Jusna ABRAHAM
Gainesville,Fl
Summary
Dedicated and conscientious Registered physician professional seeking employment with a company that has a well-respected reputation for developing positive relations and comfortable environments for patients and their families with a holistic approach to healthcare. Highly motivated Clinical Director delivering positive patient outcomes, creative solutions to issues and great interaction with staff, patients and other stakeholders. A gifted professional knowledgeable in healthcare regulations. Ready for a new position involved in overseeing quality assurance for a medical facility.
Overview
4
4
years of professional experience
Work History
Clinical Director
Polyclinique la Paix dans le Corps
01.2021 - Current
- Review requests for authorization for inpatient hospital admission
- Utilize nationally recognized criteria to determine medical necessity of services requested
- Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria
- Act as a clinical resource to referral staff
- Organize meetings with employees.
Medical director
Polyclinique la Paix dans le corps
09.2019 - 01.2021
- Take a look at the quality of consultation
- Conduct team meetings
- Communicate and reinforce standards for the quality of consultation
- Complete monthly reporting
- Identify and analyze team performance trends, address barriers, and recommend process improvements
- Coordinate with clinical Director(s) to clarify medical determinations or clinical rationale
- Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested
- Prepare response letters for member and provider clinical appeals.
Physician
Polyclinique la Paix dans le corps
- 09.2019
- Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria
- Organizer physician’s academic conferences.
Prior Authorization RN
Public Health HAITI
09.2013
- Review requests for prior authorization of medical services
- Utilize nationally recognized criteria to determine medical necessity of services requested
- Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria
- Act as a clinical resource to referral staff.
Education
Medical assistant -
Solidaridad Sin Fronteras SSF Health Experts Leadership Providers
01.2023
Healh Equity International and Haiti Health Network-Essentials of Biomedical Technology training course -
01.2021
Bachelor’s Degree in Diabetology -
UAPA University open for Adults
01.2020
Associates Degree in ultrasound -
EMSD Escuela Medica sonogram and Diagnostic
01.2015
physician general -
University Technical of Santiago
01.2011
High School Diploma -
College classico carrefour High School
01.2003
Skills
- Essential of Biomedical Technologic
- Spanish interpreter for foreigners
- Diabetology Student Currently Open University of (UAPA)
- General sonographer (ESMD), Escuela Medica Y Diagnostical Dominican Republic
- Communicator and leader awarded bronze at toastmasters international
- Doctorate in Medicine General (UTESA) University technology of Santiago
- Improving Clinical Quality Outcomes
- Patient Health Education
- Interdisciplinary Collaboration
- Case Management
- Unit Supervision
- Patient Relationship Management
- Patient Care
- Patient Education
- Clinical Quality Improvement
- Developing Training Programs
- Managing Patient Cases
- Organizing Staff Schedules
- Patient Care Coordination
- Employee Performance Evaluations
- Records Management
- Unit Administration
- HIPAA
Languages
- Spanish
- French
- Haitian Creol
- Inglish
References
- Jaccilien ABRAHAM, (561) 951-1704
- Nancy LONGUEFOSSE, (951) 615-7084
Timeline
Clinical Director
Polyclinique la Paix dans le Corps
01.2021 - Current
Medical director
Polyclinique la Paix dans le corps
09.2019 - 01.2021
Prior Authorization RN
Public Health HAITI
09.2013
Physician
Polyclinique la Paix dans le corps
- 09.2019
Medical assistant -
Solidaridad Sin Fronteras SSF Health Experts Leadership Providers
Healh Equity International and Haiti Health Network-Essentials of Biomedical Technology training course -
Bachelor’s Degree in Diabetology -
UAPA University open for Adults
Associates Degree in ultrasound -
EMSD Escuela Medica sonogram and Diagnostic
physician general -
University Technical of Santiago
High School Diploma -
College classico carrefour High School
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