Jacqueline Perez
McKinney,TX
Summary
Proficient and caring nursing team member offering outstanding patient-facing experience. Adept at addressing patient needs with compassionate care and attention to detail. Diligent about maximizing satisfaction, safety and wellness while serving patients of all backgrounds.
Overview
13
13
years of professional experience
Work History
LVN Quality Assurance Nurse
The Legacy At Home
01.2018 - Current
- Prepares/Submits appeals for Medicare billing denials
- Collaborates with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Prepares/Submits Additional Document Review requests to Medicare contractor
- Drafts reports on quality verification activity outcomes, presenting findings to decision-makers and recommending response efforts.
- Drafts and reviews quality assurance policies and procedures, improving customer feedback
- Analyzes quality and performance data to support operational decision-making.
- Monitors therapy/nursing utilization
- Develops monthly, end-of-quarter and other statistical reports for leadership team and quality improvement programs.
LVN Quality Assurance Nurse
Choice Plus Home Health
03.2014 - 12.2017
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Reviewed most clinical documentation for compliance.
- Identified potential quality issues in care and escalated as appropriate.
- Conducted audits on agency clinical documentation for medical necessity and state/federal/ insurance compliance.
LVN Quality Assurance/Intake Coordinator
Paradigm
10.2010 - 03.2014
- Evaluated accuracy of existing quality assurance measurement techniques, implementing improvements to increase efficacy and reduce errors.
- Managed admissions, appointments, transfers, and discharges.
- Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
- Built relationships with community agencies for timely service referrals.
Education
Licensed Vocational Nurse - Nurse
South Plains College
Levelland, TXSkills
- Microsoft Product Proficient
- Rehabilitation Support
- Information Compiling and Auditing
- EMR Systems
- Healthcare Common Procedure Coding System (HCPCS)
- Administrative Support
- Documenting Intake
- Work Planning and Coordination
Timeline
LVN Quality Assurance Nurse
The Legacy At Home
01.2018 - Current
LVN Quality Assurance Nurse
Choice Plus Home Health
03.2014 - 12.2017
LVN Quality Assurance/Intake Coordinator
Paradigm
10.2010 - 03.2014
Licensed Vocational Nurse - Nurse
South Plains College
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