Mandeep Mathaun
Cumming,GA
Summary
Reliable, service-focused, bilingual LPN of more than 13 years providing quality clinical and skilled-care, excellent patient-care, precise charting, and advanced medical record documentation skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
13
13
years of professional experience
Work History
HEDIS Nurse Quality Analyst
Elevance Health
01.2024 - 05.2024
- Served as a subject matter expert on HEDIS measures within interdisciplinary teams working on quality improvement initiatives.
- Collaborated with healthcare providers to develop targeted interventions for improving patient outcomes and HEDIS results.
- Improved the accuracy of HEDIS measures by meticulously reviewing medical records and identifying gaps in care.
- Supported the development of provider education materials focused on HEDIS measures and best practices in patient care.
Risk Adjustment Consultant
Centene
05.2023 - 01.2024
- Managed engagement, and performance of assigned providers as it relates to bidirectional Risk Adjustment initiatives
- Provided visibility and accountability of where providers stand in the process, and works with assigned health plans/markets as a bridge between Vendor, Physician, and SI3 Implementation teams
- Ensured mappings in provider's EHR for bidirectional initiatives are communicated to providers, and provide any guidance needed to ensure changes in structured data elements and mappings are completed timely
- Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment.
HEDIS Nurse Abstractor/Over reader
Elevance Health
12.2022 - 05.2023
- Perform complete and accurate data entry of qualifying nursing services and results into software, audited and reviewed medical charts by identifying and communicating patterns of missing documentation for the assessment of additional records and for completeness and accuracy of the medical record
- Perform accurate HEDIS medical record data abstraction for measures including: CBC, WCC, CBP, COA, CIS, LSC, IMA, CCS, and COL
- Compliance via Med abstract and Med Capture tool
- Initiate member outreach and survey support
- Compile information and prepare reports for management.
Director of Health and Wellness
Addington place
08.2022 - 12.2022
- Making Care plans and updating them
- Proper and accurate documentation, Quality Assurance, Fallow all emergency procedures, safety policies and procedures
- Maintain compliance with community policies
- Staff training, education and supervision
- Oversee medication orders
- Communicate with physicians, families, and other outside agencies as they pertain to resident wellbeing
- MOD rotation
- EMR chart training
- Address resident/family concerns with plan for correction.
Memory Care Director
Brick Mont Assisted Living
06.2021 - 08.2022
- Lead clinical staff with motivating tools to promote successful outcomes
- Hiring/disciplinary of clinical staff
- Staff training/Infection Control
- Scheduling
- Create and maintain updated assessments.
Lead Nurse
Crossroad Treatment center
01.2020 - 06.2021
- Analyze, develop and implement improvement activities to increase compliance rates as measured by nationally standardized benchmarks and definitions
- Perform oversight activities on entities with Plan delegated functions, regularly audit entities with Plan delegated function, develop, implement, and follow up with corrective action plans
- Responsible for entering data into a HEDIS software system
- Attends HEDIS Medical Record Review Abstraction Training
- Attends HEDIS Software Training
- Receives HEDIS assignment and independently contacts offices, schedules appointments, arranges to get appropriate material to the offices on a timely basis.
Epic ClinDoc Consultant
Cleveland Clinic
06.2019 - 12.2019
- Inpatient Go-live Supported Doctors and Nurses ASAP in ER Triage, Fast Track, Health - Epic Ambulatory Go-live Supported Family Practice Doctors and Nurses
- Epic Ambulatory Supported Doctors and Nurses in Urgent Care Unit.
Charge Nurse
Humana mount Royal
01.2019 - 05.2019
- Monitor resident activity and provide nursing care as directed by an RN and according to Physician's orders, care plans, established standards and facility policies
- Coordinate and assist or prepare for new admissions, transfers, and discharge of residents as directed
- Prepare and administer medications
- Sign, date and perform all charting and record keeping in accordance with established policies and procedures.
LPN Charge Nurse
Athenians assisted living
03.2017 - 12.2018
- Care for the elderly living with dementia
- Train caregivers in understanding dementia behaviors and coping skills
- Develop techniques used to care for residents
- Advise families on ways to communicate with loved ones living with dementia
- Assist the HSD in developing Care Plans
- Administer medications and treatments
- Process doctors' orders
- Scheduling staff.
Epic Consultant Team Lead
CSI Healthcare IT
05.2011 - 10.2018
- Inpatient Go-live Supported Doctors and Nurses ASAP in ER Triage, Fast Track, Health - Epic Ambulatory Go-live Supported Family Practice Doctors and Nurses
- Epic Ambulatory Supported Doctors and Nurses in Urgent Care Unit.
Education
LPN - Nurse
Brown Mackie College
Akron, OH2011
Bachelor of Nursing -
Kurukshetra University
2003
Skills
- Certifications and Licenses LPN
- HIPAA knowledge
- Medical record review
- Critical thinking abilities
- Clinical Documentation Review
- Patient Care Coordination
- Healthcare compliance
- Quality Assurance
Languages
Hindi
Native or Bilingual
Timeline
HEDIS Nurse Quality Analyst
Elevance Health
01.2024 - 05.2024
Risk Adjustment Consultant
Centene
05.2023 - 01.2024
HEDIS Nurse Abstractor/Over reader
Elevance Health
12.2022 - 05.2023
Director of Health and Wellness
Addington place
08.2022 - 12.2022
Memory Care Director
Brick Mont Assisted Living
06.2021 - 08.2022
Lead Nurse
Crossroad Treatment center
01.2020 - 06.2021
Epic ClinDoc Consultant
Cleveland Clinic
06.2019 - 12.2019
Charge Nurse
Humana mount Royal
01.2019 - 05.2019
LPN Charge Nurse
Athenians assisted living
03.2017 - 12.2018
Epic Consultant Team Lead
CSI Healthcare IT
05.2011 - 10.2018
LPN - Nurse
Brown Mackie College
Bachelor of Nursing -
Kurukshetra University