Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Meghan Davis

Louisa,VA

Summary

Experienced Compliance Quality Auditor with well-honed analytical skills with regulatory compliance auditing experience for over one year. Solution-focused professional highly-regarded among peers and supervisors in healthcare compliance quality industry. Skilled auditor who works diligently with all levels of peers, management and external authorities.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Compliance Quality Auditor

Cohere Health
07.2021 - Current
  • Identified issues of non-compliance and presented/elevated reports to senior personnel.
  • Completed timely compliance quality reports highlighting deficiencies and recommending corrective actions.
  • Educated and oriented employees to improve compliance with quality control protocols.
  • Monitored departmental forms for compliance to regulations and guidelines.
  • Participated in compliance inquiries and provided interpretation of data to guide investigators in creation of Corrective and Preventive Actions.
  • Reviewed work instructions and production strategies to verify compliance with established standards.
  • Prepared reports for templates and maintained compliance database.
  • Participated in various training and development programs.
  • Prepared working papers, reports and supporting documentation for audit findings.
  • Prepared working papers, reports and supporting documentation for external FDR Annual Audit.
  • Prepared working papers, reports and supporting documentation for NCQA survey.
  • Scheduled and executed over 40 audits this year.

Utilization Management Nurse

Cohere Health
07.2021 - 12.2023
  • Performed prior authorization review of services requiring notification.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Served as subject matter resource, providing information related to utilization management situations.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Strived for QPH of under four consistently.

Operating Room Registered Nurse

University Of Virginia
04.2012 - 01.2021
  • Prepped operating rooms to comply with environmental asepsis standards.
  • Provided direct support to surgical team during procedures.
  • Advocated for and strived to protect health, safety, and rights of patient.
  • Collected, labeled and transported specimens and delivered to lab for testing.
  • Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
  • Collaborated with members of patients' healthcare team to deliver appropriate level of care.
  • Educated family members and caregivers on patient care instructions.
  • Led teams in driving successful patient outcomes by prioritizing standard of care and best practices.

Education

Associate of Applied Science - Nursing

Piedmont Virginia Community College
Charlottesville, VA

Skills

  • Continuous Improvement
  • Root Cause Analysis
  • Report Preparation
  • SOP Writing
  • Compliance Requirements
  • Corrective Action Planning
  • Policy and Procedure Modification
  • Meticulous Attention to Detail
  • Exceptional Time Management
  • Organization
  • Leadership
  • Collaborative Communication

Certification

  • Licensed Registered Nurse - 2004-Present
  • MCG Certified Health Care Professional, Cohere Health - 2023

Timeline

Compliance Quality Auditor

Cohere Health
07.2021 - Current

Utilization Management Nurse

Cohere Health
07.2021 - 12.2023

Operating Room Registered Nurse

University Of Virginia
04.2012 - 01.2021

Associate of Applied Science - Nursing

Piedmont Virginia Community College

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Meghan Davis