance industry. She is a licensed Registered Nurse in the State of Maryland and a Certified Case Manager with the Commission of Case Management.
Prior to joining NextLogical, Danielle served as the Vice President of Medical Management for Fidelity Insurance Group (a subsidiary of United Healthcare) and for the Group's predecessor organization, Fidelity Insurance Company/Health Care 2000, for 13 years.
In addition to her Medical Management responsibilities, under Danielle's direction, Fidelity Insurance Group's PPO provider network, PMG, grew from 9,000 providers to nearly 50,000. Danielle was also instrumental in designing, implementing and managing the exclusive Disease Management program currently being used by the City of Baltimore's 7,000 employees.
Danielle has particular expertise in all facets of Health Risk Management including Utilization Review, Demand Management, Clinical Data Analysis, Disease Management, Case Management, Predictive Modeling, Management Reporting and Employee Communications. Accordingly, Danielle is responsible for developing, implementing and managing advanced Health Risk Management and Wellness solutions for NextLogicals clients.
Recognizing that the healthcare and medical environment is rapidly changing and there are tremendous pressures to control costs, NextLogical develops customized programs for employer clients to ensure the most clinically and cost-appropriate medical care while addressing individualized patient needs.
Previously, after extensive work in the hospital arena, Danielle worked for a large national home healthcare and temporary staffing company as Director of Nursing. In this position, she supervised over 300 health care providers and obtained contracts with various insurance companies to provide services to their members.