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