BATON ROUGE, La -- eQHealth Solutions, a leader in population health management solutions, announced Lori Kools, RN, BSN, CCM has joined the eQHealth team as the State Director, Florida, Government Operations. As part of eQHealth’s partnership with the state of Florida, Kools will direct utilization management service for inpatient and outpatient services and care coordination in a variety of settings.
Lori brings more than 30 years of experience in nursing and more than 17 years of experience in managed care settings. Her background includes medical case management for Medicare, Medicaid, Dual Eligible Special Need Plans (D-SNP), medically fragile children, utilization management review, disease management, quality improvement and compliance management. She also has 13 years’ experience in leadership management for diverse teams including telecommute operations, field and telephonic case management, triage and care coordinator teams. Her clinical experience is composed of work in orthopedic, cardiac, and general surgery for both the operating room and the emergency room departments. Lori most recently served as the Director, Field and Telephonic Case Management for WellCare Health Plans, Inc. and oversaw nine field offices and 130 staff members across the state of Florida.
“Lori will be a great addition to our Florida team, her extensive knowledge of the state’s healthcare landscape, her clinical and leadership skills will serve our client well in developing new models of care that will provide enhanced services and improved outcomes,” said Vicky Ducworth, Senior Vice President of Government Operations, eQHealth Solutions.
In her new role, Lori will provide leadership and guidance to the Florida team in executing daily operations of the company’s medical management services while also overseeing clinical direction, workflow processes, organization and management of all program functions.
About eQHealth Solutions
Founded in 1986, eQHealth Solutions is a population health management and technology solutions company that touches millions of lives annually throughout the nation. Our high-tech and high-touch models include innovative technology solutions, quality care coordination services, and focus on high-quality outcomes and optimization of provider and payer networks. eQHealth serves a variety of entities including federal, state and commercial clients. www.eqhs.org