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Stanley Black & Decker Premium Solutions 2011

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Page 1: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

Stanley Black & Decker

Premium Solutions 2011

Page 2: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

2Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Team Organizational Chart

MelaniePA Supervisor

PritiAdvocate

TonyaAdvocate

SallieHealth Educator/

Clinical Lead

AmandaHealth Educator

AkuaHealth Educator

DionnaHealth Educator

Aimee, RNCase Manager

Judy, RNCase Manager

Patricia, RNCase Manager

Dominique, RNCase Manager

PamelaBehavioral Case

Manager

RonnieBehavioral Case

Manager

KerryBehavioral Case

Manager

NanceDirector of Clinical

Operations

SamuelClinical

Supervisor

Page 3: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

Team Biographies

Page 4: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

4Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Nance, RN Director of Clinical Operations

Nance has over 30 years of experience in the behavioral health and wellness industries and has held a variety of leadership positions in various healthcare settings.  She has provided overall operational and strategic direction for the Employee Assistance Program (EAP), work/life services, Lifestyle Management Programs, 24-hour Health Information Line, Health Advisor and Personal Health Team programs at Cigna and currently oversees the Integrated Personal Health Teams.  Nance’s primary focus is to ensure clinical and cost effective outcomes in the areas of program development, clinical operations, and quality management.

Nance joined Cigna in 1989 as the Health Solutions Manager for Care Management and Crisis Services.  She has also served as Director of Product Development, and the Director of EAP.  Nance focuses on high quality, solution-oriented health and wellness programs and has been instrumental in the development of numerous lifestyle management, chronic condition support and behavioral modification programs.  She is a registered nurse with direct care and leadership experience in crisis management, inpatient and outpatient mental health, partial hospitalization, and residential treatment settings. 

Nance has presented at several industry conferences, and has authored or contributed to articles in The Journal of Employee Assistance, Business Insurance magazine, and Fortune Small Business magazine related to EAP and other health, wellness, and productivity topics. 

Page 5: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

5Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Samuel, RN Clinical Supervisor

The supervisor is accountable for directing case management activities to control the costs of high-risk, high-cost cases. Specific responsibilities include, but are not limited to: identifying cost-effective protocols for high-risk, high-cost diagnoses; and, developing and administering guidelines for working with employees, employers, policyholders, healthcare providers, patients, and families to determine appropriate, cost-effective care plans. The supervisor ensures customer satisfaction through operational delivery of quality health advocacy and health coaching services. The supervisor acts as a liaison and collaborates with all matrix partners within the organization - Quality, Medical, Product, Systems, Training and Sales. Recruits, selects and hires qualified staff and maintains quality improvement and ongoing personal development of all staff. Supervises, monitors, and reviews performance of the team to assure that health advocacy and health education services are delivered promptly, cost effectively, courteously, and according to policy and procedure, appropriate health advocacy and wellness standards, and quality assurance standards. 

Samuel has been in the health care field for the past twenty nine years. Prior to joining the Integrated Personal Health Team, he worked with Cigna's Expert Resources Team for Disability Management Solutions, acting as a clinical resource for the review of disability claims. Samuel has clinical experience in the treatment of child and adolescent psychiatry and additional experience in adult psychiatry, chemical dependency treatment, employee assistance programs, and case management. He also has leadership experience, having worked as a supervisor for outpatient access, referral services and utilization management.

Samuel has a bachelor of science degree in nursing from the University of Oklahoma. He is licensed by the Board of Nurse Examiners for the State of Texas, Oklahoma and California.

Page 6: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

6Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

SallieClinical Lead & Health Educator

A health educator is responsible for providing wellness coaching to members through telephonic assessment, education, support and referral for various health and wellness programs. Health educators use techniques such as motivational interviewing and behavior change to help people achieve optimal health and well-being. Also, the health educator supports members working in conjunction with an existing team of health advocates and is an integral part of the Integrated Personal Health Team. Sallie will focus on preventative health that emphasizes the importance of lifestyle changes for the whole person. She will provide health assessments to determine current health needs and work with members to set and meet health goals.

Sallie has been in the healthcare field for almost fourteen years. She has worked in a children's hospital setting as a senior financial counselor for seven years, guiding families in applying for government health insurance programs. Sallie has worked as a clinical exercise physiologist in a cardiac rehab setting. She also has experience in a corporate fitness setting as a health fitness specialist. Additional health & wellness experience includes coordinating biometric health screening events for employers nationwide and wellness program management for clients of a private risk management company. She has been in wellness coaching operations for seven years, providing front-line coaching both face-to-face and telephonically, developing coaching program content & materials, as well as providing leadership and training for novice health coaches.

Sallie has a bachelor of science degree in kinesiology with a minor in science from Texas Woman's University in Denton, TX. She has a master’s of science in health promotion with a minor in human resource management from Nebraska Methodist College. She also holds professional certifications from The Cooper Institute in coaching healthy behaviors and providing dietary guidance and is certified for basic skills for working with smokers from the University of Massachusetts, medical school. She is also a certified wellness program coordinator thru the Chapman Institute.

Page 7: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

7Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Amanda Health Educator

A health educator is responsible for providing wellness coaching to members through telephonic assessment, education, support and referral for various health and wellness programs. Health educators use techniques such as motivational interviewing and behavior change to help people achieve optimal health and well-being. Also, the health educator supports members working in conjunction with an existing team of Health Advocates and is an integral part of the Integrated Personal Health Team. Amanda will focus on preventative health that emphasizes the importance of lifestyle changes for the whole person. She will provide health assessments to determine current health needs and work with members to set and meet health goals.

Prior to joining Cigna, Amanda worked in the corporate wellness and fitness industry as a health and fitness professional. Amanda created custom wellness and incentive programs to help guide employees toward leading healthier lifestyles. Amanda also administered health screenings for large corporations’ employees throughout the Midwest. She has additional work experience as a group exercise instructor and personal trainer. Amanda has a bachelor of science in exercise science from University of Nebraska at Kearney. She is an ACE Certified Personal Trainer and an AFFA Certified Group Exercise Instructor.

Page 8: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

8Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Akua, MSHealth Educator

A health educator is responsible for providing wellness coaching to members through telephonic assessment, education, support and referral for various health and wellness programs. Health educators use techniques such as motivational interviewing and behavior change to help people achieve optimal health and well-being. Also, the health educator supports members working in conjunction with an existing team of Health Advocates and is an integral part of the Integrated Personal Health Team. Heidi will focus on preventative health that emphasizes the importance of lifestyle changes for the whole person. She will provide health assessments to determine current health needs and work with members to set and meet health goals.

Prior to joining CIGNA, Akua has worked in health education, health promotion and health administration in various settings for over 10 years. She has worked as a corporate wellness specialist. She is also a motivational/ public speaker, writer, researcher, educator and life coach. She has additional work experience as an executive director of an international humanitarian organization where she was involved in initiating and supporting women’s groups; implementing and participating in health promotion and education programs (on topics such as personal development, nutrition, health and wellbeing, hygiene, sanitation, and disease education, prevention and management); opening and administrating clinics; clean water processes; and providing orphan care.Akua is a Certified Health Education Specialist; has a Master of Science in Health Science (pending thesis approval) from University of Texas at Tyler; a Bachelor of Science in Health Science from University of Texas at Tyler; and an Associate of Science in Biology from Tyler Junior College.

Page 9: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

9Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Dionna Health Educator

A health educator is responsible for providing wellness coaching to members through telephonic assessment, education, support and referral for various health and wellness programs. Health educators use techniques such as motivational interviewing and behavior change to help people achieve optimal health and well-being. Also, the health educator supports members working in conjunction with an existing team of Health Advocates and is an integral part of the Integrated Personal Health Team. Dionna will focus on preventative health that emphasizes the importance of lifestyle changes for the whole person. She will provide health assessments to determine current health needs and work with members to set and meet health goals.

Dionna has been in the healthcare field for over twelve years.  Before joining Cigna, she worked in corporate wellness and cardiac rehabilitation.  Most recently she was providing fitness and wellness programming to help improve corporate employees' lifestyle and reduce their company's health claim cost. Dionna holds a bachelor of science in nutrition and fitness from the University of Missouri-Columbia.  She also holds a certification as a Health Promotion Director, in personal training, group exercise instruction and coaching healthy behaviors.

Page 10: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

10Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Aimee, RN Nurse Case Manager

Registered Nurse/Case Managers are responsible for delivery of case management services, coaching, educating and supporting people in need of life style changes for health improvement. Case Managers establish a collaborative relationship with the member’s, family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes. In addition, they continually assess the member’s health status and treatment plan and identify any gaps or barriers to healthcare. The documented patient centric case management plan involving all appropriate parties is continuously monitored and evaluated to identify anticipated case results/outcomes, criteria for case closure, and promote communication.

Aimee has been in the healthcare field for eighteen years. Prior to joining Cigna, Aimee was working as a hospice case manager where her duties included primary nurse, weekend on-call nurse, admissions and mentoring. Aimee feels that ensuring quality of living is important at every life stage. Aimee holds a certification in Hospice and Palliative Care Nursing. Her previous work experiences include neurology, surgical, shock/trauma and cardiology intensive care settings, post anesthesia care, hyperbaric therapy, and home health. Aimee was also a travel nurse for 5 years, taking short-term nursing assignments at hospitals in 6 different states.

Aimee has a bachelor of science degree in Nursing from DeSales University in Center Valley, Pennsylvania.

Page 11: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

11Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Judy, RN Nurse Case Manager

Registered Nurse/Case Managers are responsible for delivery of case management services, coaching, educating and supporting people in need of life style changes for health improvement. Case Managers establish a collaborative relationship with the member’s, family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes. In addition, they continually assess the member’s health status and treatment plan and identify any gaps or barriers to healthcare. The documented patient centric case management plan involving all appropriate parties is continuously monitored and evaluated to identify anticipated case results/outcomes, criteria for case closure, and promote communication.

Judy has been in the healthcare field for over 30 years. Prior to joining Cigna, Judy was working as a Nurse Case Manager and Supervisor at a major hospital system. Her previous work experience included intensive care, emergency department, transplant services, Quality Assurance Coordinator, Managed Care Supervisor of Case Management, and Catastrophic Case manager.

Judy has an associate of science degree in nursing from Regents College - University of the State of New York. She also holds current certifications in Case Management from the Commission for Case Management Certification and is Board Certified as a Nurse Case Manager through American Nursing Credentialing Center.

Page 12: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

12Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Patricia, RN Nurse Case Manager

As an RN/Case Manager, Patricia will be responsible for delivery of case management services, coaching, educating and supporting people in need of life style changes for health improvement. She will establish a collaborative relationship with member’s, family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes. She will continually assess the member’s health status and treatment plan and identify any gaps or barriers to healthcare.. The documented patient centric case management plan involving all appropriate parties will be continuously monitored and evaluated to identify anticipated case results/outcomes, criteria for case closure, and promote communication.

Patricia has thirty-two years experience in the healthcare field. Patricia has been working as a Registered Nurse/Case Manager for Cigna since October 2010. Prior to joining Cigna she was working as a wound, ostomy, and continence nurse. Patricia has previous experience in home health care, acute care, long term intensive care, medical-surgical units, skilled nursing facilities serving as department head and staff. Patricia also has experience in education creating and giving educational in-services to physicians, RN’s and nurse aides.

Patricia received her bachelor of science degree in nursing from Texas Christian University in 1977 and completed The University of Texas at Houston M D Anderson, School of Enterostomal Therapy in 1993.

Page 13: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

13Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Registered Nurse/Case Managers are responsible for delivery of case management services, coaching, educating and supporting people in need of life style changes for health improvement. Case Managers establish a collaborative relationship with the member’s, family, physician(s), and other providers to determine medical history and current status and to assess the options for optimal outcomes. In addition, they continually assess the member’s health status and treatment plan and identify any gaps or barriers to healthcare. The documented patient centric case management plan involving all appropriate parties is continuously monitored and evaluated to identify anticipated case results/outcomes, criteria for case closure, and promote communication.

Dominique has been in the healthcare field for seven years. Prior to joining Cigna, Dominique worked as a Care Management Supervisor where she supervised a team of utilization management nurses and non-clinical staff. Her previous work experiences include high risk labor and delivery, newborn nursery, complex medical and disease case management and utilization management.

Dominique has a master of science degree in nursing with a concentration in health care systems management from Loyola University in New Orleans, Louisiana and a bachelor of science degree in nursing from Grambling State University in Grambling, Louisiana. Dominique is also a Certified Case Manager.

Dominique, RN Nurse Case Manager

Page 14: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

14Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

RonnieBehavioral Case Manager

A behavioral case manager will provide wellness coaching to members through telephonic assessment, education, support and referrals to various health and wellness programs. The BCM will also provide intensive case management, crisis call management, and stress coaching using techniques such as motivational interviewing, behavior change and cognitive behavioral therapy to help people achieve optimal health and well being. The main functions of the behavioral coach are crisis/triage, EAP telephonic, depression disease management, intensive case management, outpatient kick-out rules, post discharge follow-up, and health risk assessment (HRA) outreach for substance abuse.

Ronnie has been in the healthcare field for 3 years. His work experiences include therapy, psychosocial rehabilitation and case management. Ronnie has experience working in various settings including community mental health and private practice. Ronnie has worked with people of all ages regarding a variety of issues including post traumatic stress disorder (PTSD), anxiety, depression and personality disorders. 

Ronnie has a bachelor of science degree in psychology and philosophy from Freed Hardeman University in Henderson, Tennessee. He has a master of arts degree in counseling from Dallas Baptist University in Dallas, Texas.

Page 15: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

15Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Kerry, LPCBehavioral Case Manager

A behavioral case manager will provide wellness coaching to members through telephonic assessment, education, support and referrals to various health and wellness programs. The BCM will also provide intensive case management, crisis call management, and stress coaching using techniques such as motivational interviewing, behavior change and cognitive behavioral therapy to help people achieve optimal health and well being. The main functions of the behavioral coach are crisis/triage, EAP telephonic, depression disease management, intensive case management, outpatient kick-out rules, post discharge follow-up, and health risk assessment (HRA) outreach for substance abuse.

Kerry has been in the healthcare field for 6 years. Her background includes experiences in community mental health, special education counseling, and private practice. Prior to joining CIGNA, Kerry was providing special education counseling to children and adolescents in the charter school system. She has worked with a non-profit agency that specializes in child abuse prevention. Kerry has experience working in a variety of settings including government agencies, corporations, and the charter school system.

Kerry is licensed in the state of Texas as a licensed professional counselor. She has a master of arts degree in counseling from Dallas Baptist University in Dallas, Texas. Kerry also holds a bachelor of science degree in marketing from Hampton University.

Page 16: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

16Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Pamela, LPCBehavioral Case Manager

A behavioral case manager will provide wellness coaching to members through telephonic assessment, education, support and referrals to various health and wellness programs. The BCM will also provide intensive case management, crisis call management, and stress coaching using techniques such as motivational interviewing, behavior change and cognitive behavioral therapy to help people achieve optimal health and well being. The main functions of the behavioral coach are crisis/triage, EAP telephonic, depression disease management, intensive case management, outpatient kick-out rules, post discharge follow-up, and health risk assessment (HRA) outreach for substance abuse.

Pamela has been in the healthcare industry for thirty years. She was a physician practice administrator for a variety of specialty practices, and involved in a number of startup medical practice ventures in Florida and Texas. She is a licensed professional counselor (LPC), and before joining Cigna Corporation, was a counselor at several non-profit agencies. Pamela has also been a human development/psychology adjunct faculty member at Richland College since 2008.

Pamela holds a bachelor of science degree in psychology from Texas A&M University, a master of science degree in hospital and healthcare administration from University of Alabama in Birmingham, and a master of arts degree in professional counseling from Argosy University – Dallas. Pamela is also a licensed professional Counselor in the state of Texas.

Page 17: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

17Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

MelaniePersonal Advocate Supervisor

Personal Advocates serve as the first point of contact for inbound callers within the Integrated Personal Health Team who are looking for referrals, benefit information, claim information, and/or to enroll in specific programs and obtain resources. Advocates will function as the coordinator for all coaching interventions, aiding in the integration and coordination of all health care needs and will determine the caller's goals and motivations, and then assign that individual to an appropriate clinically-trained health advocate.

Melanie has been in the healthcare field for four years. Prior to joining Cigna, Melanie worked with a Colorado county health and human services department in projects, providing communities with education and resources for all-hazards planning. In her three years at Cigna, she served as a Personal Advocate for the behavioral health department before being appointed as Supervisor over the Personal Advocates of the Integrated Personal Health Team.

Melanie received her bachelor of the arts degree in psychology with a minor in sociology from Oral Roberts University in Tulsa, Oklahoma.

Page 18: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

18Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

Priti Personal Advocate

As a Personal Advocate, Priti serves the first point of contact for inbound callers within the Integrated Personal Health Team. She will function as the coordinator for all coaching interventions, aiding in the integration and coordination of all health care needs and will determine the caller's goals and motivations, and then assign that individual to an appropriate clinically-trained health advocate.

Prior to joining CIGNA, Priti worked in the mental health field at Child & Family Guidance Center, a non-profit agency, where she was a project manager. She was responsible for assigning cases to therapists and providing on-going case management services for children and adults.

Priti received her bachelor of arts degree in psychology from University of Texas based in Dallas, TX in 2006.

Page 19: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

19Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited solely to authorized personnel. © 2011 Cigna

TonyaPersonal Advocate

As a Personal Advocate, Tonya serves the first point of contact for inbound callers within the Integrated Personal Health Team. She will function as the coordinator for all coaching interventions, aiding in the integration and coordination of all health care needs and will determine the caller's goals and motivations, and then assign that individual to an appropriate clinically-trained health advocate. Prior to joining CIGNA, Tonya completed an internship at Dallas One-stop Optimized Re-entry Services (DOORS), a non-profit organization, where she conducted intake assessments and interviews. Tonya provided on-going case management support for a diverse, underserved population of clients.Tonya received her master of arts in forensic psychology from Argosy University, Dallas and a bachelor of arts in psychology with a minor in criminal justice from the University of North Texas in 2007.

Page 20: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

Team Photo

Page 21: Stanley Black & Decker Premium Solutions 2011. 2 Confidential, unpublished property of Cigna. Do not duplicate or distribute. Use and distribution limited

"Cigna" is a registered service mark and the "Tree of Life" logo is a service mark of Cigna Intellectual Property, Inc., licensed for use by Cigna Corporation and its operating subsidiaries. All products and services are provided by such operating subsidiaries and not by Cigna Corporation. Such operating subsidiaries include Connecticut General Life Insurance Company, Cigna Health and Life Insurance Company, and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc.

000000 00/11 © 2011 Cigna