KAREN AGUIRRE
Rio Communities
Summary
Experienced Nurse with a history of working in the hospital and healthcare industry. Proficient in HEDIS data collection and abstraction, chart auditing, and maintaining HIPAA and Patient Safety standards. Extensive experience with Electronic Medical Records (EMR) and pulling medical records for HEDIS purposes. Skilled in conducting thorough chart audits and familiar with Joint Commission and Quality standards. Possesses a strong working knowledge of Windows/Microsoft Office. Thrives in collaborative environments, offering assistance to colleagues whenever necessary. Self-motivated and capable of working independently without direct supervision. Enjoys helping others and embracing opportunities for personal growth through shared experiences in daily work.
Overview
23
23
years of professional experience
Work History
Sr. Quality Improvement Abstractor
Presbyterian Health Plan
05.2019 - Current
- Overreader for team of abstractors, perform Hedis medical record review and abstraction, Hedis supplemental data collection, clinical decision making when determining correct information to gather for measures, ability to navigate and gather medical records from multiple EMRs with ease, coordinate and perform onsite visits to offices to collect medical records and reports, maintain goals set by organization for abstraction quality
- Flexibility to jump from one project to another
- Perform overreading for MRR project with Inovalon and assist in gathering charts to help meet measures
- Serves as liaison to departments for quality improvement and health management projects when they have inquiries about measures.
Clinical Systems Analyst
Texoma Medical Center-Universal Health Services
05.2010 - 05.2019
- General Security for Electronic Medical Record for all new hires, students, physician offices, contract employees, Bridge Blood Transfusion application, Nuance Dragon Dictation, Vocera communication system
- Involved in assisting all new hires to log into network for the first time in orientation, educating new nurses in high level use of EMR
- Daily troubleshooting issues that come up from clinicians using EMR and escalating to corporate if a local resolution cannot be found
- Participate in audits pertaining to HIPAA
- Submit enhancement requests for changes to EMR that are requested by clinicians and Nurse Informatics Council when they see that an improvement in documentation needs to occur.
Infection Prevention/Clinical Informatics
Texoma Medical Center-Universal Health Services
05.2005 - 05.2010
- Performed active surveillance and extensive chart audits, assisted ICP in quarterly IP meetings, educated staff on proper use of precautions
- For newly adopted EMR at TMC, I was the builder of assessments, maintaining the database and making changes when necessary to comply with standards
- When new facility was being built, I was designated as tour guide for bringing employees over to build site and showing them highlights of new facility
- Worked at our Incident Command Center when our hospital relocated from old to new facility, as well as oversaw/trained a team of employees who were designated to help visitors and staff find their way around the new facility.
Med/Surg Third Floor Nurse
Texoma Medical Center-Universal Health Services
05.2001 - 05.2005
- Patient intake, admission and daily assessments, administered meds, wound care, patient safety, health education to patient and family, perform IV and FC insertions and removals, end of life care.
Education
Certification of Vocational Nursing -
Tyler Junior College
Tyler, TXSkills
- Medical record review
- Clinical Documentation
- HIPAA knowledge
- Training and mentoring
- HEDIS Compliance
- Multitasking Abilities
- Attention to Detail
- Data collection techniques
Timeline
Sr. Quality Improvement Abstractor
Presbyterian Health Plan
05.2019 - Current
Clinical Systems Analyst
Texoma Medical Center-Universal Health Services
05.2010 - 05.2019
Infection Prevention/Clinical Informatics
Texoma Medical Center-Universal Health Services
05.2005 - 05.2010
Med/Surg Third Floor Nurse
Texoma Medical Center-Universal Health Services
05.2001 - 05.2005
Certification of Vocational Nursing -
Tyler Junior College
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