Jean Stephens
Legal Nurse Consultant
Tampa,FL
Summary
Experienced healthcare professional with over 25 years of working in the various health care settings. A leader who has a demonstrated history of successfully building strong teams, developing people, improving business processes, managing growth, implementing new technologies and systems, developing new programs and ensuring quality outcomes for patients and staff.
Overview
28
28
years of professional experience
Work History
Regional Systems Consultant
WellMed Medical Management - United Health Group
02.2022 - Current
- Serve as primary liaison between software customers and development team, relating feedback and concerns for future patch cycles.
- Interact with internal customers to understand business needs and translate into requirements and project scope.
- Perform gap analysis to identify areas of improvement.
- Analyze key aspects of business to evaluate factors driving results and summarized into presentations.
- Serve as liaison between end-users and health IT team.
- Analyze electronic health records to identify areas for care improvement and cost reduction.
- Evaluate and optimize clinical software, applying established and end-user feedback.
- Influence care outcomes by implementing improvements and optimizing health information technology.
- Integrate decision support, clinical pathways and best practices into health information technology to enhance delivery of care and workflows.
- Facilitated smooth system migrations with minimal disruption to users by careful planning and execution of transition procedures.
- Championed continuous improvement initiatives within the organization''s IT infrastructure, driving a culture of innovation and efficiency.
Certified Legal Nurse Consultant
Stephens Legal Nurse Consulting, LLC
01.2022 - Current
- To develop comprehensive reports that outline findings from medical record reviews, facilitating efficient case management processes.
- To bolster attorney confidence in presenting medically-focused arguments through clear explanations of complex clinical information.
- To facilitate communication between legal professionals and healthcare providers, ensuring accurate understanding of case details.
- To educate attorneys on nursing standard of care issues, resulting in more informed decision-making during case strategy development.
- To support deposition preparation by creating detailed chronologies and summaries of key medical events related to cases.
- To enhance client outcomes by providing comprehensive medical record analyses and identifying relevant issues for legal cases.
- To serve as a liaison between law firms and healthcare facilities to obtain necessary documents for ongoing investigations promptly and efficiently.
- To prepared concise summaries of relevant research articles to support legal teams in developing evidence-based arguments.
Clinical Consultant
Healthcare Consulting
06.2021 - 10.2022
- Collected and analyzed key data to make accurate assessments.
- Developed and proposed solutions for making positive improvements to operational and patient care strategies.
- Create detailed roadmaps of action items and project goals and generated reports to inform budgeting and planning
- Oversee high profile projects for by planning, designing, and scheduling phases. Consult with customers to assess needs and propose optimal solutions
- Prepared working papers, reports and supporting documentation for audit findings.
- Organized short-term educational programs such as lectures and workshops to address specific clinical topics.
- Reviewed medical records for accuracy and completeness, ensuring compliance with regulatory requirements and minimizing risk exposure.
Executive Vice President of Clinical Operations/Informatics
Opis Senior Services Group
01.2019 - 02.2021
- Provided accurate, clear and consistent data that produced actionable results and improved operational performance.
- Owned and nurtured well-being of operational organization.
- Worked with COO to create long-term tactical plan to grow business.
- Trained and guided team members to maintain high productivity and performance metrics.
- Mitigated business risks by working closely with staff members and assessing performance.
- Interacted well with customers to build connections and nurture relationships.
- Recruited, hired, and trained initial personnel, working to establish key internal functions and outline scope of positions for new organization.
- Trained new employees on proper protocols and customer service standards.
- Tracked trends and suggested enhancements to both challenge and refine company's product offerings.
- Assisted in recruiting, hiring and training of team members.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Identified opportunities to improve business process flows and productivity.
- Established performance goals for department and provided methods for reaching milestones.
- Represented organization at industry conferences and events.
- Integrated decision support, clinical pathways and best practices into health information technology to enhance delivery of care and workflows.
- Influenced care outcomes by implementing improvements and optimizing health information technology.
- Served as liaison between end-users and health IT team.
- Worked closely with subject matter experts to develop solutions and improvements for clinical systems.
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
- Incorporated quality improvement and safety-enhancing methodologies and tools to improve workflow processes,
- Led, facilitated and attended focus groups and meetings to strategize workflow issues.
- Collaborated with stakeholders to drive communication and coordination of health informatics activities and promote accountability.
- Performed regular compliance reviews and audits, identifying non-compliance issues.
- Addressed compliance issues by developing and implementing corrective action plans.
- Analyzed and identified risk areas to determine compliance with applicable laws and regulations.
- Prepared and presented comprehensive reports to upper management and audit team, covering issues and recommendations.
Director of Clinical Reimbursement
Opis Senior Services Group
07.2014 - 10.2019
- Complied with federal and state regulations for completion and coordination of RAI process.
- Oversaw RAI process for 10 skilled nursing centers
- Assessed electronic medical record for required documentation to support MDS coding.
- Verified prompt and accurate completion of MDS activities for billing.
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
- Led weekly utilization review to go over recent clinical activities.
- Reviewed missing assessment reports and analyzed issues for leadership team.
- Trained staff in correct techniques for completing and signing MDS assessments.
- Followed up on outstanding clinical items within established timelines for optimal care delivery.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
- Collaborated with medical teams to create uniform standards for clinical data reporting.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Successfully negotiated client contract renewals to create increased revenue.
Director Of Operations
Opis Alpha Bridge Home Health, LLC
10.2015 - 01.2019
- Oversaw day-to-day production activities in accordance with business objectives for two home health agencies
- Oversaw the reimbursement coordination with OASIS training and teaching
- Oversaw successful implementation of operational strategies and policies to drive organizational growth and productivity.
- Developed systems and procedures to improve operational quality and team efficiency.
- Collaborated with senior management to develop and execute long-term corporate goals and objectives.
- Monitored budget and utilized operational resources.
- Assisted in recruiting, hiring and training of team members.
- Trained new employees on proper protocols and customer service standards.
- Developed systems and procedures for effective project management and clinical operations.
- Coached nursing employees and supported positive behavior and interactions with patients and colleagues.
- Developed, implemented, revised, and evaluated policies and procedures.
- Represented organization at all community events, answering questions, providing details and giving informative presentations.
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Identified nurses' and staff training needs and devised training programs to close gaps.
- Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Ordered all supplies and kept check on inventory levels.
- Coordinated with other healthcare team members to support patient needs.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Collaborated with vendors to procure medical equipment, supplies and services.
- Evaluated patient histories, complaints, and current symptoms.
- Developed and implemented discharge plans to promote continued care after discharge.
- Reviewed accreditation standards and evaluated compliance, identified challenges and proposed solutions.
- Performed regular compliance reviews and audits, identifying non-compliance issues.
- Implemented effective compliance policies and procedures to meet regulatory requirements.
- Analyzed and identified risk areas to determine compliance with applicable laws and regulations.
- Established and monitored compliance procedures to provide consistent implementation across departments.
RN Case Manager
Good Shepherd Hospice
08.2013 - 07.2014
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
- Effectively communicated with physicians regarding patient needs, performance, medications and changes.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Responded promptly and professionally to patient questions and concerns.
- Performed evaluations on consistent basis to address changes in patient needs, conditions and medications, altering care plans when required.
- Liaised with physicians regarding patient needs, performance and changes.
- Coordinated with interdisciplinary professionals to develop plans of care, administer tests and monitor patient status.
- Completed initial assessments of patients and family to determine and address individual home care needs. ·
- Conducted regular re-evaluations to address changes in needs and conditions, introducing revisions to care plans.
- Examined patients and documented history of current and previous conditions, illnesses, injuries and current medications.
- Created patient assessments and plans for individual home care needs.
Senior Admissions Liaison, Senior
Opis, Services Group
01.1997 - 03.2002
- Oversee admissions/marketing office for 179 bed skilled nursing facility
- Supervised two admission coordinators, exceeded total occupancy every year, along with creating private pay waiting list and achieved all marketing goals
- Verified payers/insurances, assessed clinical needs, met with customers and families to coordinate seamless admission transition
- Built up referral base with physicians, home health, assisted living facilities, and guardians
- Collected, sorted and reviewed marketing information and produced timely corporate reports
- Confirmed all insurance benefits met standards of admissions as dictated by policy. Worked with marketing team to develop recruitment strategies in accordance with organizational goals and within budgetary guidelines.
Education
Masters Nursing - Nursing Informatics
Western Governors University
Florida11.2022
Bachelor of science nursing -
Western Governors University
Florida06.2020
Associates in Nursing -
Keiser University
Lakeland, Fl12.2009
Skills
- Medical Record Analysis
- Medical Documentation
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Excellent Communication
- Issue Identification
- Research and Data Analysis
- Electronic Medical Record Software
- Project Management Competence
- Healthcare Regulations Familiarity
Certification
Registered Nurse-Compact License
Basic Life Support (BLS) 2021
Certified Dementia Practitioner -NCCDP-2021
ALF Core Trained-Certified Assisted Living Administrator - State of Florida- 2021
Board Certified in Gerontological Nursing -American Nurses Credentialing Center 2015
RAC-CT-Resident Assessment Coordinator- 2021
Lean Six Sigma Yellow Belt Certification - ets group inc.
2021
Certified Legal Nurse Consultant -2021
Timeline
Regional Systems Consultant
WellMed Medical Management - United Health Group
02.2022 - Current
Certified Legal Nurse Consultant
Stephens Legal Nurse Consulting, LLC
01.2022 - Current
Clinical Consultant
Healthcare Consulting
06.2021 - 10.2022
Executive Vice President of Clinical Operations/Informatics
Opis Senior Services Group
01.2019 - 02.2021
Director Of Operations
Opis Alpha Bridge Home Health, LLC
10.2015 - 01.2019
Director of Clinical Reimbursement
Opis Senior Services Group
07.2014 - 10.2019
RN Case Manager
Good Shepherd Hospice
08.2013 - 07.2014
Senior Admissions Liaison, Senior
Opis, Services Group
01.1997 - 03.2002
Masters Nursing - Nursing Informatics
Western Governors University
Bachelor of science nursing -
Western Governors University
Associates in Nursing -
Keiser University
Registered Nurse-Compact License
Basic Life Support (BLS) 2021
Certified Dementia Practitioner -NCCDP-2021
ALF Core Trained-Certified Assisted Living Administrator - State of Florida- 2021
Board Certified in Gerontological Nursing -American Nurses Credentialing Center 2015
RAC-CT-Resident Assessment Coordinator- 2021
Lean Six Sigma Yellow Belt Certification - ets group inc.
2021
Certified Legal Nurse Consultant -2021
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