Kathleen Carson
Goshen,IN
Summary
Accomplished Quality Review Specialist with over 20 years of experience in home healthcare, notably with LHC Group. Expert in OASIS analysis and clinical documentation, ensuring accuracy and compliance. Demonstrated leadership in improving quality measures and educating clinicians. Renowned for meticulous attention to detail, exceptional organizational skills, and a collaborative approach to achieving organizational goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Quality Review Specialist
LHC Group
Goshen, IN
04.2023 - Current
- Reviews the medical record to ensure the accuracy of clinical documentation of OASIS data, the proper development of the plan of care, and utilization for quality and outcome management.
- Accurately interprets and applies current OASIS guidelines, Conditions of Participation, and Perspective Payment System guidelines.
- Collaborates and engages with clinicians for documentation edit recommendations, implementing best clinical practices.
- Identifies educational trends and collaborates with agency leadership to provide OASIS and plan of care development education to clinicians.
- Assists with audits of clinical documentation following condition level state surveys.
Patient Care Manager Support
LHC Group
Goshen, IN
09.2021 - 04.2023
- Supported agencies by assisting Patient Care Managers in reviewing clinical documentation of OASIS data and plan of care development, per assigned workflow tasks, as requested by agency Directors and Regional VPs.
- Supported agencies by assisting Patient Care Managers in entering infections and incidents/occurrences into the online Risk Management Incident Reporting System.
- Provided OASIS and plan of care development education to clinicians.
Clinical Manager
Elara Caring
Elkhart, IN
06.2012 - 09.2021
- Provided supervision, direction, and leadership of nurses, therapists, medical social workers, aide field clinicians, and office support staff to ensure the delivery of safe, effective, and appropriate home health services.
- Coordinated home health referrals and services with referral sources.
- Conducted performance evaluations.
- Participated in the hiring and orientation process.
- Managed and processed employee payroll.
- Assisted the quality improvement team with data collection and documentation review.
- Developed and implemented staff education in clinical documentation and practice.
Program Manager of Clinical Excellence
Consolidated Health Services
Elkhart, IN
07.2011 - 06.2012
- Reviewed the medical record to ensure the accuracy of clinical documentation for quality and outcome management.
- Managed visit utilization and HHRG reports.
- Managed quality measures and trended outcomes through the Strategic Healthcare Program.
- Monitored agency HH-CAHPS survey statistics. Developed and educated clinicians on survey improvement strategies.
- Developed and implemented action plans for the improvement of quality measures.
- Assisted with state, federal, and joint commission surveys, along with policies, procedures, and clinical documentation review.
Education
Associate of Applied Science - Nursing
Purdue University
Westville, IN12-1990
Skills
- COS-C certified
- Proficient in OASIS analysis and accuracy
- Meticulous and proficient in clinical documentation review and requirements
- Exceptional organizational skills
- Effective verbal and written communication skills
- Team-oriented, professional, and willing to work closely with others to achieve goals
- 20 years of experience in home healthcare
- Perfect attendance history
Accomplishments
- Assisted in initiation of EMR system including clinical documentation development
- Developed and implemented Telehealth program
- Employee of the month July 2014, March 2009
Certification
- COS-C certified
- Current RN licensure - Compact, IL, MN
Timeline
Quality Review Specialist
LHC Group
04.2023 - Current
Patient Care Manager Support
LHC Group
09.2021 - 04.2023
Clinical Manager
Elara Caring
06.2012 - 09.2021
Program Manager of Clinical Excellence
Consolidated Health Services
07.2011 - 06.2012
Associate of Applied Science - Nursing
Purdue University
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