MarKa Clayton

• Establish and oversee application of operational risk policies, technology and tools and governance processes to create lasting solutions for minimizing losses.
• Oversee risk assessment and management within the facility.
• Develop and implement strategies to minimize potential risks related to patient care, ensuring compliance with regulations,
• Collaborate with staff to create a safe and therapeutic environment.
• Conduct investigations into incidents.
• Analyze data to identify trends.
• Develop training training programs to enhance staff awareness of risk factors.
• Work closely with clinical teams, legal advisors, and regulatory bodies to address issues proactively and maintain a high standard of patient safety.

• Pulled and provided reports to Director of Risk Management, Quality and Regulatory Compliance for PI, MEC and BOG committees
• Audited, compiled and analyzed data for weekly and monthly reviews
• Performed risk surveys and inspected patient care areas in concert with hospital's safety (EOC) program committee objectives with the Director of Risk Management, Quality and Regulatory Compliance
• Provided Risk Management Orientation to new employees and Annual in-service to all employees, as needed. Prepares PI/RM NEO Packets monthly
• Maintained and updated files as required by regulatory agencies, seeking guidance and direction as necessary for interpretation of Joint Commission standards, State Health Department standards, and other agency requirements
• Assisted Director of Risk Management, Quality and Regulatory Compliance in ensuring the hospital meets Joint Commission, CMS, and state regulatory requirements
• Analyzed statistical data of the hospital to determine and respond to trends
• Prepared and submitted monthly PI data to UHS by the 10th of each month
• Conducted/facilitated in-services to educate employees and physicians, with the Director of Risk Management, Quality and Regulatory Compliance
• Assisted in ensuring staff follow county and state legal involuntary regulations
• Participated in the following committees: Performance Improvement , Peer Review, Medical Staff Committee, Utilization Review, Credentials, Pharmacy & Therapeutics, Infection Control, Patient Safety Council, Other Committees/Meetings as necessary
• Assisted in facilitating, developing, and providing educational programs to ensure all employees and medical staff are aware of the PI/Compliance concepts and its relation to their specific duties/job role in identifying and reducing liability exposures
• Planned and presented performance improvement and compliance information to all new employees at hospital orientation, as needed
• Reviewed and entered all Good Catch reports and B-Tag Audits in Midas
• Provided aggregate analysis of risk management data and trend analysis of incidents with the Director of Risk Management, Quality and Regulatory Compliance
• Worked with Director of Risk Management, Quality and Regulatory Compliance and Credentialing Coordinator to ensure compliance with regulatory requirements. Data from physician peer review and performance improvement activities are utilized in the decision making process of granting privileges to and reappointment of medical and allied health staff
• Assisted Director of Risk Management, Quality and Regulatory Compliance with preparation of OPPE/FPPE process and scorecards
• Assisted Leadership with efforts to improve Patient Satisfaction through data collection and analysis
• Assisted in preparing and presenting monthly patient satisfaction reports to PI, MEC and BOG

• Served as a part of treatment team
• Attended daily staff meetings
• Informed physicians and hospital of any discrepancies or changes to patients' accounts
• Notified physicians regarding patients who exhausted all of their inpatient commercial insurance days or Medicaid days
• Audited medical records to make certain patients' hospitalizations were justified
• Called commercial insurance companies and submitted clinicals to Value Options Medicaid in order to get patients' days authorized for hospitalization
• Submitted continued stay review clinical for acute inpatient mental health, acute inpatient detox/rehab, and intensive outpatient treatment for substance abuse and mental, and electroconvulsive therapy
• Appealed denials received from insurance providers

• Appealed denials received from insurance providers
• Reviewed medical records for medical necessity
• Submitted medical records to insurance providers

• Served as a part of treatment team
• Attended daily staff meetings and huddles
• Informed physicians and hospital of any discrepancies or changes to patients' accounts
• Notified physicians regarding patients who exhausted all of their inpatient commercial insurance days or Medicaid days
• Verified insurance on all patients
• Audited medical records to make certain patients' hospitalizations were justified
• Called commercial insurance companies and Arkansas Foundation for Medical Care in order to get patients' days authorized for hospitalization
• Transferred patients to other hospitals in the area
• Compiled, analyzed, and figured monthly reports
• Reported statistical data to superiors
• Appealed denial letters from private insurance companies and Arkansas Foundation for Medical Care on behalf of the hospital and physicians
• Keyed in new patients into the computer for daily hospital census for treatment team
• Tracked indigent days that were approved and/or denied by MHC's

• AR On-Call Admission Intake Personnel
• Completed necessary paperwork for hospital admissions to psychiatric floor
• Contacted mental health centers for patients who required screenings for indigent contracts
• Worked cohesively with on-call physicians, ER staff, detention centers, MHC's as it related to the admission of patients to the psychiatric floor
• Coordinated services with MHC's, detention centers, prosecuting attorneys, and other hospitals

• Served as a part of treatment team
• Attended daily staff meetings
• Informed physicians and hospital of any discrepancies or changes to patients' accounts
• Notified physicians regarding patients who exhausted all of their inpatient commercial insurance days or Medicaid days
• Verified insurance on all patients
• Audited medical records to make certain patients' hospitalizations were justified
• Called commercial insurance companies and Arkansas Foundation for Medical Care in order to get patients' days authorized for hospitalization
• Transferred patients to other hospitals in the area
• Compiled, analyzed, and figured monthly reports
• Reported statistical data to superiors
• Appealed denial letters from private insurance companies and Arkansas Foundation for Medical Care on behalf of the hospital and physicians
• Keyed in new patients into the computer for daily hospital census for treatment team

• Participated cohesively with the treatment team (i.e
• Physicians, therapists, case managers, and nursing staff)
• Assisted mental health professionals with resolving crises and provided support for patients
• Attended daily staff meetings, monthly multi-purpose team meetings, physician staffings and related relevant information pertaining to the case management of client
• Interacted with patients on one-on-one basis
• Contacted and communicated with patients' families as it related to patients' treatment
• Provided discharge services according to the coordination and continuity of services required to maximize the client's needs
• Coordinated services according to aftercare placement plan and documented all activities
• MarKa' Clayton
• Resume, Page 4
• Participated in the performance improvement program by peer reviewing assigned cases in timely and accurate manner
• Provided exemplary medical record charting to include utilization appropriateness/justification for continued stay and effective discharge information

· Wrote daily progress notes on clients

· Developed crisis intervention plans with clients and provided one-on-one intervention with clients to resolve crises and provide support

· Taught clients how to perform Activity of Daily Living Skills

· Assisted mental health professionals in providing education and training

· Organized and implemented activities for clients

· Attended mandated training

· Drove clients to medical appointments

· Completed monthly paperwork for work units