Kelly Harwood
Bradenton,FL
Summary
HEDIS Manager with ten years of experience in HEDIS Medicaid and Medicare. Expertise in patient confidentiality, data security, and adherence to quality standards. Focused on driving operational efficiency and elevating the quality of care provided.
Overview
17
17
years of professional experience
Work History
HEDIS Manager
Elevance Health
Tampa, Florida
01.2025 - Current
- Led team in executing operational strategies and improving daily workflows.
- Coordinated scheduling and resource allocation for efficient project completion.
- Developed training programs to enhance employee skills and performance.
- Facilitated communication between departments to enhance collaboration and efficiency.
- Supervised staff performance, providing mentorship and support as needed.
- Analyzed operational data to identify trends and inform decision-making processes.
- Monitored staff performance and addressed issues.
- Coached, mentored and trained team members in order to improve their job performance.
- Provided leadership during times of organizational change or crisis situations.
- Ensured compliance with all applicable laws, regulations, industry standards.
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Streamlined processes to reduce redundancies and improve workflow effectiveness.
- Collaborated with stakeholders to align strategic initiatives with company goals.
- Conducted regular performance evaluations to guide team development efforts.
- Implemented policy changes to enhance compliance with regulatory requirements.
Patient Centered Care Consultant
Elevance Heath
Tampa, FL
07.2015 - Current
- Protected medical information against unauthorized access, loss or corruption by consistently following security protocols.
- Demonstrated self-reliance by meeting and exceeding workflow needs. Handled delegated tasks.
- HEDIS record collection and abstractions, Medical Record Reviews. HEDIS Medicaid and Medicare measures, including EED and CBP.
- Maintained a professional license and completed Anthem-appointed training in a timely manner.
- Organized the HEDIS project from start to finish, and completed it within the timeframe.
- Maintain communication among the team to assist with workflow. Adheres to HIPAA guidelines.
- Assist any provider who needs guidance or assistance with HEDIS to help improve their patients' quality of care.
- Reviewed medical records to ensure compliance with policies and regulations.
- Trained new staff on care consulting best practices and procedures.
Employee Health Nurse
Bayfront Health St. Petersburg
St Petersburg, FL
01.2015 - 07.2015
- Executed exceptional customer service and polite communication at health screenings.
- Delivered basic health coaching based on individual screening results, fitness options and healthy eating.
- Maintained inventory of syringes, blood collection vials and labels for blood screenings.
- Complied with workplace safety policies and procedures to protect employee's well-being.
- Observed strict safety measures, including checking medication dosages before administration to employees.
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Maintained infection control logs, streamlined charting process and improved patient outcomes through training and leadership.
- Administered oral, IV and intra-muscular medications and monitored employee's reactions.
- Participated in safety meetings
- Responsible for hospital random drug testing and reporting.
- Responsible for all Employee work comp claims from start to finish.
Quality Management Coordinator
MPN
Wesley Chapel, FL
07.2014 - 12.2014
- Responsible for all HEDIS data for multiple practices and providers.
- Implemented improved data collection and reporting to increase HEDIS scores and rates.
- Maintained continuous communication with all of our providers and their staff to educate about HEDIS and assist with helping close gaps.
- Communication with the members to assist them with receiving the best health care possible within our health plans.
- Maintained efficient communication with our health plans to achieve optimal results.
- Attended weekly staff meetings to discuss HEDIS rates.
- Attended monthly JOC meetings with health plans.
- Attended meetings with our providers to discuss their HEDIS rates with member level detail to identify any potential difficulties.
LPN
EKIDZCARE - PEDIATRIC HOME HEALTH
03.2010 - 08.2012
- Provide all aspects of direct patient care to pediatric patients in their home Experienced
- Tracheostomy patients, GJ-tubes, G-tubes, Oxygen dependent patients, medication administration orally as well as through G-tubes, nebulizer treatments, wound cleaning/care, colostomy, patient and family advocacy, paper charting, team work, effective and efficient communication and professionalism.
LPN
PSA HEALTHCARE, PEDIATRIC HOME HEALTH
03.2009 - 03.2010
- Provide all aspects of direct patient care to pediatric patients in their home Experienced
- Tracheostomy patients, GJ-tubes, G-tubes, Oxygen dependent patients, medication administration orally as well as through G-tubes, nebulizer treatments, wound cleaning/care, colostomy, patient and family advocacy, paper charting, team work, effective and efficient communication and professionalism.
LPN
ST. JOHN'S SPECIALTY CARE CENTER
03.2009 - 03.2010
- Provide compassionate and professional nursing care to residents in a long term care facility
- Responsibilities included but not limited to medication administration, would care, charting, supervision of CAN staff, communication with physicians with change of status or needs of the patient, participate in change of shift report, fall charting, vitals, and nutritional needs.
Education
NURSE DIPLOMA -
LAWRENCE COUNTY
LAWRENCE, PA09.2008
Skills
- Patient Confidentiality and Data Security
- Providing Information and Resources
- Medical Terminology
- Caring and Empathetic
- Outbound Calling
- Organized and Efficient
- Documenting and Recording Information
- Evaluating Quality of Care
- Database Search and Data Entry Skills
- Knowledge of Community Services and Programs
- Punctual and Hardworking
- Attention to Detail
- Quality Standards and Protocols
- Report Preparation
- Comfort with Technology and Databases
- Verbal and Written Communication
- Forms and Spreadsheet Creation
- Records Management
- Resolving Problems
- Helpful and Service-Oriented
- Spreadsheet Tracking
- Organized and Detail-Oriented
- Time Management and Prioritization
- Cultural Awareness and Sensitivity
- Explaining Policy and Procedures
- Reliability and Dedication
- HEDIS management
- Team leadership
- Operational strategy
- Training development
- Resource allocation
- WorklQ
- Sharepoint
- Cotivity
- Powerpoint
- Excel
Timeline
HEDIS Manager
Elevance Health
01.2025 - Current
Patient Centered Care Consultant
Elevance Heath
07.2015 - Current
Employee Health Nurse
Bayfront Health St. Petersburg
01.2015 - 07.2015
Quality Management Coordinator
MPN
07.2014 - 12.2014
LPN
EKIDZCARE - PEDIATRIC HOME HEALTH
03.2010 - 08.2012
LPN
PSA HEALTHCARE, PEDIATRIC HOME HEALTH
03.2009 - 03.2010
LPN
ST. JOHN'S SPECIALTY CARE CENTER
03.2009 - 03.2010
NURSE DIPLOMA -
LAWRENCE COUNTY
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