Hi, I’m
Celeste Orr
Surprise,AZ
Summary
Systematic and knowledgeable healthcare professional with solid medical background. Improve care delivery based on in-depth assessments of current models and procedures. Optimize systems and implement updates by working smoothly with healthcare staff and administrators. Excellent with analytical problem-solving approach.
Overview
10
years of professional experience
Work History
CVS/Aetna/Mercy Care
QM Medical Analyst
12.2022 - Current
Job overview
- Delivered analytics of up to 70 categories and reporting of provider data in support of current and ongoing processes
- Conducted pre- and post-action analysis of operational decision-making to review impact
- Handled large and complex data to analyze business operations and needs in various medical categories including and ensuring 85% health plan compliance within behavioral health settings
- Helped to clarify compliance issues and degrees of violations by comparing activities against established criteria and consulting with investigation teams
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Utilized electronic medical record systems to store, retrieve, and process patient data.
Surprise Memory Care
LPN NOC
11.2021 - 11.2022
Job overview
- Performed routine evaluations of patients' status, needs, and preferences with a 55:1 ratio.
- Cared for wounds, provided treatments, and assisted with procedures.
- Ordered all pharmacy supplies and maintained inventory levels.
- Established and maintained effective communication with staff, physicians, and community organizations to promote high-quality patient care.
Brookdale Assisted Living
Health & Wellness Coordinator
03.2021 - 10.2021
Job overview
- Built productive relationships with vendors and on-site providers.
- Demonstrated respect, friendliness, and willingness to help wherever needed
- Monitored, tracked, and conveyed important patient information to healthcare staff of 50+ to help optimize treatment planning and care delivery.
- Performed routine evaluations of each patient's status, needs, and preferences.
Illumination Foundation
Medical Coordinator
03.2020 - 02.2021
Job overview
- Maintain EMR and other operational records for over 100 patients.
- Maintain and review for accurate and complete medical supplies, prescribed medications, and over-the-counter medication
- Established and maintained effective communication with staff, physicians, and community organizations to promote high-quality patient care for vulnerable populations
- Implemented successful healthcare program through professionalism, quality of care, medical teaching, and patient satisfaction.
Gento
Field Nurse LVN
01.2020 - 02.2021
Job overview
- Utilized physical and psychosocial assessment skills to perform multi-system assessments 100% for each patient
- Administered effective nursing care to ill, injured, convalescent, and disabled patients.
- Established realistic, measurable, and observable goals consistent with patients' diagnoses.
- Educated patients and caregivers on disease processes, medications, plans of care, and individualized treatment plans.
Pharmerica
Regional Nurse Consultant
02.2016 - 01.2020
Job overview
- Collaborate with healthcare professionals in diminishing state survey errors
- Create weekly expense reports inclusive of exporting client billing using CRM.
- Conducted frequent medical records reviews and audits to verify or implement quality measures.
- Coordinated and facilitated meetings and staff educational seminars of up to 50 or more to provide information and teach skills to employees.
Molina Healthcare
HEDIS Health Manager LVN I
08.2014 - 02.2015
Job overview
- Utilized collaborative process of assessment, planning, implementation, and evaluation, to engage, educate, and promote members' decisions related to achieving and maintaining optimal health status
- Conduct standardized Health Risk Appraisals (HRA) and applicable assessments, including verification of Medical history and current health and wellness needs with 20% of volume calls completed in Spanish.
- Worked with a multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Evaluated patient care and initiated procedural changes for increased benefit.
Certified Comprehensive Home Health
LVN Field Nurse
10.2013 - 08.2014
Job overview
- Maintaining medications as needed/documenting daily activities/doctor appointments
- Assisted with ADLs/medication via G-tube/body assessments conducted daily.
- Scheduled weekly conferences with health team of 1-5 (home health nurse, consulting management, power of attorney).
- Educated patients and caregivers on disease processes, medications, plans of care, and individualized treatment plans.
Education
Strayer University, Herndon, VA
Bachelor of Arts (B.A.) - Information Technology
05.2025
Licensed Vocational Nursing Casa Loma College, Hawthorne, CA
VN License / Diploma
01.2010
Skills
- Information Analysis
- Attention to Detail
- Information Sourcing
- Electronic Health Record Applications
- EMR / EHR
- Clinical Documentation
- Compliance Monitoring
- Patient Education
- Patient Advocacy
- Adaptable
- Medical insurance knowledge
Languages
Intermediate
Spanish
Timeline
QM Medical Analyst
CVS/Aetna/Mercy Care
12.2022 - Current
LPN NOC
Surprise Memory Care
11.2021 - 11.2022
Health & Wellness Coordinator
Brookdale Assisted Living
03.2021 - 10.2021
Medical Coordinator
Illumination Foundation
03.2020 - 02.2021
Field Nurse LVN
Gento
01.2020 - 02.2021
Regional Nurse Consultant
Pharmerica
02.2016 - 01.2020
HEDIS Health Manager LVN I
Molina Healthcare
08.2014 - 02.2015
LVN Field Nurse
Certified Comprehensive Home Health
10.2013 - 08.2014
Strayer University
Bachelor of Arts (B.A.) - Information Technology
Licensed Vocational Nursing Casa Loma College
VN License / Diploma
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