Jaclyn McGrath
Port Charlotte
Summary
Professional with strong background in data management and analysis, prepared to excel in data abstraction roles. Known for precise data extraction, coding, and documentation skills. Effective team collaborator, adaptable to changing project needs. Focused on delivering accurate results and supporting organizational goals through reliable performance. Over 20 years experience in HEDIS reporting.
Overview
48
48
years of professional experience
1
1
Certification
Work History
HEDIS Data Abstractor
Elevance Health
12.2024 - 04.2025
- Coordinate, perform data abstraction and complete data entry for HEDIS reporting in all States assigned into Cotivity reporting system.
- Participate in first and second overreads on data entries for annual HEDIS reporting.
- Maintain Health Care Quality Certification.
- Corporate Contract Status
Practice Consultant, RN, CPHQ
Elevance Health So. FL
09.2015 - 05.2024
- Coordinate, perform data abstraction and complete data entry for HEDIS reporting.
- Participate in first and second overreads on data entries for annual HEDIS reporting for all Florida Counties.
- Assess educational needs and provide education in Quality Management to other health care personnel and Plan Providers as necessary with emphasis on HEDIS guidelines.
- Perform ongoing medical record reviews and assessment of provider practices and compliance.
- Identify and evaluate adverse events and quality issues during medical record reviews and HEDIS data collection.
- Maintain certification in Health Care Quality.
- Resource person for all new HEDIS nurses.
- Assist in creating HEDIS project assignments for nurses in Dade, Broward and Palm Beach Counties in excel format.
- Assist manager in creating several sections intp QSHR.
- Complete data entry in QSHR for new nurses.
- Accept and complete assignment for all of HCA Healthcare for Florida for HEDIS data collection.
- Accept and complete assignment for Florida Pediatric Associates for all members in Florida for HEDIS data collection.
- Educated in the use of Cotivity Data entry for 2024.
- Yearly contract status
Quality Coordinator, RN, CPHQ
Amerigroup FL
05.1998 - 05.2015
- Perform ongoing reviews and assessments of provider practices and compliance with evidence based medical practice and established standards for documentation and care, in order to evaluate a broad spectrum of care and services provided to members.
- Promote ongoing performance improvement and compliance with professional and accreditation standards and regulatory compliance
- Assess educational needs, develop plans and provide education in the area of quality management to other departments within the Plan, network providers and medical office personnel. Provided Physicians with written plan for improvement.
- Identify, research and evaluate adverse events and quality issues. Conduct follow-up on member and provider complaints and appeals and grievances concerning quality of care issues.
- Coordinate, perform data abstraction, data entry and over read data entries for annual HEDIS reporting
- Increased territory for quality management and HEDIS data collection to include Miami Dade, Broward and Palm Beach Counties 2010 to 2015
- Attended HEDIS training yearly to increase skills for new Medicare portion of HEDIS 2009 to 2015
- Attend Nationwide HEDIS training conventions in 2012, 2013, 2015.
- Project Manager for Medicare HEDIS reporting 2011, 2012
- Supervise new contract hires for HEDIS reporting
- Orient new hires to the Company including HEDIS training
- Maintain certification in Health Care Quality
- Retired May 2015 from full time employment.
High Tech Home Health Nurse, Part Time
Staff Builders
01.1997 - 01.1998
- Conducted Medicare home health visits to provide Hyperalimentation, antibiotic therapy and wound care
- Start and maintain peripheral IV’s
- Maintain Central intravenous lines
Infusionist
Varicure Vein Center
01.1993 - 01.1998
- Inject varicose veins with sclerosing agents
- Assist surgeon with consults, office procedures, post operative care of surgical patients
Per Diem infusionist
Response Oncology
01.1995 - 01.1997
- Administer chemotherapy on out-patient basis
RN, IV Team
South Miami Hospital
01.1977 - 01.1993
- Started and maintained peripheral intravenous lines
- Assisted surgeons with insertion of central lines
- Administered chemotherapy
- Maintained central lines throughout hospital including intensive care units
- Served on P&P Committee, wrote IV Team Policy and Procedures in accordance with national guidelines
- Instructed newly hired nurses with maintenance and care of IV lines.
- Preceptor to nursing students for IV therapy
- Member of Code and Trauma Teams to respond to all emergency situations
Education
Diploma RN - Nursing Practice
Albert Einstein Medical Center School of Nursing
Philadelphia, PA06-1968
Skills
- Data extraction
- Management of clinical data
- Experience in HIPAA compliance audits
- Healthcare regulatory compliance
- Skilled in Excel and Word applications
Affiliations
FAHQ 2003 to 2015
Certification
- RN, 1968 to present
- CPHQ, 2001-present
- CRNI, 1987-1995
Timeline
HEDIS Data Abstractor
Elevance Health
12.2024 - 04.2025
Practice Consultant, RN, CPHQ
Elevance Health So. FL
09.2015 - 05.2024
Quality Coordinator, RN, CPHQ
Amerigroup FL
05.1998 - 05.2015
High Tech Home Health Nurse, Part Time
Staff Builders
01.1997 - 01.1998
Per Diem infusionist
Response Oncology
01.1995 - 01.1997
Infusionist
Varicure Vein Center
01.1993 - 01.1998
RN, IV Team
South Miami Hospital
01.1977 - 01.1993
Diploma RN - Nursing Practice
Albert Einstein Medical Center School of Nursing