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