Nancy Anderson
Tucson,AZ
Summary
Adaptable Quality Manager with a 20+ year background in implementing and developing improvement processes through collaboration with cross-functional teams. First-rate computer, analysis and research skills. Specialties include achieving set targets, generating new strategies and maintaining accurate records.
Overview
18
18
years of professional experience
1
1
Certification
Work History
QUALITY MANAGER
Pascua Yaqui Tribe
09.2015 - Current
- Wrote, reviewed and revised Behavioral Health Annual Report
- Wrote, reviewed or revised annual plans, including Infection Control, Quality Management, Performance Management, Health and Safety, Risk Management, Disaster, and Accessibility
- Created, distributed and collected data on Employee Satisfaction and Customer Satisfaction
- Analyzed data from Satisfaction surveys and reported findings
- Principle on Revenue Cycle Audit Committee; collaborated with Billing Department to recoup uncollected funds
- Spearhead for triennial CARF International survey
- Received and resolved customer and employee complaints
- Audited paper charts and EHRs, completing statistical data analysis
- Developed, delivered, and monitored technical assistance and work plans for behavioral health programs non-compliant with AHCCCS standards
- Implemented performance improvement strategies to evaluate performance and product excellence in Tribal behavioral health services.
DIRECTOR OF QUALITY IMPROVEMENT - MEDICAL CENTERS
Ho-Chunk Nation - Black River Falls and Baraboo WI
07.2010 - 01.2013
- Created Quality Management program, incorporation of same into 11 Health Department divisions
- Spearhead of triennial AAAHC accreditation surveys
- Successfully completed CMS “Meaningful Use” EHR transition
- Successfully completed CMS requirements for physician incentives
- Audited EHR documentation, creating charts and reports and presenting them to Executive Leadership and Tribal Council
- Conducted statistical analyses of provider performance, billing, and compliance with State and Federal core measures.
QUALITY MANAGEMENT LIAISON SUPERVISOR
Community Partnership of Southern Arizona - Tucson AZ
04.2006 - 09.2009
- Audited data from paper charts and EHRs, completing statistical data analysis
- Generated reports and charts; presented findings to Senior Management
- Continued to fine-tune leadership skills, overseeing and directing activities of 8 Quality Management Liaisons outplaced in community settings
- Developed, delivered, and monitored technical assistance and work plans for behavioral health agencies and psychiatric hospitals non-compliant with State and Federal standards.
Education
Executive Master of Business Administration - Organizational Structure and Strategic Planning
SAN DIEGO STATE UNIVERSITY
09.2004
Ph.D. - Family Studies
UNIVERSITY OF ARIZONA
05.1998
Master of Arts - Communication
UNIVERSITY OF WISCONSIN - STEVENS POINT
05.1992
Bachelor of Science - Biology
UNIVERSITY OF WISCONSIN - STEVENS POINT
05.1989
Skills
- Internal Auditing
- Quality Management Systems
- Compliance Monitoring
- Corrective Actions
- Quality processes
- Regulatory Compliance
- Document Management
- SOP Development
- Problem-solving abilities
- Continuous Improvement
- Quality Planning
Certification
Certified Professional in Healthcare Quality, 00303410 CPHQ, 12/31/2024
Qualifications Summary
20-plus years’ experience in:
Quality Manager in behavioral health managed care
Licensed Marriage and Family Therapy provider in private practice
Creation of quality improvement program for behavioral health
Report Quality of Care concerns and sentinel events to CARF and AHCCCS [Arizona Medicaid]
Investigate and report on alleged HIPAA violations, internal and external Incident, Accident, Death reports, complaints
Review, revise and update CSP Provider’s Manual, Policies and Procedures annually
Review and comment on proposed revisions to AHCCCS Contractor Operations Manual (ACOM)
Auditing behavioral and medical EHRs, statistical analyses and report generation from findings
Regional, state, or federal accreditation for medical and behavioral health programs, including CARF International and AAAHC
Credentialing and privileging medical and behavioral health providers
Member of the following committees:
Strategic planning;
Policy and Procedure
Behavioral Health Management
AHCCCS Tribal Consultation
Crisis on Call
QIP
Revenue Cycle Audits
Affiliations
- National Association of Healthcare Quality (NAHQ)
- Institute of Healthcare Improvement (IHI)
Timeline
QUALITY MANAGER
Pascua Yaqui Tribe
09.2015 - Current
DIRECTOR OF QUALITY IMPROVEMENT - MEDICAL CENTERS
Ho-Chunk Nation - Black River Falls and Baraboo WI
07.2010 - 01.2013
QUALITY MANAGEMENT LIAISON SUPERVISOR
Community Partnership of Southern Arizona - Tucson AZ
04.2006 - 09.2009
Executive Master of Business Administration - Organizational Structure and Strategic Planning
SAN DIEGO STATE UNIVERSITY
Ph.D. - Family Studies
UNIVERSITY OF ARIZONA
Master of Arts - Communication
UNIVERSITY OF WISCONSIN - STEVENS POINT
Bachelor of Science - Biology
UNIVERSITY OF WISCONSIN - STEVENS POINT
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