Adaptable and experienced HEDIS nurse leveraging 13 years in patient care and advanced technological skills to effectively manage and optimize health information systems. Collaborates effectively with multidisciplinary teams to accomplish dynamic initiatives and improves health systems and quality of care.
Overview
14
14
years of professional experience
1
1
Certification
Work History
HEDIS Nurse
Spartanburg Regional Healthcare System
01.2019 - Current
Strategize and implement clinical workflows to meet HEDIS quality measures
Promoted a culture of quality improvement within the organization through ongoing education on HEDIS measures and best practices.
Achieved improvements in HEDIS scores through targeted interventions, ultimately contributing to a higher quality of care for patients.
Actively improved providers STAR measures to 4 and 5 STARS consistantly
Strengthened relationships with providers, conducting outreach initiatives to educate them on best practices related to HEDIS measures.
Collaborated with interdisciplinary teams to develop targeted interventions for improving HEDIS scores.
Monitored developments in both clinical guidelines and regulatory updates that were relevant to the field's demands.
Managed multiple projects concurrently by prioritizing tasks and delegating responsibilities to ensure successful completion within defined timeframes.
Clinical Quality Specialist
Mary Black Physicians Group
05.2016 - 01.2019
Spearheaded practice transformation for NCQA PCMH Certification
Developed and implemented staff training programs, promoting a culture of continuous learning and professional development among clinical team members.
Oversaw quality assurance programs to enhance performance and consistently achieve superior care standards.
Promoted patient-centered care by actively involving patients and their families in treatment decisions and goal-setting processes.
Conducted quarterly audits of clinical processes, identifying areas for improvement and driving continuous quality improvements across the organization.
Presented feedback on current and new procedures at weekly clinical meetings.
Registered Nurse
Mary Black Surgical Specialties
10.2012 - 06.2016
Provided patient centered evidence-based care to pre and post operative patients
Participated in ongoing annual professional development opportunities to stay current on best practices within the field of medical-surgical nursing.
Mentored new staff members and nursing students, fostering a supportive learning environment within the unit.
Promoted a culture of continuous improvement by participating in quality assurance initiatives annually and making recommendations for process enhancements.
Collaborated with interdisciplinary teams for optimal patient care, ensuring seamless communication between healthcare providers.
Registered Nurse
The Dermatology Center Of Raleigh
03.2010 - 10.2012
Participated in evidence-based practice project implementation, nursing competency development.
Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Increased quality of care by participating in ongoing professional development opportunities such as workshops, conferences, and online courses.
Acted as a team leader in group projects, delegating tasks and providing feedback.
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.