Cassandra Niles
Denison,USA
Summary
Healthcare Administrator with extensive experience in optimizing clinical and administrative operations. Track record of enhancing patient engagement and implementing process improvements that drive quality care. Proven ability to mentor teams and ensure compliance with regulatory standards.
Overview
28
28
years of professional experience
Work History
Practice Administrator
TexomaCare Urgent Cares and Durant Family Practice
Denison, TX
03.2024 - Current
- Monitored quality measures for Medicare ACO program to ensure compliance.
- Collaborated with clinic supervisors to lead process improvement initiatives.
- Educated all staff members on policies and procedures and had them follow them with integrity.
- I wrote many policies and procedures for staff in urgent care.
- Developed processes for staff to follow to make sure we follow guidelines from TexomaCare.
- Implemented e-screen for drug screens to ensure unbiased test results.
- Mentored supervisors, staff, and providers, offering support to help achieve their professional goals.
- Discovered unaddressed credits and took action to resolve discrepancies.
- Resolved outstanding balances unaddressed since 2017, improving financial accuracy.
- Community focused physician clinics and urgent cares that provide quality health care services to our patients.
Clinical Operations Manager
WellMed at Hebron
Carrollton, TX
05.2021 - 08.2023
- Overseeing quality measures for the Medicare Advantage patients and the Medicare ACO.
- Obtained 90% of patients seen in the 90/120 Medicare Advantage initiative.
- Delivered quality care within established timeframes.
- Facilitated patient scheduling to achieve 90% appointment fulfillment and 80% monthly visits.
- Made sure all our high-risk patients were seen monthly and called every 2 weeks to make sure that they did not get admitted to the hospital.
- Helped manage 4 different clinics when we were short on managers, maintaining a quality score of greater than 5 in all the clinics.
- Built a compassionate team dedicated to delivering quality care for older adults, empowering each member to excel.
- Supported initiatives aimed at enhancing care delivery and community engagement in healthcare.
- Collaborated with staff to develop their talents and enhance their well-being.
Practice Administrator
Pediatric Sports & Spine Associates
Grapevine, TX
07.2012 - 07.2020
- Oversee financial management activities such as budgeting, payroll process, billing, financial analysis, reporting, and profitability.
- Implement collection practices to reduce outstanding accounts receivable to optimize cash flow.
- Ensured timely communication with insurance companies regarding claims, maximizing reimbursement.
- Reviewed operating expenditures to identify cost-saving opportunities; negotiated vendor contract, reducing medical supply costs by 10% annually.
- Developed strategic human resource plan to identify and secure talent, driving practice advancement.
- Collaborate with leadership to craft process improvement plans that detail how the practice delivers healthcare services.
- Develop detailed, standard operating procedures that document how to perform routine operational tasks.
- Ensure compliance with local, state, federal, OSHA, and HIPAA requirements always; address non-compliance immediately.
- Managed a health care office providing specialized treatment for pediatric fractures and sports injuries.
Clinical Nursing Supervisor
Baylor Health Texas Provider Network Southlake
Southlake, TX
08.2008 - 06.2012
- Managed daily and strategic operations of patient care area alongside nurse manager for 50 clinical employees.
- Developed staff schedules adhering to department standards, ensuring adequate patient coverage across all shifts.
- Assessed patient satisfaction, employee productivity, and financial performance, proposing actionable recommendations for improvements.
- Provided ongoing support, guidance, and performance feedback to staff; increased employee satisfaction by 50%.
- Conducted clinical employee training programs on NCQA quality measures for both physicians and other clinical staff.
- Maintained a safe and clean work environment through designing and implementing procedures that promote a culture of quality care in the safest manner.
- Coordinated the conversion of the radiology department from film to digital records while minimizing costs.
- Oversaw healthcare services in one of the largest not-for-profit systems in the U.S.
- Selected to serve as a board member of the Nursing Task Force tasked with developing quality and safety treatment programs.
Clinical Research Associate
Southlake Oncology
Southlake, TX
09.2007 - 08.2008
- Recruited and enrolled patients in clinical trials, enhancing study diversity and participant engagement.
- Ensured each trial had the required number of participants to proceed.
- Filled out Institutional Review Board (IRB) forms with essential information for submission to the agency.
- Spearheaded establishment of clinical research department, positioning practice to expand research capabilities and improve patient care.
- Oversaw the day-to-day operations of the research practice, implementing best practices that eventually cut lab costs by 30%.
- Developed and distributed educational materials about chemotherapy treatments to patients and families, improving understanding and support.
- Contributed to a community-focused oncology practice aimed at improving cancer care for patients in North Texas.
LVN, Clinical Research Associate
Antelope Valley Cancer Center
01.1998 - 01.2004
- Monitored vital signs and communicated critical changes to healthcare team to facilitate timely interventions.
- Coordinated multidisciplinary care to achieve patient care plan objectives, improving overall treatment effectiveness.
- Administered medications and treatments according to patient care plans, ensuring adherence to physician orders and enhancing patient safety.
- Implemented infection control measures in accordance with facility policies.
Education
Master of Business Administration - HealthCare Management
COLUMBIA SOUTHERN UNIVERSITY
Orange Beach, AL12-2026
Bachelor of Science - Health Care Administration
Columbia Southern University
Orange Beach, AL11-2019
Certification of Practical Nursing -
Columbia public school of Practical Nursing
Columbia, MOSkills
- Electronic Medical Records
- OSHA & HIPAA Compliance
- Quality assurance
- Process improvement
- Quality & Safety Initiatives
- Policy development
- Clinical improvement initiatives
- Cost Management
- Operational Budgeting
- Financial analysis
- Greenway superuser
- Oral & Written Communication
- Staff Training & Education
- Staff training
- Patient engagement
- Patient & Employee Satisfaction
- Team leadership
- Leadership & Development
- Healthcare systems
- Process Improvements
- Oral & Written Communication
- Operational Budgeting
- Clinical improvement initiatives
Timeline
Practice Administrator
TexomaCare Urgent Cares and Durant Family Practice
03.2024 - Current
Clinical Operations Manager
WellMed at Hebron
05.2021 - 08.2023
Practice Administrator
Pediatric Sports & Spine Associates
07.2012 - 07.2020
Clinical Nursing Supervisor
Baylor Health Texas Provider Network Southlake
08.2008 - 06.2012
Clinical Research Associate
Southlake Oncology
09.2007 - 08.2008
LVN, Clinical Research Associate
Antelope Valley Cancer Center
01.1998 - 01.2004
Master of Business Administration - HealthCare Management
COLUMBIA SOUTHERN UNIVERSITY
Bachelor of Science - Health Care Administration
Columbia Southern University
Certification of Practical Nursing -
Columbia public school of Practical Nursing