Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Lori Nesloney, LVN

TX

Summary

Senior Quality Improvement Consultant with success in prioritization and multitasking. Committed to paying impeccable attention to reviews and auditing procedures. Organized and dependable with a positive attitude and excellent communication skills. Willingness to take on added responsibilities to meet team goals.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Senior HEDIS Quality Consultant

Christus Health
07.2020 - Current
  • Facilitate communication between providers and health plan to improve medical stability for members
  • I assist providers and staff in the improvement of clinical documentation
  • Responsible for the coordination of HEDIS data gathering processes and quality medical record reviews including navigating multiple EMR systems to obtain medical record sections supportive of HEDIS measures.
  • Responsible for over reading abstracted HEDIS measures, during the HEDIS season
  • Analyze quality and performance data to support operational decision-making.
  • Provide regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Record, analyze, and distribute statistical information.
  • Record findings of inspection process, collaborating with quality team to implement corrective actions.
  • Monitor product standards and quality-control programs.
  • Promote adherence to quality standards by educating personnel on quality control.
  • Implement process improvements to increase productivity in quality assurance operations.
  • Liaison to vendors and end-users to uncover system optimization opportunities.
  • Determine quality department standards, practices, and procedures.
  • Establish and track quality department goals and objectives.
  • Monitor staff organization and implement improvements to daily functionality.
  • Schedule and chair quality review meetings to review effectiveness of performance mitigating risk, improving throughput and achieving customer satisfaction.
  • Educate employees on specific QA standards and confirm maintenance of standards.
  • Participate as a member of the Quality Improvement Committee and present HEDIS rates to identify improvement opportunities.

Licensed Vocational Nurse

Christus Health
12.2019 - 07.2020
  • Examination and treatment of patients; administer medications, read, analyze, and interpret general medical charts and instructions
  • Routine duties include: referrals, coding invoices, ordering office and medical supplies, and the completion of routine safety and quality control forms, patient check-in, verifying demographic and insurance information database
  • Assist with answering phones and scheduling appointments
  • I attend monthly safety champion meetings and pass along necessary information to provider and staff, also head up daily huddle meetings
  • I maintain the cleanliness and quality control of all medical testing devices.
  • Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning.
  • Responded to patient requests with appropriate clinical and personal assistance.
  • Used aseptic techniques to provide sterilized wound care and dressing applications.

Licensed Vocational Nurse

Del Cielo Home Care And Cornerstone Home Health
08.2013 - 01.2018
  • Charted changes in patient conditions and discussed concerns with supervising healthcare provider.
  • Addressed patient care needs, collected vitals, dressed wounds and managed catheters.
  • Cared for patients' acute and chronic wounds by changing dressings and applying medicated compounds.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Worked with registered nurses to deliver comprehensive, high-quality care to patients.
  • Answered patient calls, identified issues and determined how best to provide assistance within parameters established by facility and supervisor.
  • Inserted, cared for and removed patients' catheters and monitored fluid output.
  • Administered prescribed medications and started intravenous fluids to address patient symptoms and underlying etiologies.
  • Monitored infection control procedures to verify facility-wide health and safety.
  • Assisted with patients' nutritional needs by setting up self-feeding assistance or directly feeding individuals with severely limited mobility.
  • Evaluated patient care procedural changes for effectiveness and made necessary adjustments.
  • Managed patients' hygiene with comprehensive care for toileting, bathing and grooming needs.
  • Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.
  • Kept EHR updated with patients' vital statistics, tracking metrics and observations about behaviors or responses.
  • Collected biological samples for routine laboratory testing to assist diagnostic processes.
  • Sterilized equipment and supplies using germicides and autoclaves to protect patients and staff from infection.
  • Collected and documented vital signs to track current patient conditions.
  • Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
  • Communicated concerns regarding clients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
  • Documented patient intake and dietary requirements and aided with feeding and monitoring.
  • Answered patient and family questions to educate on optimal treatment procedures.
  • Responded to patient alarms and needs-assessment requests to identify course of treatment.
  • Promoted patient satisfaction by assisting with bathing, dressing, toileting and exercising.
  • Followed rehabilitation and treatment care plans to accelerate patient recovery, minimize pain and optimize patient outcomes.
  • Assisted physicians with examinations and patient scans during diagnostic processes.
  • Prevented drug interactions and contributed to correct diagnosis by recording patient health information, monitoring vitals and updating patient files.
  • Collected biological specimens and packaged for laboratory transport to complete diagnostic tests.
  • Examined and addressed lacerations, contusions and physical symptoms to assess and prioritize need for further attention.
  • Started, monitored and managed intravenous medication to stabilize patient heart and blood pressure.
  • Used sterile techniques to prepare patients for procedures.
  • Triaged patients by phone and provided general assistance for basic and advanced needs.

Licensed Vocational Nurse

Mark W Greene MD
01.2013 - 08.2013
  • Prepared patients for surgery, educating patients and family members on surgical procedures.
  • Provided treatments, and assisted with procedures.
  • Documented accurate and complete patient information to address patient problems and expected outcomes.
  • Used aseptic techniques to provide sterilized wound care and dressing applications.
  • Responded to patient requests with appropriate clinical and personal assistance.

Licensed Vocational Nurse

San Antonio Treatment Center
09.2012 - 01.2013
  • Assess patients for signs and symptoms of heroin withdrawal, record vital signs
  • Assist doctor with annual physicals, Administer Medication, Update Records, Process Payments

Education

Vocational Nursing

Kaplan College
Corpus Christi, Texas
2012

William Howard Taft High School
San Antonio, Texas
1998

Skills

  • HIPAA Certified
  • Workflow Coordination
  • Patient Data Gathering
  • Patient Health Information Access
  • Healthcare Platforms
  • Medical Records Management
  • EMR Systems
  • Task Delegation
  • Conduct Monitoring
  • Project Management
  • Analytical Thinking
  • Multi-Tasking and Prioritization

Certification

  • Licensed Vocational Nurse, Texas 2012
  • CPR Certified
  • IV Certification

Timeline

Senior HEDIS Quality Consultant

Christus Health
07.2020 - Current

Licensed Vocational Nurse

Christus Health
12.2019 - 07.2020

Licensed Vocational Nurse

Del Cielo Home Care And Cornerstone Home Health
08.2013 - 01.2018

Licensed Vocational Nurse

Mark W Greene MD
01.2013 - 08.2013

Licensed Vocational Nurse

San Antonio Treatment Center
09.2012 - 01.2013

Vocational Nursing

Kaplan College

William Howard Taft High School

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Lori Nesloney, LVN