Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Timeline
Generic

Pamela Hughes

Williston

Summary

Results-driven Manager with a strong track record in ownership and initiative. Demonstrated expertise in developing high-performing teams and fostering productive relationships in fast-paced environments. Proven ability to exceed company goals and enhance team performance through effective leadership. Committed to maintaining customer satisfaction and driving business growth.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Manager-Continuous Quality Improvement and Risk

Shands UF Health-FRC
02.2022 - Current
  • Manages the Continuous Quality Improvement activities for Florida Recovery Center. Coordinates licensure with The Joint Commission, DCF and Alachua County. Participates in the Administrator-on-call for FRC. Conducts documentation audits to ensure Quality. Conducts audits for The Joint Commission to ensure survey readiness. Works with Operations director on various projects. Serves as patient advocate at FRC responsible for all patient grievances. Reviews PSR for FRC and participates in root case analysis. Responsible for policy updates, and creation. Completes audits assigned to target specific information. Tracks required drills, licensure, and inspections. Assist Risk Management with investigations. Proficient in Utilization Review and Management. Risk Management. Quality Improvement. The Joint Commission, DCF, DOH. Member of Quality and Patient Safety Committee, and Behavioral Health workgroup.

Manager-UR/UM & Financial Counseling

Meridian Behavioral Healthcare
06.2018 - 02.2022
  • Supervisor for UM and Financial Counseling Staff. Completing Utilization reviews and appeals. Responsible for all initial appeals and peer reviews for Residential, OP and Inpatient services. Responsible for entering authorization, tracking, and managing utilization. Serving as a liaison between CSU staff and insurance companies. Correct set up of accounts, Point of contact for various grants. Tracking appeals, bed changes and other reports using Excel, Knowledge of Revenue Cycle, Medicaid, Medicare, and Third-party payors and collections.

Town Clerk

Town of Bronson
08.2015 - 06.2018
  • Served as Town Clerk for the Town Bronson. Responsible for all Human Resource Functions within the Town: Performance Evaluations, Labor Law and employee relations. Responsible for department and Town Budgeting and budget evaluation. Developed policies and procedures in conjunction with the Town Council. Collaborated with the Town Council, internal and external Stakeholders. Administered grants awarded to the Town for improvements. Served as the Supervisor for Elections for Municipal Elections. Served as Council secretary recording council minutes, preparing agenda and meeting packets. Served as Liaison for the Council

Education

Masters Business Administration - HealthCare Management

Saint Leo University
Gainesville, FL
06.2016

BA - Human Services, Psychology

Saint Leo University
Gainesville, FL
12.2012

Skills

  • Oral and written communication
  • Initiative and motivation
  • Organizational skills
  • Attention to detail
  • Independent and collaborative work
  • Public billing program knowledge
  • Pivot table expertise
  • Report writing proficiency
  • Budget preparation
  • Grant writing
  • Contract management
  • Facility credentialing
  • Policy development
  • Staff supervision
  • Human resources management
  • Employee safety practices
  • Computer applications proficiency
  • Office equipment operation
  • Confidential document handling
  • Multitasking ability
  • Stress management
  • Team collaboration
  • Deadline adherence
  • Spreadsheet accuracy
  • Calendar management
  • Task organization and filing systems
  • Data analysis skills
  • Goal achievement

Certification

  • BLS-2025
  • UF Healthcare Risk Management-2024

Affiliations

  • Reading, trying new recipes and sunset chasing.
  • Active in my home church nursery class

Timeline

Manager-Continuous Quality Improvement and Risk

Shands UF Health-FRC
02.2022 - Current

Manager-UR/UM & Financial Counseling

Meridian Behavioral Healthcare
06.2018 - 02.2022

Town Clerk

Town of Bronson
08.2015 - 06.2018

Masters Business Administration - HealthCare Management

Saint Leo University

BA - Human Services, Psychology

Saint Leo University

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