Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Interim Manager Quality, Accreditation and MSS
Hamilton Healthcare System
Dalton, Georgia
07.2019 - 03.2021
Recruited, trained, supervised, evaluated and mentored staff members
Identified opportunities for improvement in operational performance metrics
Prioritized and assisted with action plans for performance improvement
Developed policies and procedures to ensure compliance with corporate standards
Assisted ensuring compliance with all accrediting and regulatory agencies, including The Joint Commission and CMS, by compiling and submitting required data ad reports
Implemented organizational methods for analysis of data to include principles from Lean Six Sigma
Facilitated and monitored the Culture of Safety Survey 2019
Oversaw of reporting and communication of quality and patient safety awareness, Culture of Safety and recognition programs
Coordinated and facilitated Root Cause Analyses, Failure Modes and Effects Analyses, and Apparent Cause Analyses and Debriefings
Collaborated with Risk Management regarding occurrence reporting and monitoring the action items which resulted from the Performance Improvement activities
Assisted establishing relationships with vendors and suppliers to secure favorable terms for materials or services
Prepared presentations for board meetings summarizing key developments within the company
Facilitated collaboration between teams by encouraging open communication channels
Coordinated activities with other departments to expedite work and improve interdepartmental performance
Generated reports to review data and issue corrective actions for improvements
Recommended corrective actions to conform to quality specifications
Drafted mission and vision statements to outline objectives and motivate employees
Oversaw daily operations of Quality, Accreditation and Medical Staff Services
Facilitated multiple committee meetings including the Patient Safety Committee, Continuous Survey Readiness and Quality Improvement Committee
Assisted multiple departments with new performance indicators
Assisted with the 2020 Patient Safety and Quality Improvement Plan for the hospital
Collaborated with senior leadership to set long-term objectives for the company
Organized and directly managed a comprehensive credentialing program to assure continued accreditation compliance by The Joint Commission, CMS, as well as other regulatory bodies
Interpretation, explanation and ensured the following of all regulatory guidelines, including Medical Staff Bylaws and Medical Staff Policies and Procedures
Oversaw the integrity and the accuracy of the credentialing database to identify Medical Staff members and their clinical privileges; prepared and maintained other related Medical Staff records and reports
Oversight of the Appointment and Reappointment process and oversaw the completion of the credentialing process for the Medical Staff and Advanced Practice Professional Staff and the granting of clinical privileges/scopes of practice for the HHCS Medical Staff
Coordinated, monitored and maintained the Medical Staff Office and this included gathering of additional data for incorporation into hospital-specific processes(i.e., Performance Improvement elements, FPPE/OPPE processes, etc.) and evaluation/analysis of confidential healthcare provider information prior to presentation to Department Chairs, Credentialing Committee, Medical Executive Committee and Board of Trustees
Collaborated with Medical Staff leadership and hospital staff for approval and ongoing review of credentialed providers
Scheduled and supported (prepared agendas and minutes) for the Credentials Committee, Medical Executive Committee, Leadership Council and PPEC, as well as the Department of Medicine, Department of Surgery and Medical Staff meetings
Developed and facilitated Medical Staff Orientation as requested by the Credentials Committee
Implemented and facilitated a process to collect Medical Staff dues (approximately $100,000) to ensure compliance and good stewardship of the organizations' resources
Developed and facilitated a system to begin the monitoring of expenses among the Medical Staff providers and their reimbursement
Supervision of 7 associates
Prepared and submitted data as requested by ACO, KEPRO
Maintained proficiency with multiple databases, including the National Practitioner Data Bank, Symplr, Cactus, Privplus, and Electronic Health Record systems
Medical Staff Manager
Hamilton Healthcare System
Dalton, GA
03.2020 - 09.2020
Coached, mentored and trained team members in order to improve their job performance
Conducted regular meetings with staff to discuss progress and identify areas of improvement
Established processes to ensure efficient workflow throughout the organization
Resolved conflicts between employees by providing guidance on company policies and procedures
Provided leadership during times of organizational change or crisis situations
Assessed team member's skillsets and assigned tasks accordingly for optimal efficiency
Implemented new technologies to streamline operations, reduce costs, and improve customer service
Developed annual goals for each department based on market trends and competitor analysis
Collaborated with other departments to ensure timely completion of projects within budget constraints
Ensured compliance with all applicable laws, regulations, industry standards
Organized special events such as conferences or training sessions for employees
Scheduled interviews for potential candidates and conducted reference checks prior to hire
Monitored staff performance and addressed issues
Exercised good judgment and decision-making in escalating concerns and resolving issues
Trained employees on additional job positions to maintain coverage of roles
Led team meetings and one-on-one coaching sessions to continuously improve performance
Leveraged leadership skills to identify deficiencies and opportunities to improve policies, procedures and controls
Conducted quality, timely performance feedback and performance appraisals
Communicated company directives and programs to associates and ensured all follow-up items were completed accurately and timely
Created training modules and documentation to train staff
Clinical Quality Project Coordinator
Hamilton Healthcare System
Dalton, GA
07.2017 - 07.2019
Served as the Sepsis Coordinator for the organization
Coordinated and facilitated the Ethics Committee and the Internal Review Board
Facilitated the Patient and Family Council (PFAC) and coordinated with community members who served as voluntary members of the committee
Represented the Quality Department and organization in public venues
Second Place Winner of the GHA Patient Safety Summit for performance of the SEP-1 Core Measure
Demonstrated strong project management skills with an ability to formulate and execute action plans and timelines and the ability to manage multiple initiatives simultaneously
Demonstrated a team approach to facilitate progress toward the organization's goals
Utilized the tools of Lean Six Sigma
Assisted with The Joint Commission Survey and with pertinent action items
Managed work groups and advisory committees
Analyzed data related to projects in order to identify areas for improvement or optimization opportunities
Performed regular reviews of project documentation and communicated results with relevant personnel
Collaborated with senior leadership on strategic planning initiatives related to future projects
Facilitated meetings between stakeholders to discuss project requirements, objectives or outcomes
Contributed ideas towards process improvements that would increase efficiency or productivity levels
Identified training needs for team members in order to keep them up-to-date on the latest industry trends
Drafted presentations outlining the current state of specific projects for review by senior managers
Developed and implemented project plans, established timelines, tracked progress and ensured deadlines were met
Prepared status reports to communicate progress to stakeholders and management teams
Provided direction, guidance and support to team members throughout the duration of projects
Assessed, monitored and reported on work progression
Introduced change improvement plans to achieve goals, methodologies and initiatives
Established and maintained quality performance metrics to meet objectives
Troubleshot and resolved non-technical issues using support documentation and training
Increased product knowledge by staying up to date on product offerings, features and functionality
Clinical Documentation Improvement Specialist
Hamilton Healthcare System
Dalton, GA
10.2015 - 07.2017
Reviewed medical records to ensure accuracy and completeness of clinical documentation
Analyzed data from multiple sources including laboratory, radiology and pathology reports
Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner
Monitored compliance with regulatory standards for the Clinical Documentation Improvement program
Developed and implemented policies and procedures related to clinical documentation improvement initiatives
Assisted physicians in development of comprehensive patient care plans through accurate coding and effective communication of results
Assisted with the conversion from ICD-9 to ICD-10
Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines
Reviewed all discharge summaries to ensure they meet quality standards as defined by the Joint Commission and CMS
Collaborated with interdisciplinary teams to identify opportunities for improvement in clinical documentation processes
Identified areas of risk related to incomplete or inaccurate documentation practices
Generated monthly reports that reflect performance metrics related to CDI activities
Participated in regular meetings with physicians, nurses, case managers, coders, therapists. to discuss changes or improvements needed for clinical documentation processes
Maintained current knowledge of ICD-10 coding requirements, CPT and HCPCS coding systems, DRG assignment criteria and CMS regulations
Compiled data from various sources such as EMRs, physician notes and other documents into a single source document
Performed periodic audits of medical records to verify accuracy of coded diagnoses and procedures
Developed strategies designed to improve quality outcomes associated with specific diagnosis groups
Advised staff members regarding appropriate use of modifiers when applicable
Created educational materials related to best practices for accurate clinical documentation across all settings
Actively participated in special projects related to improving overall quality scores within the organization
Determined quality of care provided to patients through careful assessment of medical documentation
Used PRECYSE and 3M to upload changes and updates to electronic medical records
Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns
Acquired strong background in medical terms, illnesses and conditions and medical procedures
Explained to entire healthcare team importance of providing in-depth, accurate medical records and documentation
Worked with PRECYSE EHR system to input, organize and manage more than 25 documents each day
Managed electronic health record quality assurance processes by organizing and handling requests for medical records and charts
Worked with speed, efficiency and accuracy to process documentation and complete projects
Evaluated medical documents and digital information involved in location, retrieval and transmission of information between the Clinical Documentation Specialists', HIM and Coding and financial offices
Completed in-depth audits of performance and quality of current charts and processes through facility reviews
Handled various departmental responsibilities, which included health information release and cancer registrar completion
Verified procedural regulations to maximize compliance against regulatory requirements
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information
Made corrections when needed to grammar, spelling and syntax
Transferred transcribed materials into electronic health records system
Reviewed and edited transcribed reports or dictated material for spelling, grammar and proper medical terminology
Reviewed diagnostic and procedural terminology for accuracy
Performed data entry and data retrieval services for inclusion in medical records and transmission to physicians
Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature
Reviewed medical records for accuracy and completion as required by insurance companies
Translated medical jargon and short-hand data into correct terminology
Returned dictated reports for physician's review, signature and corrections and inclusion in patients' medical records
Produced medical reports, correspondence and administrative material
Identified mistakes in reports and checked with doctors to obtain correct information
Answered inquiries concerning progress of medical cases within limits of confidentiality laws
Distinguished between homonyms and recognized inconsistencies and mistakes in medical terms
Assumed personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency
Elected ad served as secretary for the Georgia chapter of ACDIS
Intensive Care RN and Team Leader
Hutcheson Medical Center
Ft. Oglethorpe, GA
07.2012 - 07.2015
Assessed patient health and developed individualized care plans accordingly
Provided direct nursing care to patients, including administering medications, wound care, and IV therapy
Educated patients on health maintenance, disease prevention, and treatment options
Performed physical examinations and assessments of patients' medical histories
Monitored vital signs, such as blood pressure, temperature, respiration rate, pulse rate and weight
Collaborated with physicians in developing patient-specific treatment plans
Assisted doctors during medical procedures
Responded quickly to life-threatening situations by providing appropriate interventions
Ensured compliance with infection control policies and procedures
Maintained accurate documentation of patient records in accordance with HIPAA regulations
Counseled patients on lifestyle changes that could improve their overall health outcomes
Advised family members on the best course of action for their loved ones' healthcare needs
Managed complex cases involving multiple diagnoses or treatments
Provided emotional support to families facing difficult decisions about a loved one's care
Worked closely with other healthcare professionals to coordinate patient care
Carried out physician orders regarding tests or medication administration accurately and safely
Identified potential safety hazards in the environment or among patients' behaviors
Participated in community outreach programs aimed at promoting healthy lifestyles among vulnerable population
Attended continuing education courses to stay up-to-date on current trends in nursing practice
Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures
Maintained thorough, accurate and confidential documentation in electronic medical records
Acted as patient advocate and implemented total patient care through team nursing process
Advocated for patients by supporting and respecting basic rights, values and beliefs
Updated charts throughout shifts with current, accurate information to maintain strict recordkeeping standards
Trained and mentored new RNs on best practices, hospital policies and standards of care
Collected lab specimens, ordering and interpreting diagnostic tests and lab results
Oversaw patient admission and discharge processes to coordinate related paperwork
Collaborated with doctors to plan post-treatment home care and prevent return hospitalization
Conducted intake assessments with patients and relatives to gather case history
Monitored patients after surgery, answered questions and provided home care strategies
Developed strategies for problem solving and conflict resolution among team members
Conducted regular performance reviews to assess individual team member progress
Created training materials and conducted group trainings on new processes or procedures
Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions
Monitored daily workflow to ensure adherence to established policies and procedures
Established clear expectations for employees, providing guidance when needed
Reviewed customer service surveys and implemented strategies to improve customer satisfaction ratings
Resolved customer complaints in an effective manner while maintaining a high level of customer service
Kept work areas clean, neat and free of safety hazards to maximize efficiency
Motivated and empowered team members to build customer satisfaction and loyalty to support retention and growth
Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service