Erin Basmaji
Merrimack,NH
Summary
Powerful and experienced Manager in Clinical Operations with a proven track record of success. I have held various leadership positions in the healthcare industry, including Clinical Operations Manager and Clinical Operations Supervisor. With expertise in complex problem solving and creative solutions, I have effectively led teams and achieved outstanding results. My educational background includes a Bachelor's Degree in Health Science and Nursing. I am skilled in managing projects, analyzing data, and providing leadership to drive positive outcomes. Looking forward, I am seeking opportunities to continue my career growth and make a significant impact in the field of Clinical Operations.
Overview
18
18
years of professional experience
Work History
Clinical Operations Manager
Cohere Health
12.2022 - Current
- Responsible for overseeing and managing the clinical operations of the organization.
- Provide mentorship to the leadership team to develop and implement strategies to improve efficiency
- Utilize complex problem-solving skills to identify and address operational challenges
- Collaborate with product developers, engineers and design team to be at the forefront of generative AI technology and its' use to improve overall efficiencies
- Partner with physician reviewers and CMD's to ensure alignment across teams
Clinical Operations Supervisor
Cohere Health
04.2021 - 12.2022
- Developed key performance indicators to monitor the effectiveness of clinical operations, leading to data-driven decision making.
- Supervised clinical operations and administrative functions.
- Provide guidance and mentorship to my team
- Collaborate with other departments to stream line clinical processes
- Develop daily operational plan and communicate with team
Lead RN Reviewer
Cohere Health
10.2020 - 04.2021
- Collaborate with healthcare providers to resolve any discrepancies or issues identified during review process
- Provide feedback and training to reviewers to enhance their skills and knowledge
- Maintained 100% timeliness for all turn around times
- Collaborated with strategic operations team to develop tools to improve team efficiencies.
RN Reviewer
Cohere Health
09.2020 - 10.2020
- Prior authorization reviews for Medicare and Commercial payer
- Knowledge of CMS NCD/LCD criteria
- Knowledge of MCG guidelines
- Maintained exceptional quality
- Maintained exceptional efficiency standards
- Acted as a SME for spinal surgery
RN - PACU
Minimally Invasive Surgery Center Of New England
04.2019 - 09.2020
- Streamlined handoff procedures by efficiently communicating pertinent information to care team.
- Performed flawless autonomous practice consistent with evidence-based standards and patient care considerations.
- Provided comprehensive pre-discharge assessments, verifying that patients met criteria for discharge while addressing any remaining concerns or needs prior to leaving the facility.
- Responsible for the pre-injection and post-injection care of patient undergoing pain and diagnostic treatments
- Assist physicians providing spinal injections and placement of spinal cord stimulators in a fluoroscopic procedure suite
Resource RN
New Hampshire NeuroSpine Institute
07.2016 - 04.2019
- Oversee a staff of 12 including nurses and medical assistants
- Liaison for all physicians for practice management, order entry and scheduling acute testing and procedures
- Managed and resolved all denials for testing and procedures through chart review and telephone conversation with patient
- Assist in the resolution of patient complaints
RN, Emergency Department
St. Joseph Hospital
01.2009 - 10.2016
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Decreased length of Emergency Department stays by expediting patient flow, efficiently coordinating care with ancillary services such as laboratory and radiology.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Communicated openly and collaboratively with all healthcare staff to organize successful patient care.
RN
New Hampshire NeuroSpine Institute
05.2016 - 07.2016
- Managed patient caseloads effectively, ensuring timely interventions and thorough follow-ups to mitigate potential complications.
- Evaluated patient histories, complaints, and current symptoms.
- Prior authorizations for medication through covermymeds.com
RN Floor Nurse
St. Joseph Hospital
05.2008 - 01.2009
- Provided direct patient care, stabilized patients, and determined next course of action.
- Established compassionate environment by providing psychological, emotional and spiritual support to patients and families.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
RN Floor Nurse
Milton Hospital
08.2006 - 04.2008
- Delivered treatments and direct nursing care according to physicians' orders in a medical surgical environment.
- Collaborated with healthcare team members to assess, implement and evaluate nursing care plans.
- Strengthened relationships between patients, families, and healthcare providers through clear communication and active listening skills.
Education
Bachelor of Science - Nursing
Granite State College
Concord, NH12.2015
Associate of Science - Nursing
Northern Essex Community College
Lawrence05.2006
Bachelor of Science - Health Sciences
Merrimack College
North Andover, MA05.2005
Skills
- Daily operations management
- Leadership and mentoring
- Decision-Making
- Prior Authorization
- Knowledge of NCQA/CMS requirements
- Experience using MCG, CMS NCDs/LCDs, Medicare Benefit Manual, NASS criteria
- Microsoft and G-suites
Timeline
Clinical Operations Manager
Cohere Health
12.2022 - Current
Clinical Operations Supervisor
Cohere Health
04.2021 - 12.2022
Lead RN Reviewer
Cohere Health
10.2020 - 04.2021
RN Reviewer
Cohere Health
09.2020 - 10.2020
RN - PACU
Minimally Invasive Surgery Center Of New England
04.2019 - 09.2020
Resource RN
New Hampshire NeuroSpine Institute
07.2016 - 04.2019
RN
New Hampshire NeuroSpine Institute
05.2016 - 07.2016
RN, Emergency Department
St. Joseph Hospital
01.2009 - 10.2016
RN Floor Nurse
St. Joseph Hospital
05.2008 - 01.2009
RN Floor Nurse
Milton Hospital
08.2006 - 04.2008
Bachelor of Science - Nursing
Granite State College
Associate of Science - Nursing
Northern Essex Community College
Bachelor of Science - Health Sciences
Merrimack College
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