Sue Caito | fusion5

Sue Caito

 RN, CCM, LNCC – Chief Clinical Officer

Sue brings over 25 years of clinical experience to the Fusion5 Executive Team. She has extensive expertise in program development and management for complex, catastrophic, chronic care patients with multiple co-morbidities. Her breadth and depth of experience working with multidisciplinary teams has led her to provide critical support under Value Based Care, Medicare, Workers Compensation, Commercial and Managed Care programs. 

 

Sue is also known for her ability to enhance and refine operational processes. While working for Midwest Employers Casualty Company, she co-developed and implemented a predictive model that allowed a systematic approach to the early identification of high-risk medical claims. 

 

Her focus on innovation resulted in the successful management and development of the BPCI case management program within a multidisciplinary physician practice in St. Louis focused on care redesign and measurable quality outcomes for 50,000 annual Medicare orthopedic patients across the United States.

 

Sue has successfully co-authored three published articles on the reduction of readmissions resulting from an increased focus on care redesign and clinical outcomes data. She maintains certifications as a Certified Case Manager, Certified Life Care Planner, Legal Nurse Consultant Certified, and Medicare Set-Aside Consultant.

 RN, CCM, LNCC – Chief Clinical Officer