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Florence Kariuki, MHA, RN FHELA

Florence Kariuki, MHA, RN FHELA

Board Member

Ms. Kariuki is a nursing leader at Health Recovery Solutions, serving as Chief Clinical Officer and leading the company’s clinical innovation and reimbursement strategies. Prior to joining HRS, Ms. Kariuki served in various leadership roles at Horizon Blue Cross Blue Shield of New Jersey, focused on innovation of Alternative Payment Programs, Value-Based Programming (PCMH, ACO, EOC), Population Health Management, Social Determinants of Health, Palliative Care, and Total Cost of Care Management strategies. Among other initiatives, she has led the end-to-end design and implementation of programs aiming to reduce potentially avoidable ED utilization and readmissions, increase community/home-based care, train and optimize care coordination infrastructure, and implement Episodes of Care Bundles. Ms. Kariuki supports a consumer and community centric care coordination model, built upon the tenets of the triple aim.

Ms. Kariuki is a Fellow with the New Jersey Healthcare Executive Leadership Academy (NJ HELA), sponsored by the MSNJ, NJHA, and NJAHP. She is a Task Force member of the Conversations of Your Life (COYL) initiative by the NJHQI, and currently serves as an Advisory Board Member for Prometheus Analytics/Change Healthcare and Seton Hall University Alumni Board and held previous Board Membership with the Health Coalition of Passaic County (HCPC) and New Jersey Healthcare Quality Institute (NJHQI) Advisory Board. She has held previous positions as a Faculty Assistant at Seton Hall University’s Nursing Program, faculty for CAPC (Center to Advance Palliative Care) and has been invited as a panelist or speaker at a variety of National Conferences. Among other publications, she is recently featured as a co-author on the latest edition of a Nursing Graduate Textbook (Policy and Politics in Nursing and Health Care, 8th Edition, Community Health Chapter).

Ms. Kariuki graduated Magna Cum Laude with a BSN from William Paterson University, and Summa Cum Laude from Seton Hall University with Masters in Healthcare Administration (MHA). She held Critical Care and Maternal/Child patient care positions at the Hackensack Meridian Health System.

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