LINDSEY BETHEA
Hampton,AR
Summary
Accomplished Quality Review Specialist with a proven track record at LHC Group, enhancing patient outcomes through meticulous care plan assessments and OASIS guidelines mastery. Leveraged organizational skills and clinical assessment understanding to achieve an 85% accuracy rate in clinician competency, demonstrating adaptability by completing 100% of remote tasks efficiently.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Quality Review Specialist
LHC Group
04.2023 - Current
- Assessed and refined care plans for home health patients, making recommendations to enhance patient outcomes from the start of care.
- Reviewed OASIS assessments, compared data with documentation, made suggestions to improve accuracy, and ensured regulatory compliance..
- Assessed clinician competency by scoring care plans and OASIS submissions, with a goal of an 85% accuracy rate, fostering improved patient outcomes..
- Delivered daily updates to two assigned agencies, highlighting critical findings and addressing concerns to support informed decision-making
- Proactively advised clinicians on improving diagnostic accuracy during patient evaluations and procedures
- Regularly reviewed and incorporated new OASIS guidelines to improve accuracy in reporting and compliance.
- Successfully completed 100% of assigned tasks remotely, achieving a weekly target that was determined by the number of locked assessments
- Resolved a backlog of assessments in several other states, ensuring timely completion and compliance with deadlines
Patient Care Manager
Elite Home Health
07.2012 - 04.2023
- Assessed patients' needs, developed individualized plans of care, and monitored progress towards goals.
- Regularly updated and applied knowledge of Medicare Conditions of Participation to ensure compliance, and improve patient care protocols.
- Utilized technology and healthcare information systems to streamline care coordination and documentation processes.
- Collaborated with outpatient team to identify patients for handover and post-discharge follow-up.
- Coordinated communication between physicians, nurses, and other health care professionals to provide comprehensive patient care.
- Managed caseloads effectively, prioritizing needs and ensuring timely access to necessary services.
- Coordinated comprehensive care plans for individuals across various settings to ensure continuity of care.
RN/Clinical Documentation Specialist
Ouachita County Medical Center
01.2021 - 09.2021
- I worked in the Quality Department.
- Cross-trained with the Inpatient Clinical Documentation Specialist and the Infection Control Nurse to act as a fill-in for both positions as needed.
- I was hired to implement the Outpatient Clinical Documentation Program, but there were delays due to COVID.
- Identified trends for hospital infections, interpreting surveillance data to develop risk reduction strategies.
- Monitored hospital-wide surveillance systems to identify potential outbreaks of infectious disease.
- Collaborated with interdisciplinary teams to identify opportunities for improvement in clinical documentation processes.
Registered Nurse
Doctors Home Care
01.2013 - 01.2014
- Coordinated with healthcare team to establish, enact and evaluate patient care plans.
- Participated in on-call rotations and delivered after-hours care.
- Conducted telehealth visits, providing remote support and monitoring.
- Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
Education
Associate of Science - Nursing
Southern Arkansas University
Magnolia, AR01.2001
Skills
- Utilization reviews
- Organizational skills
- Remote conferencing and communication
- Adaptability and flexibility
- Microsoft office
- Multitasking capacity
- Interpersonal skills
- Clinical assessment
- Care coordination
Certification
- Certified Oasis Quality Specialist Certification (COQS), 2024
- BLS Certification, 2024
- Licensed RN, 2001
Earlier Work History
- Prior to 2012 my work history was varied as I moved around the country with my spouse who was Active Duty Air Force.
- I worked as a staff nurse in several medical surgical units in Arkansas and Alabama as well as a neurological unit in Ohio.
- I was a Unit Manager at a Long Term Care Facility in Pennsylvania and Alabama.
- I worked as a Risk Manager in a Long Term Care Facility in Florida.
References
References available upon request.
Timeline
Quality Review Specialist
LHC Group
04.2023 - Current
RN/Clinical Documentation Specialist
Ouachita County Medical Center
01.2021 - 09.2021
Registered Nurse
Doctors Home Care
01.2013 - 01.2014
Patient Care Manager
Elite Home Health
07.2012 - 04.2023
Associate of Science - Nursing
Southern Arkansas University
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