Nicholas R. Marlette
Galena,IL
Summary
Experienced with team leadership, strategic planning, and operational management. Utilizes effective communication and organizational skills to drive project success. Track record of fostering productive work environments and achieving set goals.
Results-driven management professional with proven ability to lead teams to success. Strong focus on team collaboration, operational efficiency, and achieving measurable outcomes. Adept at strategic planning, process improvement, and fostering culture of accountability and excellence. Known for adaptability and consistently meeting changing organizational needs.
Overview
14
14
years of professional experience
Work History
Manager, Care Management
Humana Inc.
08.2021 - Current
- Lead a team of nurses and behavioral health professionals responsible for care management. Ensuring a true “team culture” prioritizing the work that we do to ensure the best results for the individuals we serve. Work within specific guidelines and procedures; apply advanced technical knowledge to solve moderately complex problems; receive assignments in the form of objectives and determine approach, resources, schedules and goals
- Oversee the assessment and evaluation of members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area
- Ensuring social determinants of health items are addressed to members by being flexible and agile understanding the Illinois Medicaid/Medicare policies and systems.
- Cross departmental collaboration, clear and concise communication, by conducting briefings and area meetings; maintains frequent contact with other managers across the department, including CMA’s, Community Health Workers (CHW’s), Humana Care Management, Community Transitions, and the Learning Design Team
- Regularly attending the Illinois Stakeholder Advisory Committee meeting. Lead on special projects including Viral Load Report, MTM/Transportation QIP, Home Modifications, and Review/Submit monthly success stories. Built the Community Health Worker (CHW) positions in Illinois. Developed internal documentation Workbook/Activity Tracker to allow staff to document appropriately. Conduct interviews. Helped with implementation of the new Guiding Care System. Helped with implementation of the new upcoming FIDE contract
Learning Facilitation Professional 2
Humana Inc.
08.2020 - 08.2021
- Conducted/facilitated training courses for the organization employees and external audiences
- Worked on interpretation and independent determination of the appropriate courses of action
- Planned, coordinated, and implemented all aspects of training programs for participants throughout the organization, including but not limited to instructor-led and virtual instructor-led training. Selected appropriate materials. Created an environment that was conducive to learning and exchanging information, engaging the learner, and produced desired outcomes
- Monitored training personnel records to ensure that employees have met all company training requirements for company, quality, and regulatory compliance. Analyzed course evaluations in order to judge effectiveness of training sessions and to implement suggestions for improvements. Evaluated the relevance of online resources to complement the facilitated experience in the fields as appropriate
- Understood department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Make decisions regarding own work methods, occasionally in ambiguous situations and had minimal direction. Followed established guidelines/procedures as needed
Senior Clinical Trainer
United Healthcare
01.2018 - 08.2020
- Complete interactive trainings for State (Iowa, Texas, and Tennessee) and National required courses for clinical and non-clinical staff, including but not limited to, Person Centered Transitions (PCT), SMART Goal Training, Overview of Long-Term Support Services (LTSS), etc.
- Develop State Specific training and assessments for State (Iowa, Texas, and Tennessee) and National courses. Review/update National and State trainings to ensure accuracy
- Conduct regular monthly meetings with HP Leadership and the Instructional Design team to ensure contractual obligations are met. Ensure accurate records of attendance is accounted for and reported to appropriate Managers/Leadership. Complete internal Clinical Nurse Management reviews for ongoing improvement of clinical documentation. Cultural Ambassador – Promote foundational company values through positive team collaboration, development of cultural topics for team meetings, general peer relationships, serve as a resource for peers to help integrate our values into a team dynamic
- Design and Quality Oversight Committee Member (DQC) – Selected for membership in the DQC – Committee designed to drive performance of the organization, develop content to support talent development, provide feedback on industry best practices on training facilitation and instructional design, and research industry best practices
Community Relations Representative
AmeriHealth Caritas
07.2016 - 12.2017
- Represented the company at events such as, health fairs, conferences and community focused events
- Provided resources and information for members at locations throughout the community
- Established and built collaborative relationships with community partners and members to bridge the gap of health care disparities
- Attended multiple county interagency/CPPC meetings to enhance knowledge of community needs
BHIS Provider/Therapist
Life Connections
06.2015 - 07.2016
- Transitioned from BHIS Provider to a Therapist role for; skill building including but not limited to: anger management, communication skills, conflict resolution, coping skills, problem solving, relationship building, self-esteem enhancement, and social skills
- Working in-home (BHIS, FCS) with children/adolescents with mental health disabilities
HCBS Director
DAC Inc.
07.2011 - 03.2014
- Supervised and provided oversight to 30+ staff and over 40 individuals served
- Coordinated all HCBS services for individuals with chronic mental illness, developmental disabilities, intellectual disabilities, poly-substance abusers and chronic substance abusers working with an interdisciplinary team
- Complied with all State of Iowa Policies and Procedures
- Responsible for implementation of programs and services according to case management recommendations
- Effectively managed relationships between DAC Inc., individuals, families, and medical/mental health professionals
- Displayed a high level of initiative, and attention to detail in assuring the completion of individual programs and reports
Education
Licensed Master of Social Work -
ASWB, Iowa Board of Social Work
Iowa07.2025
Masters of Social Work Degree - undefined
Clarke University
Dubuque, Iowa05.2015
Bachelor of Arts Degree - Social Work
Clarke College
Dubuque, Iowa05.2008
Skills
- Highly proficient with Microsoft Excel, Microsoft PowerPoint, Microsoft OneNote, Microsoft Word, CommunityCare, ICUE, Clinical Guidance Exchange (CGX), Guiding Care (GC), SharePoint, Snagit 13, WebEx, CAT LaunchPad
- Customer service, Team leadership, Time management, Decision-making, Verbal and written communication, Staff training and development
- Staff management, Goal setting, Relationship building, Staff development, Employee onboarding, Coaching and mentoring
Continuing Education
Person Centered Transitions, Mandatory Reporter (Adult and Child), Social Work Ethics, Trauma Informed Care, Mental Health First Aid USA, Supervisor Training in Recognizing Signs and Symptoms of Drug Abuse and Alcohol Misuse
Timeline
Manager, Care Management
Humana Inc.
08.2021 - Current
Learning Facilitation Professional 2
Humana Inc.
08.2020 - 08.2021
Senior Clinical Trainer
United Healthcare
01.2018 - 08.2020
Community Relations Representative
AmeriHealth Caritas
07.2016 - 12.2017
BHIS Provider/Therapist
Life Connections
06.2015 - 07.2016
HCBS Director
DAC Inc.
07.2011 - 03.2014
Masters of Social Work Degree - undefined
Clarke University
Bachelor of Arts Degree - Social Work
Clarke College
Licensed Master of Social Work -
ASWB, Iowa Board of Social Work
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