Dena Reeves

Dena joined the team in 2022

Dena Reeves joined Managed Healthcare Resources in 2022 as a Healthcare Consultant. She has been an RN for over 28 years and has over 10 years of experience in NCQA accreditation consulting. She is a seasoned leader with a track record of guiding many organizations through preparation and successful achievement of Health Plan and Case Management NCQA Accreditation. Her areas of expertise are in case management, utilization management, population health management and quality improvement.

As a healthcare consultant, she has been instrumental in leading organizations to improve through best practice program implementation, quality improvement, project management, staff training, and NCQA accreditation.

She holds a Bachelor of Science in Nursing from Western Governors University and has more than 28 years of progressive healthcare experience, including a wealth of experience as a Registered Nurse and 22 years of experience dedicated to Case Management and Utilization Management.

Prior to consulting, she gained expertise in a variety of roles across healthcare management including Manager of Utilization Management and Manager of High-Risk Maternity/ NICU programs, and Director of Health Services while at UnitedHealthcare Community Plans in Maryland and in the District of Columbia and had accountability for meeting regulatory requirements and achieving NCQA accreditation. She also led program redesign projects for case management programs, and successfully implemented healthcare management strategies to achieve utilization metrics, HEDIS targets, and quality goals.

Since 2012, Dena has provided accreditation and certification preparation services for numerous organizational accreditation surveys. In this role, she has gained a reputation as an expert in NCQA Utilization Management, Case Management and Health Plan Accreditation standards and, as a result, assisted organizations in achieving high file review results and levels of accreditation.

Dena lives in Pottstown, PA with her husband and is a proud mother of two and grandmother of three. She is active in her church and community and enjoys music and gardening.

Return to About Us