Osaru Iyamu
Frisco,United States
Summary
Quality Assurance Specialist offering expertise in problem-solving and data analysis. Demonstrates exceptional knowledge in clinical guidelines, quality assurance, regulatory requirements, data analytics and best practice in healthcare quality. Adept at quickly learning new technologies and processes for driving success. Proactive communicator and proficient at building relationships with cross-functional teams and stakeholders to achieve organizational objectives.
Overview
12
12
years of professional experience
Work History
Clinical Quality Assurance Specialist
Teladoc Health
11.2022 - 07.2023
- Oversee Dermatology, Nutrition and Mental Health Clinical Quality Assurance (QA) improvement programs, in Telemedicine
- Serve as Primary Nurse Evaluator for Mental Health Focused Provider Performance Evaluation (FPPE/OPPE) program
- Managed over 100 FPPE reviews per month, consistently achieved 99% accuracy as defined by Medical Director.
- Participate in Quality improvement projects and patient safety issues resulting in reduction in medication errors and increase in patient satisfaction scores
- Collaborate with cross-functional teams to identify process inefficiencies and implement workflow enhancements, resulting in higher patient satisfaction
- Research Medical Director Service Reviews (MDSRs) escalations and redirect for Leadership evaluation
- Oversee monthly Provider peer oversight program for Dermatology and Nutrition Products
- Collate and present results of monthly FPPE reviews for leadership evaluation
- Presentation of results data during monthly committee meeting.
- Followed all company policies and procedures to deliver quality work.
- Created and delivered presentations to internal and external stakeholders to showcase work.
- Generated reports detailing findings and recommendations.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
- Devised and implemented processes and procedures to streamline operations.
Clinical QualityAssurance Team Lead
Teladoc Health
07.2019 - 10.2022
- Provide motivation to team, escalate issues, training new staff and preparing training manuals
- Coordinate team of Nurses in caseload management of clinical documentation reviews, using rubric guidelines
- Oversee Nurse team processing of member complaints and escalations
- Compile and trend documentation review and complaint findings per clinical quality measures
- Participate in special projects including work groups involved with provision of clinical data to Operations team for HEDIS comprehensive reviews
- Coordinated tracking of clinical data related to Smoking Cessation program and Mental health care continuity and outcomes, for HEDIS program team.
- Coached team members in techniques necessary to complete job tasks., provide optimal coverage and meet production goals.
- Trained new team members by relaying information on company procedures and safety requirements.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
Clinical Care Coordinator
teladoc health
04.2016 - 06.2019
- Monthly review of 400-500 clinical encounters monthly, according to Clinical Practice Guidelines, identify charts with non-compliant clinical documentation
- Prepare clinical data reports for Quality committee meetings
- Conduct regular audit and inspections, ensuring compliance with regulatory standards and internal quality policies
- Research and escalate member clinical complaints, as needed
- Escalating patient safety issues for Peer review/evaluation and outreach
- Monitor client utilization rate for compliance with company policy.
- Coordinated, monitored, assigned, and documented patient and clinical care activities.
- Set up educational programs for clinical staff to enhance skills and knowledge.
- Oversaw quality assurance programs to enhance performance and consistently achieve superior care standards.
- Mentored new clinical staff members for proper onboarding and orientation processes.
- Presented feedback on current and new procedures at weekly clinical meetings.
- Upheld quality assurance procedures to maintain patient safety and satisfaction.
- Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
Staff Nurse
VIVA HEALTHCARE GROUP
09.2012 - 02.2016
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Worked closely with multidisciplinary team to promote the health and wellbeing of patients
- Collaborated with physicians and therapists to deliver quality, evidence-based care.
- Provided coaching and teaching to parents and caregivers, on medical diagnoses and ongoing disease management
- Collaborate with other clinical staff and care givers, in the ongoing care plan modification, based on Patient progress and/or challenges.
Staff & Rehabilitation Nurse
CENTER FOR NEURO SKILLS
04.2011 - 07.2012
- Perform nursing care for the comfort and well-being of the patient in recovery from traumatic injury
- Provide mental health support for patients, Perform assessment, medication administration, and treatment
- Take vital signs and monitors the medical progress of patients
- Completes documentation and reporting
- Follow physician's orders and individual nursing care plans, including assisting patients with daily routines
- Provide emergency first-aid for patients and staff if needed
- Provide for the safety of patients, visitors, staff, and self when interacting with patients with behavior outbursts.
Education
Professional in Patient Safety Course -
04.2023
Certificate in Healthcare Quality Principles, NAHQ -
05.2019
Certificate in Health Informatics/Healthcare IT, University Of Texas -
09.2015
Diploma, Vocational Nursing (LVN) | Dallas Nursing Institute -
05.2009
Master of Business Administration| University of Phoenix -
08.2004
Bachelor of Science, Chemistry| University of Lagos -
09.1995
Skills
- Cognos
- Jasper
- Provider2
- RLDatix Incident Management
- Polaris
- Healthcare Quality Management
- Healthcare Data Analysis and Reporting
- Process Improvement
- Quality Assurance
- Patient Safety
- Clinical Program Management
- Clinical Documentation Reviews
- Stakeholder Management
- Root Cause Analysis
- Quality Assessment
- Analytical Thinking
- Process Analysis
Current Location
Frisco, TX
Personal Information
Nationality: United States
Hobbies and Interests
- Travelling
- Walking
- Book Clubs
- Baking
- Ongoing personal development
- Family and friends
Timeline
Clinical Quality Assurance Specialist
Teladoc Health
11.2022 - 07.2023
Clinical QualityAssurance Team Lead
Teladoc Health
07.2019 - 10.2022
Clinical Care Coordinator
teladoc health
04.2016 - 06.2019
Staff Nurse
VIVA HEALTHCARE GROUP
09.2012 - 02.2016
Staff & Rehabilitation Nurse
CENTER FOR NEURO SKILLS
04.2011 - 07.2012
Professional in Patient Safety Course -
Certificate in Healthcare Quality Principles, NAHQ -
Certificate in Health Informatics/Healthcare IT, University Of Texas -
Diploma, Vocational Nursing (LVN) | Dallas Nursing Institute -
Master of Business Administration| University of Phoenix -
Bachelor of Science, Chemistry| University of Lagos -
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