JANET CONSTANTIN
Pittsburgh
Summary
Professional leader with executive experience ready to drive impactful change. Proven ability to implement strategic initiatives and enhance operational performance. Valued for collaborative team leadership and adaptability to evolving business needs.
Overview
1
1
Certification
25
25
years of professional experience
Work History
Vice President, Care Connect Operations-Corporate Services
Allegheny Health Network
2021.01 - 2026
- Provided strategic oversight for network centralized call center with over 300 employees, including clinical triage and navigation, appointment scheduling, pre-surgical services and project management.
- Created and expanded the centralized nurse triage team, assisting with clinical workflows for scheduling and navigation.
- Spearheaded initiatives that resulted in significant revenue generation, cost savings, care coordination and enhanced patient safety across the network.
- Ensured compliance with contractual, budgetary and regulatory requirements.
Clinical Director, Care Connect Operations-Corporate Services
Allegheny Health Network
2015.01 - 2021.01
- Built out clinical and operational processes, ensuring alignment across Institutes and organizational resources to identify clinical priority and coordinate care.
- Created clinical escalation process to assist non-clinical schedulers and ensure patient safety.
- Led teams assisting with Epic electronic medical record and Genesys telephony system conversions.
- Standardized the process to enable teams to work from home, predating COVID.
Appeals Nurse, Corporate Care Division
UPMC Corporate Services
2012.01 - 2015.01
- Managed multimillion-dollar account portfolio, achieving favorable outcomes for the majority of denials.
- Minimized financial loss and maximized reimbursement through detailed case review, policy analysis and collaboration with departments and providers.
- Served as clinical liaison and policy resource for providers and practices regrading insurance guidelines and reimbursement.
Nurse Attorney, Independent Contractor
Patberg, Carmody & Ging-Medical Malpractice Division
2010.01 - 2013.01
- Conducted comprehensive reviews of claims for both clinical and legal merit.
- Drafted legal documents as directed.
- Conducted intake interviews with clients.
- Collaborated with medical experts to develop case theories and tactical approaches.
Nurse Manager, Chronic Pain Division-Department of Anesthesiology
UPMC Centre Commons Pain Medicine
2010.01 - 2012.01
- Provided direct care for patients undergoing procedures and medication management.
- Provided oversight for staffing, quality, and budget of seven hospital-based locations.
- Created and implemented practice guidelines, clinical reference manuals and policy and procedure guidelines.
- Assisted with conversion from paper charting to Epic.
Legal Intern
The McClelland Law Group, P.C.
2008.01 - 2009.01
- Conducted comprehensive reviews of claims for both clinical and legal merit.
- Drafted legal documents as directed.
- Conducted intake interviews with clients.
- Collaborated with medical experts to develop case theories and tactical approaches.
Registered Nurse, Department of Anesthesiology
UPMC St. Margaret Pain Medicine Clinic
2005.01 - 2006.01
- Completed pre-procedure calls, including patient instructions, explaining medication adjustments, ensuring required clearances were completed timely and appropriate documentation was in place.
- Provided comprehensive nursing care to patients undergoing invasive medical procedures, including administration of IV sedation and recovery.
- Assisted providers with providing pain management interventions and procedures, addressing treatment reactions, general medical questions resolving insurance issues.
Registered Nurse, Surgical Cardiology, Surgical Intensive Care and Oncology
Allegheny General Hospital
1997.01 - 2005.01
- Delivered direct nursing care for surgical, cardiac, oncology, and medical patients in various settings, including ICU and pre and post-surgical units.
- Served as charge nurse on various units, coordinating staff schedules, delegating responsibilities and coordinating care across departments.
- Ensured effective communication across spectrum of care.
Registered Nurse, Quality Assurance Representative-Cardiac Unit
Suburban General Hospital
1996.01 - 1997.01
- Provided specialized care for cardiology patients before and after diagnostic procedures.
- Managed complex cardiac treatments, drew arterial blood gases and assessed treatment responses.
Education
Juris Doctor -
West Virginia University School of Law
Morgantown, WV2009-05
Bachelor of Science - Nursing
University of Pittsburgh School of Nursing
Pittsburgh, PA1995-04
Skills
- Critical thinking
- Relationship building
- Comprehensive
- Compassionate
- Strong communicator
- Well-organized
- Adaptive
- Strategic
- Kind
Certification
Lean Six Sigma Yellow Belt -September 2019
LICENSURE
- Pennsylvania Law License
- Pennsylvania Nursing License
Timeline
Vice President, Care Connect Operations-Corporate Services
Allegheny Health Network
2021.01 - 2026
Clinical Director, Care Connect Operations-Corporate Services
Allegheny Health Network
2015.01 - 2021.01
Appeals Nurse, Corporate Care Division
UPMC Corporate Services
2012.01 - 2015.01
Nurse Attorney, Independent Contractor
Patberg, Carmody & Ging-Medical Malpractice Division
2010.01 - 2013.01
Nurse Manager, Chronic Pain Division-Department of Anesthesiology
UPMC Centre Commons Pain Medicine
2010.01 - 2012.01
Legal Intern
The McClelland Law Group, P.C.
2008.01 - 2009.01
Registered Nurse, Department of Anesthesiology
UPMC St. Margaret Pain Medicine Clinic
2005.01 - 2006.01
Registered Nurse, Surgical Cardiology, Surgical Intensive Care and Oncology
Allegheny General Hospital
1997.01 - 2005.01
Registered Nurse, Quality Assurance Representative-Cardiac Unit
Suburban General Hospital
1996.01 - 1997.01
Bachelor of Science - Nursing
University of Pittsburgh School of Nursing
Juris Doctor -
West Virginia University School of Law