Debra Godbey
Somerset,US
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
Work History
HEDIS Review Nurse
Change HealthCare, Altegra Health
Somerset, KY
03.2010 - 05.2023
- Performed HEDIS data collection and abstraction from medical records for multiple health plans.
- Conducted chart reviews in accordance with NCQA guidelines and standards.
- Communicated regularly with internal staff regarding status updates on projects.
RN Medical Coordinator
Cumberland Behavioral Group
Somerset, KY
07.2013 - 07.2019
- Assessed patient health and developed individualized care plans accordingly.
- Educated patients on health maintenance, disease prevention, and treatment options.
- Collaborated with physicians in developing patient-specific treatment plans.
- Maintained accurate documentation of patient records in accordance with HIPAA regulations.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Oversaw patient admission and discharge processes to coordinate related paperwork.
RN Case Manager
Oakwood
Somerset, KY
07.1999 - 05.2013
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Provided direct nursing care such as wound dressing changes, IV therapy, medication administration and patient education.
- Monitored and evaluated effectiveness of treatment plans and interventions.
- Collaborated with physicians, nurses and other healthcare professionals to ensure optimal patient outcomes.
- Coordinated medical services between primary care providers, specialists, hospitals and outpatient clinics.
- Maintained accurate documentation of patient progress in the electronic health record.
- Conducted weekly interdisciplinary team meetings to review case management activities for assigned caseloads.
Education
Associate of Science - Registered Nursing
Eastern Kentucky University
Richmond, KY05-2005
Skills
- Healthcare management
- Quality improvement initiatives
- Patient Care Coordination
- HIPAA knowledge
Custom
- I have worked in Hedis for the past 14 years, abstracted and Over read in several different measures and maintained quality scores. I am currently retired RN
Timeline
RN Medical Coordinator
Cumberland Behavioral Group
07.2013 - 07.2019
HEDIS Review Nurse
Change HealthCare, Altegra Health
03.2010 - 05.2023
RN Case Manager
Oakwood
07.1999 - 05.2013
Associate of Science - Registered Nursing
Eastern Kentucky University
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