Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Charlene Pitts

Saint Louis,MO

Summary

Experienced HEDIS and Mental Health Nurse skilled in clinical audits, quality improvement, and data analysis and psychiatric nursing. Proven track record enhancing compliance and efficiency with measurable outcomes. A dedicated professional with strong leadership and training capabilities.

Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.

Overview

1
1
Language
1
1
Certification
9
9
years of professional experience

Work History

Home Health Nurse

Gifted Touch Home Care
01.2024 - Current
  • Administered medications and monitored patient health outcomes to ensure safety and well-being.
  • Developed individualized care plans based on patient assessments and family input.
  • Collaborated with interdisciplinary teams to enhance patient care coordination and support services.
  • Educated patients and families on disease management, medication use, and home healthcare practices.

Nurse Care Manager

Centerstone (Formally Places for People)
04.2019 - Current
  • Provided outreach and treatment to people with psychiatric care needs and mental health.
  • Accessed medical records via EPIC EMR.
  • Provided care for residential facilities and the public.
  • Operate a Quest Lab for Places for People

HEDIS Review Nurse

Mindlance (Cigna)
01.2018 - 12 2018
  • Conducted comprehensive medical record reviews to ensure compliance with HEDIS standards.
  • Collaborated with interdisciplinary teams to identify gaps in care and improve patient outcomes.
  • Utilized electronic health records (EHR) systems for data collection and reporting processes.
  • Collaborated with healthcare providers to ensure timely submission of required documentation for HEDIS review.
  • Evaluated effectiveness of interventions implemented based on HEDIS findings, driving continuous quality improvement efforts.
  • Utilized advanced analytical skills to identify and resolve discrepancies in reported HEDIS measure results.

Education

Bachelor of Science - Nursing

Illinois State University
Normal, Illinois
06-2015

Master of Science - Nursing

University of Illinois
Springfield, Illinois
06-2017

Skills

  • Clinical Data Analysis
  • Quality Improvement
  • HEDIS Measures
  • Utilization review
  • Patient Care Coordination
  • Audit Management
  • Substance Use
  • Psychiatric Nursing
  • Trained to Operate Quest Lab
  • EPIC/EMR
  • Carelogic EMR

Certification

  • 2026 HEDIS Training Course (Hedis.Works)-[07/01/26-7/24/26]
  • Healthcare CPR 2026
  • Licensed Nurse w/ IV Administration [LPN] - [2003-Present]
  • Associate in Business Administration [2003-2003]
  • Practical Nursing School - [2002-2003]

Languages

English
Full Professional

Timeline

Home Health Nurse

Gifted Touch Home Care
01.2024 - Current

Nurse Care Manager

Centerstone (Formally Places for People)
04.2019 - Current

HEDIS Review Nurse

Mindlance (Cigna)
01.2018 - 12 2018

Bachelor of Science - Nursing

Illinois State University

Master of Science - Nursing

University of Illinois