Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Laura Melton

Madison

Summary

Highly skilled and enthusiastic professional with more than 17 years of experience with operations in patient-centric medical offices and over 2 years of experience with HEDIS measurements and incentive programs. Successfully oversee nursing education improvement, training of new hire nursing staff, supply management and patient services. Develop and lead productive and efficient staff. Contribute to high-volume medical practices by providing exceptional customer service. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Regional Medical Investigator

KDHE
06.2024 - Current
  • Documented findings and prepared detailed reports.
  • Conducted interviews with Local Health Departments and documented investigative findings.
  • Collected, analyzed and interpreted information, documentation, and physical evidence associated with investigations.
  • Worked remotely full time. Traveled to locations for Lead Education and Practices when necessary.


LPN, Care Gap Coordinator, Health Navigator

Newman Regional Health Medical Partners
04.2011 - 05.2024
  • During my 13 years of employment at NRHMP, I have worn many hats in various positions
  • As a LPN with an Associates Degree in Applied Sciences, I was a primary nurse for several providers in our clinic, In this position, I worked directly with patients, on and off of the phone, prior authorizations for medications, specialty appointments, and procedures
  • I have worked with referrals, orders, refills, and direct patient care
  • I have assisted providers with procedures and with daily work routines
  • I assisted in supervising duties over a small clinic, which included staffing, ordering supplies, phlebotomy duties, clerical work, answering phones, scheduling appointments, triage, and data collection
  • As a Community Health Worker, I have assisted in finding resources for patients in need, organized and led classes for patients with chronic conditions, and organized local resource guides
  • As a Nurse Educator and Care Gap Coordinator, I scheduled educational opportunities for the clinic staff, helped with the implementation of new employee education and teaching, worked directly with insurance companies for HEDIS measures, uploaded documentation to an insurance company portal for patient compliance measures, guide and direct staffing with updated HEDIS measures, work with our IT department with necessary EHR builds for capturing data required by insurances, and I have helped bring in over $100,000 in incentives for our clinics by increasing compliance measures.


Education

Bachelor’s Degree - Liberal Arts for Healthcare Management

Ottawa University
Overland Park, KS
08.2024

Associate’s Degree - Applied Sciences

Flint Hills Technical College
Emporia, KS
06.2006

Skills

  • 17 Years of Clinical Experience
  • Referral Processes
  • Charge Nurse of Clinical Education
  • Prior Authorizations
  • Work closely with Providers
  • Work closely with Insurance Companies
  • Patient Advocating
  • Immunizations
  • Teamwork
  • HEDIS Measurements and Incentives
  • Information Collection
  • Data Entry
  • Customer Service
  • Process Improvement
  • Patient Scheduling
  • Project Support
  • Best Practices Implementation
  • Staff Supervision
  • Document Management
  • Discretion and confidentiality
  • Quality assurance
  • Medical documentation
  • Disease investigation
  • HIPAA compliance
  • EMR / EHR
  • Excel and Power Point use

Accomplishments

  • Successfully brought in over $100,000 in incentives in one year by completing HEDIS Measures with accuracy and efficiency.

Certification


  • Certified Community Health Worker, Newman Regional Health - Since 2022
  • EBL Investigator - Since 2024

Timeline

Regional Medical Investigator

KDHE
06.2024 - Current

LPN, Care Gap Coordinator, Health Navigator

Newman Regional Health Medical Partners
04.2011 - 05.2024

Bachelor’s Degree - Liberal Arts for Healthcare Management

Ottawa University

Associate’s Degree - Applied Sciences

Flint Hills Technical College
Laura Melton