Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Enrolled in AAPC
AAPC
, MO
12.2023 - 06.2024
Currently enrolled in professional physician coding course.
Director of Nursing
Cottages of Lake St Louis
Lake St. Louis
05.2023 - 10.2023
Successfully raised fall and incident documentation rates by 23%, reaching an impressive 96% in just one quarter
Implemented infection preventionist policies and procedures including surveillance, vaccinations, and 72-hour time outs
Educated nursing department on peri-care, wound staging and documentation
Oversaw the daily operations of the nursing department including staffing, scheduling, budgeting, and resource allocation
Provided clinical guidance and direction to nursing staff to ensure quality care was provided in a timely manner
Taking Medical Leave
N/A
2022 - 2023
Manager Clinical Care Services
Magellan Health/NIA
Maryland Heights
05.2007 - 04.2022
Reviewed patient records against Medicare, Medicaid, dual and/or commercial guidelines for medical necessity review for pre-authorization, reconsideration and denials
Created monthly reports for senior management summarizing operational performance metrics
Achieved >95% compliance on internal audit and radiology health plan specific audit for all 3 years
Led and trained a group of nurses for User Acceptance Testing by using management skills to ensure staff tested enhancements & implementations of new health plans prior to each IT rollout with an 90% compliance
Operated as a manager by utilizing analytical skills to develop monthly and yearly productivity and quality efficiency business goals, with 85% of the team meeting yearly goals
Quality Assurance Nurse/Director of Nursing
Healthcare Management
St. Louis
Developed, planned and implemented facilities plans of corrections for statement of deficiencies, ensuring staff compliance with state surveys
Successfully oversaw the development and launch of adult and geriatric behavior units across multiple facilities, leading to a boost in census
Utilized management skills to train directors of nursing in all aspects of the long-term care business, resulting in improved patient care
Transformed underperforming facilities through the implementation of cohesive teamwork and effective leadership, resulting in elevated levels of patient care and increased facility occupancy
Ensured that medical staff was adhering to established protocols and procedures related to patient safety and quality assurance
Management and Program Analyst at Department of Agriculture, Rural DevelopmentManagement and Program Analyst at Department of Agriculture, Rural Development