Trudy S. Vince, RN, BSN, CCM
4347 Choctaw Road
Brusly, La. 70719
(225) 278-8720
trudy.vince@gmail.com
EMPLOYMENT HISTORY
Blue Cross Blue Shield of Louisiana:
Manager, Population Health and Training, February 2014 to present
Administers all HR functions, including but not limited to, hiring, terminating,
conducting performance reviews, setting performance standards, approving work
schedules, assigning and directing workload, training and developing staff, coaching, etc.
to ensure individual and team goals are met.
Assists with development of health services programs, care pathways, member and
provider communication materials and unit policies and procedures to ensure
regulatory compliance and enhanced program delivery. Maintains and/or updates
policies/procedures at least annually.
Develops formal recommendations and plans for process improvements and presents to
Director, Health Services for consideration of implementation. Leads projects and
project teams. Performs data analysis when necessary to make program improvements.
Works closely with training staff to develop new hire and ongoing training programs for
staff and performs evaluation of staff to provide CQI of performance.
Participates in delegation and accreditation oversight activities representing Care
Management objectives, goals, and expectations to vendors to ensure compliance and
quality performance.
Interfaces with subscribers, providers, and other departments to promote customer
satisfaction and fulfill member health needs. Contacts other departments
(Underwriting, Provider Affairs, Legal, etc.) to obtain and share information when
indicated.
Provides support to staff assignments and serves as a resource for complex/catastrophic
cases or provider reviews.
Complies with management requests for special projects and/or assignments of a non-
routine nature.
Supervisor, Disease Management, October 2012 to February 2014
Managed Federal Employee Program and Commercial Program disease management
staff, managed up to 12 staff members, provided training, delegated projects,
performed audits, gave constructive feedback, and conducted performance reviews,
maintained compliance with URAC standards and the Federal Employee Program
requirements, represented disease management unit to the Quality Review Committee
and the Magellan Mental Health Delegation Committee, planned and facilitated staff
meetings, provided guidance to staff on multiple complicated cases as needed.
Supervisor, Case Management, July 2008 to October 2012
Managed Federal Employee Program case management and Key Account case
management staff as well as some non-key account case management staff, managed
up to 12 staff members, provided training, delegated projects, performed audits, gave
constructive feedback, and conducted performance reviews, maintained compliance
with URAC standards and the Federal Employee Program requirements, represented
case management as member of the Quality Review Committee and the Magellan
Mental Health Delegation Committee, planned and conducted staff meetings, provided
guidance to staff on multiple complicated cases as needed.
Case Management RN, June 2001 to July 2008
Developed pediatric program and care plan. Managed special cases and groups as
requested by management. Participated in workgroup to collaborate with staff to
improve unit efficiency.
Utilization Review RN, September 1997 to June 2001
Managed inpatient cases. Negotiated to transition members to lower levels of care as
appropriate for cost effectiveness.
Baton Rouge General Medical Center:
RN Charge Nurse, mid 1993 to September 1997
Functioned as charge nurse on cardiac telemetry unit.
Staff RN, June 1992 to mid 1993
Staff nurse on busy cardiac telemetry step down unit.
River West Medical Center:
Nurse Tech, May 1990 to January 1992
Assisted in patient care throughout a community hospital.
EDUCATION & TRAINING
Southeastern Louisiana University, 1992
B.S., Major in Nursing and minor in Biology
RN, 1992
CCM, 2000
Foundation of Leadership Certificate Program, 2009
HONORS & ACTIVITIES
Magna Cum Laude
BCBSLA Fraud Star Award 2004
Planned and staffed case management booths at employee health fairs
Represented BCBSLA at the Federal Employee Program Convention including presenting
the case manager perspective in the Generic Dispensing Pilot presentation in 2011

Vince Trudy July 2016

  • 1.
    Trudy S. Vince,RN, BSN, CCM 4347 Choctaw Road Brusly, La. 70719 (225) 278-8720 trudy.vince@gmail.com EMPLOYMENT HISTORY Blue Cross Blue Shield of Louisiana: Manager, Population Health and Training, February 2014 to present Administers all HR functions, including but not limited to, hiring, terminating, conducting performance reviews, setting performance standards, approving work schedules, assigning and directing workload, training and developing staff, coaching, etc. to ensure individual and team goals are met. Assists with development of health services programs, care pathways, member and provider communication materials and unit policies and procedures to ensure regulatory compliance and enhanced program delivery. Maintains and/or updates policies/procedures at least annually. Develops formal recommendations and plans for process improvements and presents to Director, Health Services for consideration of implementation. Leads projects and project teams. Performs data analysis when necessary to make program improvements. Works closely with training staff to develop new hire and ongoing training programs for staff and performs evaluation of staff to provide CQI of performance. Participates in delegation and accreditation oversight activities representing Care Management objectives, goals, and expectations to vendors to ensure compliance and quality performance. Interfaces with subscribers, providers, and other departments to promote customer satisfaction and fulfill member health needs. Contacts other departments (Underwriting, Provider Affairs, Legal, etc.) to obtain and share information when indicated. Provides support to staff assignments and serves as a resource for complex/catastrophic cases or provider reviews. Complies with management requests for special projects and/or assignments of a non- routine nature. Supervisor, Disease Management, October 2012 to February 2014 Managed Federal Employee Program and Commercial Program disease management staff, managed up to 12 staff members, provided training, delegated projects, performed audits, gave constructive feedback, and conducted performance reviews, maintained compliance with URAC standards and the Federal Employee Program requirements, represented disease management unit to the Quality Review Committee and the Magellan Mental Health Delegation Committee, planned and facilitated staff meetings, provided guidance to staff on multiple complicated cases as needed.
  • 2.
    Supervisor, Case Management,July 2008 to October 2012 Managed Federal Employee Program case management and Key Account case management staff as well as some non-key account case management staff, managed up to 12 staff members, provided training, delegated projects, performed audits, gave constructive feedback, and conducted performance reviews, maintained compliance with URAC standards and the Federal Employee Program requirements, represented case management as member of the Quality Review Committee and the Magellan Mental Health Delegation Committee, planned and conducted staff meetings, provided guidance to staff on multiple complicated cases as needed. Case Management RN, June 2001 to July 2008 Developed pediatric program and care plan. Managed special cases and groups as requested by management. Participated in workgroup to collaborate with staff to improve unit efficiency. Utilization Review RN, September 1997 to June 2001 Managed inpatient cases. Negotiated to transition members to lower levels of care as appropriate for cost effectiveness. Baton Rouge General Medical Center: RN Charge Nurse, mid 1993 to September 1997 Functioned as charge nurse on cardiac telemetry unit. Staff RN, June 1992 to mid 1993 Staff nurse on busy cardiac telemetry step down unit. River West Medical Center: Nurse Tech, May 1990 to January 1992 Assisted in patient care throughout a community hospital. EDUCATION & TRAINING Southeastern Louisiana University, 1992 B.S., Major in Nursing and minor in Biology RN, 1992 CCM, 2000 Foundation of Leadership Certificate Program, 2009 HONORS & ACTIVITIES Magna Cum Laude BCBSLA Fraud Star Award 2004 Planned and staffed case management booths at employee health fairs Represented BCBSLA at the Federal Employee Program Convention including presenting the case manager perspective in the Generic Dispensing Pilot presentation in 2011