Winkowski, Anna

1813 N Aspen Drive, Mount Prospect IL 60056

Cell Phone: 847-340-1072
E-mail: awinkowski@gmail.com
Website: www.anna.winkowski.com

Objectives
To obtain a position in an organization that offers the opportunity for personal and professional growth
while also being a strong contributor in the continued success of the organization.

Experience
Health Care Executive, Population Health Strategy (2019 – present)
Cerner Corporation (Kansas City, MO 64117)
Provides executive oversight to projects ensuring client adoption of technologies that influence the care
delivery model for highly complex, high profile or multi-site client programs. Build trusted relationships
with key client executives accountable for driving executive discussions concerning strategy, structure,
management and operations of an organization by providing leadership and change management influence.
Direct the overall adoption activities and relationship in partnership with the internal and client leadership
teams. Partner with internal and external stakeholders to optimize clinically-driven revenue cycle
workflows to achieve financial performance goals. Conduct active surveillance and provide mitigation
strategies for identified risks impacting the quality, safety and operating integrity of clinical information
systems. Drive value achievement through a partnership with client leadership that supports clinical,
financial and operational imperatives. Contribute to associate growth and development via proactive
support and coaching of internal team members.

System Director, Hospital Case Management (2017- 2018)

Vista Health System (Waukegan, IL 60085)
Coordinates the integration of social services/case management functions into the patient care, discharge
and home planning processes with other hospital departments, external service organizations, agencies
and healthcare facilities. Utilizes advanced strategies and tactics to provide the highest level of service.
Identifies ideas, actions and processes to improve quality, reduce risk and maintain patient safety.
Establishes metric and measurement categories, gathers quality/performance data, analyzes findings, plans
improvement actions and leads improvement efforts. Serves as a professional role model and mentor to
case management staff.
Accomplishments: Decreased Medicare readmission from 15% to 11%; Reduced denials amount by
50% from 2017; Reduced observation stay >48 hours by 40% for Medicare patients and 30% for
commercial patients; Collaborated with nursing to establish an Observation Unit and identify best practice
to consistently improve outcomes; Improved compliance for IMM letter delivery up to 90%; Improved
MOON/NOON letter delivery up to 100%; Improved relations/communication with post-acute
providers; Improved employee retention and boosted employee morale; Identified processes/practices
that required attention to improve reimbursement for the facility.
  Resume: Winkowski, Anna

Director, Hospital Case Management (2014 –2017)

CHRISTUS St. Frances Cabrini Hospital (Alexandria, LA 71303)
Responsible for providing oversight and broad direction to case management including utilization review,
social services, clinical documentation improvement and patient intake. Promotes interdisciplinary
collaboration with the medical staff, nursing, hospital and system leadership. Fosters teamwork and is a
strong proponent for service and behavior excellence. Responsible for hiring, managing performance and
identifying the staff’s strong potential in order to assign them the appropriate tasks.
Accomplishments: Decreased Medicare readmission from 20% to 18%; Reduced observation stay >48
hours by 20% for Medicare patients and 10% for commercial patients; Improved compliance for IMM
letter delivery up to 95%; Improved MOON/NOON letter delivery up to 90%; Expanded Case
Management coverage to include weekends; Worked closely with Hospitalists to improve IDT rounds.

Regional Manager, Outpatient Enterprise Care Management (2011 –2014)

Advocate Physician Partners (Rolling Meadows, IL 60008)
Provides leadership and supports staff in managing high-risk Commercial and Medicare members.
Coordinates with other departments to communicate and disseminate new information to physician
offices. Promotes opportunities for growth and increased expertise in case management service activities.
Acts as a resource for questions regarding medical services activities and programs. Responsible for hiring,
training, assigning work and conducting performance evaluations.
Accomplishments: Worked closely with inpatient case management and physician offices to reduce
readmissions; helped develop and train new case managers; managed the pediatric and OB case
management program in addition to complex case management program for the health plan and employee
group.

Telephonic Case Manager (2006 –2011)

Advocate Health Partners (Mount Prospect, IL 60056)
Identifies members in need of case management services with the help of several predictive analytic tools.
Verifies member’s eligibility, benefit and insurance limitations, medical necessity and appropriateness of
requested services. Coordinates referrals by communicating directly with physicians, patients and their
families, vendors, Medical Director, hospital staff and other ancillary providers.
Accomplishments: Reduced LOS and improved patient satisfaction by working with a DME provider to
obtain approval for an improvised O2 delivery system resulting in at least $800,000 savings.

Patient Care Coordinator (2001-2006)

Advocate Health Partners (Mount Prospect, IL 60056)
Performs onsite and/or telephonic utilization management for network hospital and non-network
admissions. Responsible for the coordination of discharge planning from network and non-network
hospitalization. Communicates and interacts with internal and external providers to promote delivery of
quality care and effective multi-department/system function.
Accomplishments: Identified patients who required additional services in-network.

Utilization Review Coordinator (1999 –2001)

Illinois Masonic Medical Center (Chicago, IL 60657)
Performs concurrent reviews, coordination of discharge planning and interaction with health care

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providers to effectively impact length of stay and maximize reimbursement for the hospitals. Conducts
HMO-required audits to monitor compliance with HMO mandated QI projects.
Accomplishments: Worked closely with physician offices to consistently pass NCQA audits.

Staff Nurse (1994 –1999)

Illinois Masonic Medical Center (Chicago, IL 60657)
Responsible for delivering direct and indirect care to Med-Surg telemetry patients through the nursing
process of assessment, planning, intervention, implementation and evaluation. Interacts with patients,
significant others and other healthcare team members to coordinate total patient care. Maintains
professional and unit specific standards of care and manage time to accommodate patient and unit
priorities.

Education
Master of Science in Medical Informatics (2011)
Northwestern University School of Continuing Studies
Chicago, IL 60611

Master of Science in Health Services Administration (2009)

National-Louis University
Wheeling, IL 60090

Bachelor of Science in Nursing (1992)

Aurora University
Aurora, IL 60506

License and Certification

Registered Nurse, IL IL License # 041-273493
Registered Nurse, LA LA License # 146288
Certified Case Manager Certification # 83728
Accredited Case Manager Certification # 56983
Certified LSS Green Belt Certification # LHN17-012
Certified Readmission Prevention Fellow
Valid: May 31, 2016- May 31, 2020
Valid: January 1, 2019- December 31, 2019
Valid: December 1, 2015-November 30, 2020
Valid: March 31, 2017-March 31,2021
Valid: September 25, 2017
Valid: November 11, 2019

Skills
 Microsoft Office Products
 Microsoft Visio
 Predictive Analytic Tools: Verisk, Data Analytics Reporting Tool (DART)
 Crystal Reports
 EMR: Cerner, Meditech, EPIC, McKesson
 CM Software: MIDAS, Morrisey, HealtheCare
 InterQual Criteria
 MCG
 3M
 Kronos Workforce

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 ActiveAdvice
 COMPASS
 Optix
 UltiPro
 HMS
 Billing and Records Request Tracker System (BARRTS)
 Taleo
 EQ Suite
 Quality Advisor
 Power Insights
 Revenue Cycle

References upon request

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