MANDY GATEWOOD
Collinsville,USA
Summary
Detail-oriented Metabolic and Bariatric Surgical Clinical Reviewer specializing in data abstraction and validation for MBSAQIP accreditation. Ensures adherence to national quality standards through thorough clinical documentation reviews and performance benchmarking. Partners with multidisciplinary teams to enhance quality improvement initiatives and elevate patient care outcomes in bariatric surgery.
Overview
23
23
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
RN, BSN, MBSCR
Bailey Medical Center
Owasso, Oklahoma
07.2022 - 02.2026
- Conducted comprehensive clinical reviews of metabolic and surgical cases for national registry compliance.
- Developed and implemented annual quality improvement projects to improve surgical outcomes and documentation.
- Reviewed pre-authorization concurrent and retrospective surgical cases for accuracy and compliance.
- Collaborated with medical directors and interdisciplinary teams to clarify findings and support case decisions.
- Addressed additional duties requested by management teams in a timely manner.
- Demonstrated knowledge of CPT and ICD 10 codes.
RN Diabetic Case Manager
Encompass Health Home Health
Tulsa, USA
10.2008 - 07.2022
- Administered medications via oral, IV, and intramuscular injections while monitoring daily responses for up to 21 productivity points.
- Conducted evaluations to assess patient needs and adjusted care plans to improve outcomes.
- Facilitated planning sessions with patients, physicians, and families to ensure clear communication of care.
- Maintained a point care manager database to coordinate patient care in compliance with Medicare and Medicaid standards.
- Educated home healthcare providers, equipping them with resources to meet care objectives.
Office Manager
Zoombak Inc
Windsor, England
03.2007 - 08.2008
- Managed office operations, including budgets, appointment scheduling, and event itineraries.
- Established workflow processes to monitor productivity and implement performance enhancements.
- Streamlined payment collection systems, facilitating conversion from US dollars to European pounds.
- Oversaw account management and record keeping for improved departmental productivity.
RN Case Manager
Encompass Health Home Health
Tulsa, USA
08.2005 - 02.2007
- Administered medications through oral, IV, and intramuscular routes while monitoring patient responses.
- Assessed and examined patients to formulate individualized care plans based on evaluations.
- Conducted regular re-evaluations to address changes in patient conditions.
- Coordinated with interdisciplinary teams to develop comprehensive care plans considering insurance limitations.
Operating Room RN
Tulsa Regional Medical Center
Tulsa, USA
08.2003 - 02.2005
- Advocated for patients in surgical settings, prioritizing safety and compliance.
- Provided direct support to surgical team, enhancing operational efficiency.
- Updated patient charts in EMR to maintain accurate medical records and correct CPT coding.
Education
Annually - MBSCR Certification Course Through MBSAQIP
Metabolic And Bariatric Surgical Clinical Reviewer Certified
07.2022 - 02.2026
Bachelor of Science - RN, BSN
University of Oklahoma Health Sciences Center
Oklahoma City, OKSkills
- Creative Problem Solving
- Data Abstraction and Submission
- Electronic Health Record and Documentation Analysis
- Critical Thinking
- Surgical Outcomes Tracking
- Risk-Adjusted Outcome Analyst
- Regulatory Readiness and Accreditation Support
- Multidisciplinary Team Collaborations
- Education of Staff
- Clear Written and Verbal Communication
Accomplishments
- Reviewed and processed high-volume metabolic and bariatric surgery authorization requests with consistent adherence to clinical guidelines (MBSAQIP and ASMBS).
- Improved case review turnaround time by adding an additional MMP tracking to my surgical tracking case load while maintaining 100% accuracy.
- Led quality assurance initiatives to ensure compliance with regulatory and accreditation standards and contributing to policy updates.
Certification
Certified Metabolic & Bariatric Surgical Clinical Reviewer
Registered Nurse
Languages
English
Full Professional
Timeline
Annually - MBSCR Certification Course Through MBSAQIP
Metabolic And Bariatric Surgical Clinical Reviewer Certified
07.2022 - 02.2026
RN, BSN, MBSCR
Bailey Medical Center
07.2022 - 02.2026
RN Diabetic Case Manager
Encompass Health Home Health
10.2008 - 07.2022
Office Manager
Zoombak Inc
03.2007 - 08.2008
RN Case Manager
Encompass Health Home Health
08.2005 - 02.2007
Operating Room RN
Tulsa Regional Medical Center
08.2003 - 02.2005
Bachelor of Science - RN, BSN
University of Oklahoma Health Sciences Center