Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kofoworola Payne

Plantation,FL

Summary

PROFILE SUMMARY Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

7
7
years of professional experience

Work History

Health Facility Evaluator II

State of Florida AHCA
07.2022 - Current
  • Conduct inspections utilizing an establish survey process
  • Evaluation of health care facilities for state licensure and federal certification requirements for participation under Medicare/Medicaid
  • Perform surveys as individual, team member or team leader
  • Proficient with computer equipment and software programs, such as Microsoft Word and Outlook, as well as smart phone technology.

Lead Check In Agent

Intercruises Shoreside & Port Services
11.2021 - 11.2022
  • Review travel documents for guests that are sailing
  • Provided high level of customer service to each person by engaging customer and using active listening and effective interpersonal skills.
  • Check in guests
  • Ensure compliance of cruise line policy and procedures
  • Assist with guest payments

Quality improvement coordinator

Sunshine HealthCare
05.2019 - 08.2020
  • Analyze, develop, implement, and monitor clinical quality improvement initiatives to achieve healthy outcomes
  • Evaluated competency of clinical staff, documenting performance and recommending improvements.
  • Determined quality department standards, practices, and procedures.
  • Perform duties and functions to comply with quality improvement programs according to state requirements
  • Support Quality Assurance Performance Improvement work plan/initiatives
  • Schedule and assist with committee and sub-committee preparation
  • Assist in investigation and resolution of member quality of care complaints
  • Audit medical records and monitor performance measures for health care risk management, sentinel events, and trends.

Clinical Risk Nurse

Sunshine HealthCare
12.2018 - 05.2019
  • Clinical medical notes extraction for risk adjustment from primary care providers, hospitals, outpatient facilities for review of members, to ensure that the utmost medical care is provided.
  • Reviewed patient history to verify conditions and current medications.

QUALITY ASSURANCE PROCESS IMPROVEMENT

MIAMI JEWISH HEALTH
04.2018 - 04.2019
  • Responsible for supporting PACE’s performance improvement process
  • This includes, but is not limited to, provide consulting services for PACE staff toward meeting standards of performance and compliance, including providing education to PACE staff
  • Identifying opportunities for performance/process improvement
  • Conducts chart audits to oversee documentation compliance
  • Oversees data collection for HPMS data submission to CMS
  • Coordinates, and prepares monthly Quality Subcommittees
  • Use the principles of continuous quality and performance improvement to monitor functions and drive organizational change
  • Supports the grievance process and ensures customer satisfaction
  • Perform periodic performance reviews and targeted audits as determined by the QAPI Director, leadership, and performance trends
  • Represents QAPI Director at meetings as necessary
  • Participates in continuing education programs and related community activities
  • Supports the department as needed
  • Data Analytical skills to develop and implement plans
  • Intermediate to advanced computer skills, Microsoft, Word, Excel, Pivot tables, and other applications
  • Expertise: AHCA, CMS, DOEA

HOME CARE COORDINATOR

Miami Jewish Health
04.2016 - 04.2018
  • Assesses the homecare needs of participants, identifies and develops the participant-specific plan of care
  • Coordinates the implementation of all homecare services which includes nursing, physical therapy, occupational therapy, speech therapy, and personal care assistant services to ensure that quality of care services are provided to meet participant needs
  • Coordinates delivery of all Durable Medical Equipment.
  • Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.

Education

BACHELOR’S - GENERAL STUDIES

FLORIDA ATLANTIC UNIVERSITY

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ASSOCIATES, BROWARD COLLEGE

Licenses & Certifications

Skills

  • Microsoft Office applications, MS Word, Excel, PowerPoint, and MS Project
  • Infection Control Procedures
  • Facility Inspections
  • Peritoneal Dialysis
  • Administrative Duties
  • Train Employees
  • Manage Records
  • Best Practices and Standards
  • Quality Improvement Activities
  • Quality Control Procedures
  • Regulatory and Statutory Compliance
  • Electronic Health Records Systems

Timeline

Health Facility Evaluator II

State of Florida AHCA
07.2022 - Current

Lead Check In Agent

Intercruises Shoreside & Port Services
11.2021 - 11.2022

Quality improvement coordinator

Sunshine HealthCare
05.2019 - 08.2020

Clinical Risk Nurse

Sunshine HealthCare
12.2018 - 05.2019

QUALITY ASSURANCE PROCESS IMPROVEMENT

MIAMI JEWISH HEALTH
04.2018 - 04.2019

HOME CARE COORDINATOR

Miami Jewish Health
04.2016 - 04.2018

BACHELOR’S - GENERAL STUDIES

FLORIDA ATLANTIC UNIVERSITY

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ASSOCIATES, BROWARD COLLEGE

Licenses & Certifications
Kofoworola Payne