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

years of professional experience

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.