Bianca Hodges
Nashville
Summary
Highly motivated professional with over 8 years of experience in supporting the needs of management by applying my education, knowledge, and training skills. Possess a bachelor's and master's degree in clinical psychology with an excellent analytical mindset. Determined and motivated to learn and help others.
Experienced with identifying, assessing, and mitigating risks to protect organizational assets. Utilizes strategic planning and analytical skills to develop effective risk management solutions. Track record of enhancing operational resilience and ensuring regulatory compliance.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Quality Assurance & Risk Management Specialist
MillarRich Children's Services
09.2022 - Current
- Responsible for overseeing all quality assurance and incident management indicators related to Children’s Services.
- Responsible for providing support as needed on all quality assurance and risk management indicators related to Adult and Supported Employment Services and for providing support as needed on any organizational indicators.
- Corresponded with applicable Regional Offices and Central Office employees to ensure that adequate and appropriate communication is being delivered to all necessary parties on a routine basis.
- Lead the efforts to develop plans of prevention, correction, and improvement as it relates to trending incident data for Children’s Services.
- Served as the point person for all internal and external Children’s Services audits including scheduling of audits, retrieval, and submission of requested information, filing and tracking final reports, developing response plans, and working with relevant departments to implement the identified strategies.
- Improved the accuracy of financial statements by 85% by ensuring that all applicable regulatory builds were maintained and tracked.
Data Quality Analyst
Tennessee Department of Health
11.2020 - 12.2022
- Supported the Data Quality Team by reviewing electronic records, referencing guidance documents, and making quality improvements to COVID-19 data.
- Worked closely with the centralized data quality team to identify and correct data errors and ensure critical COVID-19 metrics are complete and accurate.
- Maintained partnerships with local public health staff and provided feedback and training on data improvements.
- Managed regional documentation. Track variant strains throughout Tennessee via RedCap. Provided descriptive information regarding COVID-19 data provided.
- Performed analysis of archived data including data clean-up and data validation.
- Enhanced data accuracy by 8% by applying rigorous data collection tactics, and increased data accuracy to 98% within newly collected data.
Utilization Review Specialist
The Next Door
01.2018 - 12.2020
- Increased the length of stay from 15 days to 30+ days by maintaining positive and effective communication with managing care companies.
- Aligned medical and counseling staff to ensure services are provided at the appropriate level of care consistent with the patient’s condition and in compliance with governmental and accrediting agencies.
- Conducted chart audits and provided training for therapists and case managers.
- Provided staff coaching based on quality assurance audit outcomes.
- Achieved 91% accuracy rate in discharge planning-associated documentation.
- Facilitated weekly utilization review meetings with multi-disciplinary staff and management team.
Quality Assurance Specialist
Omni Visions
01.2015 - 12.2017
- Collected and interpreted statistical information to monitor program trends and performance. Developed performance metrics and measured performance.
- Coordinated case licensure and case review process in assigned programs in keeping with federal and state regulations and accreditation standards.
- Prepared routine internal compliance reports as assigned, and ad hoc reports as requested by the Program Director.
- Provided support to assigned Omni Visions’ program staff in CQI activities and served as a member of the Risk Management Committee.
- Ensured Omni Visions’ Program Director is informed of any issues relative to licensing, accreditation, CQI, case review, contract deliverables, medical records, and related staffing.
- Responsible for preventing abuse of clients by following screening requirements, attending training, communicating expectations & boundaries, ensuring accountability for policy violations, conducting investigations, and preparing reports for the BOD.
Education
Education in Leadership & Private Practice - Leadership And Private Practice
Trevecca University
Nashville, TN12-2025
Masters of Science - undefined
Alabama A & M University
Normal, AL01.2017
Bachelors of Arts - undefined
University of Alabama in Huntsville
Huntsville, AL01.2012
Skills
- Claim reviews
- Operational risk management
- Internal audits
- Incident investigations
- Risk reporting
- Enterprise risk management
- Audit coordination
- Data analysis
- Compliance monitoring
- Due diligence
- Data analytics
- Incident response
- Cybersecurity risk management
- Insurance management
- Quantitative analysis
- Health and safety risk management
- Time management
- Attention to detail
- Multitasking and organization
- Clear communication
- Verbal and written communication
- Decision-making
Websites
Certification
- Cyber Security
- Vanderbilt University
- 2020
Timeline
Quality Assurance & Risk Management Specialist
MillarRich Children's Services
09.2022 - Current
Data Quality Analyst
Tennessee Department of Health
11.2020 - 12.2022
Utilization Review Specialist
The Next Door
01.2018 - 12.2020
Quality Assurance Specialist
Omni Visions
01.2015 - 12.2017
Masters of Science - undefined
Alabama A & M University
Bachelors of Arts - undefined
University of Alabama in Huntsville
Education in Leadership & Private Practice - Leadership And Private Practice
Trevecca University
Similar Profiles
Aaliyah TaylorAaliyah Taylor
Student Health Technician (DC Public Schools) at Children's National- Children's School ServicesStudent Health Technician (DC Public Schools) at Children's National- Children's School Services
Melissa AndresMelissa Andres
Casework Supervisor at Government Of Alberta - Children's ServicesCasework Supervisor at Government Of Alberta - Children's Services
Shaneka Gulston, LCSWShaneka Gulston, LCSW
Best Practice Coach/Child and Family Specialist at Administration For Children's ServicesBest Practice Coach/Child and Family Specialist at Administration For Children's Services
Kyle GoffKyle Goff
Maintenance Worker at Sea Ranch MotelMaintenance Worker at Sea Ranch Motel
Brette ShelleyBrette Shelley
Director of Marketing at Thompson Machinery Commerce CorporationDirector of Marketing at Thompson Machinery Commerce Corporation