Florence Kariuki

Florence Kariuki is the Chief Clinical Officer at Health Recovery Solutions (HRS), leading the company’s clinical innovation and reimbursement strategies. In this role, she leads a team that works closely with hospitals, health plans, home health agencies etc. to operationalize successful Remote Patient Monitoring and Virtual Care programs. Under her leadership, the team enables client implementation of innovative digital health programs such as Hospital at Home (or ACHaH), In-Patient Virtual Care, ED Triage and Diversion, Transitions of Care, Chronic Care Management, and many more.

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 (SDOH), 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 serves as a Board member with the Goals of Care Coalition of NJ (GOCCNJ), an Advisory Board Member for Change Healthcare/Prometheus Analytics, and an Alumni Board Member for Seton Hall University. She is a speaker at national conferences and a published co-author of a Graduate-Level Nursing Textbook.