Summary
Overview
Work History
Education
Skills
References
Timeline
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LTayna Glass

Taylor,USA

Summary

Results-driven healthcare professional with a proven track record at Optalis Health, specializing in enhancing clinical quality outcomes and fostering patient-centered environments. Demonstrated leadership at Oak Street Health contributed to achieving quarterly bonuses through effective continuous improvement initiatives. Possesses strong expertise in claims management and conflict resolution, ensuring compliance and delivering superior care. Career aspirations include further advancing quality standards and operational excellence within the healthcare sector.

Overview

25
25
years of professional experience

Work History

LPN Staff Nurse

Optalis Health and Rehabilitation of Ann Arbor
06.2023 - 06.2024
  • Assess, document and monitor vital signs and signs/symptoms regarding the patient's health to determine any changes in diagnosis or care
  • Create and update care plans associated with complete patient care
  • Administer oral, IM, SQ, and IV medications
  • Provided primary care and fostered teamwork
  • Directed appropriate care given by Nursing Assistants
  • Crafted thorough reports to oncoming shifts
  • Carried out wound care, wound vac, catheters, and start IVs
  • Admit and discharge pts
  • To and from the long-term facility, hospital, and home
  • Participated in conference table regarding patient care
  • Orchestrated and managed emergencies and notifying Physicians as needed

Practice Manager

Oak Street Health
01.2022 - 06.2023
  • Company Overview: Personalized Primary Care – Patients on Medicare and Managed Care Plans.
  • Managed daily clinical and facility operations, ensuring high patient satisfaction.
  • Enhanced efficiency by regularly engaging with multi-disciplinary teams through meetings, in-services, and huddles.
  • Facilitated acquisition of quarterly bonuses for three out of four quarters annually, focusing on collaborative efforts and objective-driven activities.
  • Supervised workforce processes by managing recruitment, onboarding, dismissal, and training activities for optimal efficiency.
  • Mastered the ability to promote a quality-driven and safety-oriented workplace.
  • Directed clinical personnel activities and optimized scheduling to enhance operational workflow.
  • Conducted assessments of weekly clinic progress through coordination with Medical and Outreach Director and team leads.
  • Tailored healthcare solutions to meet needs of individuals on Medicare and Managed Care plans.
  • Complied with OSHA and HIPAA regulations.
  • Participated in strategic planning initiatives aimed at developing long-term goals for the practice's growth and success.
  • Ordered supplies needed and kept tabs on inventory levels.
  • Analyzed data from various sources to identify trends or opportunities for improvement within the practice.
  • Maintained awareness of government regulations, health insurance changes and financing options.
  • Motivated staff by offering direction and providing constructive feedback.
  • Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
  • Provided support during audits by gathering requested documents as well as answering questions from auditors.
  • Oversaw all aspects of day-to-day practice operations including front desk reception, appointment scheduling, billing and coding, insurance verification.
  • Created reports that tracked key performance indicators such as revenue growth and efficiency metrics.

Clinical Operations Manager

Wayne Health
01.2017 - 01.2022
  • Company Overview: (Formerly named WSU Physician Group and University Internal Medicine Specialist)
  • Spearheaded onboarding process for Fellows, Residents, and new employees.
  • Managed responsibilities of teams and insurance assets for successful reimbursement.
  • Oversees clinic operations, such as daily batches, payroll, personnel management, and requisition of supplies.
  • Directs the daily clinic operations, including ordering supplies.
  • Directed authorization workflows for visits to specialized clinics.
  • Collaborate with the Quality Director during the Patient-Centered Medical Home (PCMH) review as a lead within the clinic, reviewing gaps in care and maintaining all quality processes.
  • Led the identification, planning, execution, and review of improvement projects.
  • Built a culture of quality and safety through focus groups, monthly staff meetings, and daily huddles.
  • Oversee yearly evaluation of medical competencies for clinic personnel.
  • (Formerly named University Internal Medicine Specialist)

Interim Manager

University Internal Medicine Specialist
01.1999 - 01.2000
  • Company Overview: Med/Peds and Internal Medicine Private Livernois Clinic
  • Directs, supervises and coordinates the day-to-day clinic operations to maintain maximum efficiency, productivity, and quality patient care and satisfaction
  • Performs clinic operations including daily batches, payroll, personnel management, information management, maintaining filing systems, and requisition of supplies
  • Maximizes office productivity through proficient use of computer software applications, creates and maintains timely and efficient workflow, and coordinates job duties of clinical staff
  • Hire staff and oversee orientation practices
  • Update clinical and non-clinical staff on quality outcomes and patient experience
  • Meets with all staff to identify and plan process improvement activities to promote continuous quality improvement based on performance measurement and patient satisfaction results
  • Monitors clinic patient population and provides staff with additional educational materials about specific cultures and communication techniques best suited for the patient
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Exercise professional nursing judgment and advanced communication skills to network with various professionals, agencies, and systems
  • Provide professional nursing assessment, teaching, and intervention to patients with acute and chronic care needs
  • Provide medication refills by medication refill policy, obtain prior authorization for medications
  • Provide insurance referrals/obtain prior authorizations for procedures
  • Provide Diabetic education and training for new-onset patients, hospital discharge, and follow-up patients
  • Identify gaps in patient services; develop and utilize alternative resources
  • Supervise MICR balancing weekly for accuracy, monitor gaps in immunizations, and send letters of notification, particularly during back-to-school time
  • Med/Peds and Internal Medicine Private Livernois Clinic

Education

High School -

Redford High School

Licensed Practical Nursing Program (LPN) -

Associate Degree - Nursing

Highland Park Community College

Skills

  • Claims knowledge
  • Conflict resolution
  • Patient-oriented
  • Compliance with regulatory guidelines
  • Quality improvement
  • Training and mentoring
  • Team management
  • Insurance verification

References

References available upon request.

Timeline

LPN Staff Nurse

Optalis Health and Rehabilitation of Ann Arbor
06.2023 - 06.2024

Practice Manager

Oak Street Health
01.2022 - 06.2023

Clinical Operations Manager

Wayne Health
01.2017 - 01.2022

Interim Manager

University Internal Medicine Specialist
01.1999 - 01.2000

High School -

Redford High School

Licensed Practical Nursing Program (LPN) -

Associate Degree - Nursing

Highland Park Community College
LTayna Glass