Summary
Overview
Work History
Education
Skills
Timeline
Generic

GAGELYN DAVIS

Hilo

Summary

Highly-motivated employee with desire to take on new challenges. Willingness to learn and a great team player.

Overview

9
9
years of professional experience

Work History

Quality Assurance Specialist

Kumukahi Health & Wellness
Hilo
11.2022 - Current

Quality Assurance & Compliance

  • Monitor compliance with Ryan White Program requirements, including Health Resources and Services Administration and Part A/B/C program standards.
  • Conducted regular chart reviews and case file audits, ensuring documentation met compliance standards and enhanced service quality.
  • Evaluate case management services against agency policies, grant requirements, and clinical quality management standards.
  • Identify documentation deficiencies and develop corrective action plans.
  • Monitored compliance with confidentiality and privacy regulations, including HIPAA, safeguarding client information and fostering trust.

Case Management Support

  • Provide guidance and technical assistance to case managers on documentation standards and Ryan White eligibility requirements.
  • Ensure eligibility, recertification, and required documentation are completed within required timeframes.
  • Review care plans for completeness, person-centered goals, and required updates.
  • Monitor client service delivery timelines and follow-up requirements.
  • Collaborate with supervisors to improve case management practices.
  • Team Lead Support within the case management dept.

Data Management and Reporting

  • Perform data validation and quality checks within the agency’s electronic health record or case management system.
  • Monitor data accuracy, completeness, and timeliness for Ryan White reporting.
  • Assist with the preparation of DOH reports and site visits.

Clinical Quality Management (CQM)

  • Participate in the DOH Clinical Quality Management program with other ASO.
  • Track quality indicators such as viral suppression, retention in care, linkage to care, and medication adherence.
  • Conduct performance improvement projects using quality improvement methodologies.
  • Assist in developing policies, procedures, and quality improvement initiatives.
  • Monitor outcomes and evaluate the effectiveness of improvement efforts.

Training & Education

  • Train new case managers on documentation standards and QA expectations.
  • Develop training materials and job aids.
  • Conduct refresher trainings on Ryan White policies and quality standards.
  • Provide feedback from CQM to improve documentation and compliance.

Audits & Monitoring

  • Prepared for internal and external monitoring visits, coordinating documentation to support organizational accountability and transparency.
  • Coordinate documentation for DOH monitoring and grant compliance reviews.
  • Maintain audit schedules and corrective action documentation.
  • Follow up on audit findings to ensure deficiencies are corrected.

Collaboration

  • Work closely with program managers, medical providers, and case managers.
  • Assist leadership with policy development and program evaluation.

Performance Metrics Commonly Monitored

  • Ryan White eligibility compliance
  • Documentation completion rates
  • Care plan compliance
  • Client retention in care
  • Viral suppression rates
  • Timely service documentation
  • Data accuracy and completeness
  • Case note

Receptionist

Care Hawaii
Hilo
04.2020 - 11.2022
  • Implemented COVID protocols for safe entry.
  • Coordinated and managed schedules for four providers.
  • Facilitated Zoom meetings connecting patients with providers.
  • Conducted COVID protocols upon entry.
  • Completed DAP Notes daily between client contacts.
  • Gathered information from clients during housing intake sessions.
  • Oversaw daily activities and behaviors of clients in shared housing.
  • Tracked clients' medication adherence through regular check-ins.
  • Promoted to Housing Dept. after a year.
  • Promoted to Program Assistant in Case Management Dept.
  • Completed internal audits, reviewed and collected data.
  • Created Spreadsheets to monitor documentation and reported to Supervisor.

Medical Assistant

Bay Clinic
Hilo
12.2019 - 04.2020
  • Collected and documented patient medical information such as blood pressure and weight. All vital signs
  • Collected and documented patient medical information such as blood pressure and weight, All vital signs
  • Performed clerical duties including word processing, data entry, answering phones, and filing to support office operations
  • Checked in and out patients at reception to ensure accurate records. Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed
  • Performed clerical duties, such as word processing, data entry, answering phones and filing
  • In duration of this employment, was laid off due to the COVID pandemic.

Medical Assistant/Receptionist/Referral Specialist

Sunshine Pediatric Clinic
Hilo
11.2018 - 11.2019
  • Collected and documented patient medical information such as blood pressure and weight, All vital signs
  • Collected and documented patient medical information such as blood pressure and weight. All vital signs
  • Checked patients in and out, scheduled appointments, registered patients, and distributed prescribed sample pharmaceuticals, enhancing patient flow and care delivery
  • Checked patients in and out at the front desk, ensuring accurate registration. Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed
  • Obtained all prescribed laboratory testing
  • Administered Pediatric Vaccinations.
  • Called and faxed pharmacies to submit prescriptions and refills, facilitating timely access to medications for patients
  • Directed patients to examining rooms and coordinated transportation assistance for referrals.
  • Administered pediatric vaccinations to children, ensuring adherence to safety protocols.

Medical Assistant

Dr. Randall Hirata OBGYN
Hilo
07.2017 - 10.2018
  • Collected histories, vitals and current complaints via patient interviews
  • Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
  • Documented vital signs and maintained accurate electronic health records for patients.
  • Documented notes during patient visits.
  • Prepared examination rooms and sanitized instruments for patient procedures and exams.
  • Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
  • Educated patients on treatment options and provided information about procedures.
  • Supported the physician during examinations by providing necessary tools and assistance.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing

Education

Medical Assisting -

Sweetwater Health Education
Hilo, HI

Moanalua High School
Honolulu, HI

Skills

  • Regulatory compliance
  • Record auditing
  • Process improvement
  • Quality control

Timeline

Quality Assurance Specialist

Kumukahi Health & Wellness
11.2022 - Current

Receptionist

Care Hawaii
04.2020 - 11.2022

Medical Assistant

Bay Clinic
12.2019 - 04.2020

Medical Assistant/Receptionist/Referral Specialist

Sunshine Pediatric Clinic
11.2018 - 11.2019

Medical Assistant

Dr. Randall Hirata OBGYN
07.2017 - 10.2018

Medical Assisting -

Sweetwater Health Education

Moanalua High School
GAGELYN DAVIS