Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
RegisteredNurse
Jill Dodson

Jill Dodson

Registered Nurse
Hammond,Illinois

Summary

Experienced with conducting thorough clinical reviews to ensure compliance with healthcare standards. Utilizes critical thinking and effective communication to enhance patient care and outcomes. Knowledge of regulatory guidelines and team collaboration fosters reliable and adaptable approach.

Overview

2
2
Certifications
11
11
years of professional experience

Work History

Team Lead Supervisor, RN Data Quality Reviewer

Tapestry Health
Remote
03.2024 - Current
  • Supervised team operations to ensure efficiency and productivity
  • Conducted thorough reviews of patient data to maintain accuracy
  • Ensure data accuracy
  • Documented errors and escalated to appropriate departments to facilitate timely resolution
  • Maintained HIPAA compliance and conducted training to uphold regulatory standards
  • Conducted comprehensive clinical reviews to ensure compliance with established medical guidelines.
  • Evaluated patient care plans, providing feedback to enhance treatment outcomes.
  • Collaborated with multidisciplinary teams to optimize patient management strategies.
  • Mentored junior nursing staff, fostering professional development and improving team performance.
  • Implemented quality improvement initiatives that streamlined clinical review processes.
  • Analyzed complex medical data to support decision-making for patient care interventions.
  • Led training sessions on best practices in clinical review methodologies for nursing staff.
  • Developed and maintained documentation standards to ensure accuracy and regulatory compliance.
  • Conducted regular audits of clinical documentation and provided constructive feedback to providers, leading to continuous improvement in the quality of patient care.
  • Streamlined workflow processes by identifying gaps in clinical documentation and providing timely feedback to providers.
  • Maximized efficiency within the department by organizing workload according to priority level, ensuring deadlines were met consistently.

Registered Nurse (Per Diem)

Sarah Bush Lincoln
Tuscola, IL
06.2023 - 10.2023
  • Performing physical assessments, taking vital signs, and documenting findings in the electronic health record (EHR)
  • Collecting a thorough medical history from patients and family members upon admission
  • Inserting intravenous catheters and collecting phlebotomy samples
  • Assisted with emergency procedures, administered medications, and initiated intravenous fluid replacement to stabilize patients in critical conditions
  • Interpreted laboratory results and communicated critical findings to a multidisciplinary team to inform patient care decisions
  • Collaborating with other healthcare providers to develop treatment plans and establish goals of care
  • Collaborated with healthcare providers to develop comprehensive treatment plans and establish patient-centered goals of care

HEDIS Nurse/Data Analyst

BCBS – IL – Remote IL
Chicago, IL
01.2023 - 05.2023
  • Conducted quality of care reviews to assess compliance and improve patient outcomes. Created summary thereafter based on the documented information and presented in peer review.
  • Performed UM, Appeals Management, and audit reviews.
  • Collected and analyzed medical record data for HEDIS and related projects to support quality improvement initiatives.
  • Evaluated practitioner compliance with documentation standards and medical record-keeping practices to ensure regulatory adherence.
  • Conducted comprehensive HEDIS chart reviews to ensure compliance with quality metrics and standards.
  • Optimized data collection processes, utilizing advanced software tools for efficient analysis of clinical information.
  • Effectively interpreted various types of medical documents like lab results or prescription histories which led to more accurate assessments.
  • Improved HEDIS metrics by efficiently reviewing medical records and identifying gaps in care.
  • Reduced discrepancies in medical records by performing thorough chart reviews and resolving inconsistencies through direct communication with providers.

Registered Nurse (FTE)

Memorial Health
Decatur, Illinois
04.2022 - 01.2023
  • Achieved optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
  • Facilitated claims processing by corresponding with insurance companies to ensure timely patient reimbursements.
  • Delivered personalized medical care for special healthcare needs and limitations.
  • Maintained accurate records and charted them consistently in the EHR system.
  • Coordinated patient care throughout the entire hospital stay, from admission to discharge, ensuring continuity and quality of services.
  • Updated patient medical records with direct intake information and transcribed practitioner messages.
  • Maintained updated, cumulative health records in the medical system.
  • Identified patients referred by providers for care management in Managed Care Organizations.
  • Educated faculty and staff on healthcare protocols for common student ailments to enhance campus health support capabilities.
  • Corresponded with insurance companies to process the claims of patients.
  • Offered knowledgeable, evidence-based health services in community-based locations.
  • Monitored vital signs and documented changes in patient conditions to inform treatment decisions.
  • Implemented quality improvement initiatives, streamlining workflows for enhanced operational efficiency.
  • Led training sessions for new nursing staff, enhancing onboarding efficiency and knowledge transfer.
  • Educated patients and families on health management, promoting informed decision-making and self-care practices.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.

School Nurse (PRN)

Memorial Health
Decatur, Illinois
04.2022 - 01.2023
  • Managed direct care of patients conducted health assessments, and documented care activities.
  • Implemented treatment plans for acute and chronic conditions.
  • Educated patients on preventive care and lifestyle choices to improve overall health.
  • Coordinated individualized care plans with patients and healthcare team, facilitating positive outcomes during admission and discharge processes.
  • Oversaw patient flow in the unit, ensuring efficient admissions and discharges. for the unit, handling admissions and processing discharge paperwork.
  • Provided education on preventive care and lifestyle choices, enhancing patient health awareness and engagement.
  • Liaised with healthcare professionals in fast-paced environments using advanced medical terminology.
  • Provided managed care companies with clinical reviews to justify homecare services. Developed and maintained relationships and worked closely with marketing to build the managed care business
  • Provided managed care companies with clinical reviews to justify home care services. Developed and maintained relationships and worked closely with marketing to build the managed care business
  • Performed precise updates to patient charts in the electronic health record system in the computer system.
  • Used empathetic communication to ease patient fears about treatment, fostering a supportive care environment.
  • Oversaw health services for school of 1.000 students and faculty.

LPN School Nurse

Cerro Gordo School District
Cerro Gordo, IL
01.2019 - 07.2021
  • Responded with prompt care to injuries, accidents, or serious student illnesses.
  • Coordinated state-mandated yearly screenings for vision, hearing, and height to ensure compliance and promote student health.
  • Coordinated state-mandated yearly screenings for vision, hearing, and height.
  • Maintained updated, cumulative student health records to support informed healthcare decisions and track student wellness.
  • Managed students' health data according to HIPAA standards as well as federal and state requirements governing minors.
  • Trained faculty and staff in healthcare protocols for common student ailments, enhancing overall school health awareness and response.
  • Offered knowledgeable, evidence-based health services in community-based locations.
  • Delivered optimal patient outcomes by carefully monitoring conditions and delivering comprehensive support.
  • Oversaw health services for school of 700 students and faculty.

Prior Authorization - Licensed Practical Nurse

Springfield Clinic
Decatur, IL
04.2015 - 01.2019
  • Initiate, manage & appeal prior authorization in an office setting.
  • Initiated, managed, and appealed prior authorizations, ensuring timely approvals for patient treatments.
  • Corresponded with insurance companies to process the claims of patients.
  • Initiated and managed referral and prior authorization processes to ensure patient access to care. – initiated, generated approved referrals, and informed patients of denied referrals.
  • Corresponded with insurance companies to expedite processing of patient claims, facilitating quicker reimbursements.
  • Updated patient medical records with direct intake information and transcribed practitioner messages.
  • Coordinated patient admissions through proactive communication with hospital personnel.
  • Transcribed physician notes, detailing diagnosis or recommendations.
  • Compiled medical reports covering specific patient or general office data.
  • Scheduled x-rays and lab work for patients.

Education

Associate degree - Nursing, RN

Richland Community College
Decatur, Illinois
05-2021

Licensed Practical Nursing - Nursing

Richland Community College
Decatur, Illinois
05-2014

Skills

  • Quality review lead
  • Clinical Auditing
  • Documentation
  • Clinical judgment
  • Process Improvement
  • Team Collaboration
  • Critical thinking
  • Coaching and mentoring
  • Deadline management
  • Workflow management
  • Work assignment delegation
  • Team supervision
  • Problem-solving
  • Overseeing daily activities
  • Giving constructive feedback

Accomplishments

  • Phi Theta Kappa, International Honor Society, 2014-Present
  • PALS from American Heart Association (AHA), 2022- Present
  • ACLS from American Heart Association (AHA), 2021- Present
  • Outstanding Achievement in Clinical Skill, 2021
  • Decatur Memorial Hospital Cancer Care Scholarship 2019
  • Edna Mae Unfer Scholarship, 2012
  • Mark Mull Endowment Fund, 2012

Certification

Registered Nurse IL License #041510468, Expiration Date May 2024

Timeline

Team Lead Supervisor, RN Data Quality Reviewer

Tapestry Health
03.2024 - Current

Registered Nurse (Per Diem)

Sarah Bush Lincoln
06.2023 - 10.2023

HEDIS Nurse/Data Analyst

BCBS – IL – Remote IL
01.2023 - 05.2023

Registered Nurse (FTE)

Memorial Health
04.2022 - 01.2023

School Nurse (PRN)

Memorial Health
04.2022 - 01.2023

LPN School Nurse

Cerro Gordo School District
01.2019 - 07.2021

Prior Authorization - Licensed Practical Nurse

Springfield Clinic
04.2015 - 01.2019

Associate degree - Nursing, RN

Richland Community College

Licensed Practical Nursing - Nursing

Richland Community College