PAULA NAJAR
Oxnard,CA
Summary
CORE QUALIFICATIONS Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate plan/workflows for implementation across the medical group. Plan and implement strategies for developing improved health care management. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams. Handle tasks like evaluating proposals for problems, supervising employees, handling paperwork regarding the project, and managing correspondence and deadlines. Highly adaptable relationship builder, communicator, problem solver, and cross-functional/organizational leader with a career narrative of driving business outcomes through effective project management. Regularly called upon to rescue and deliver Tier 1 ERP project across the finish line by engaging key stakeholders, understanding business objectives, aligning project resources, and planning and executing strategic and tactical priorities.
Overview
21
21
years of professional experience
Work History
Population Health Program Coordinator
Community Memorial Health System
2018.03 - Current
- Created customized care plans, working with hospital staff and families to assess and meet individual needs
- Collaborated with national and international organizations to leverage industry connections
- Collaborates with ACO (Signify)
- Work with Skilled Nursing Facilities and implemented plan for TCM services to increase the line of care by 10% year over year
- Conducted literature and coding reviews to adhere to state and federal standards
- Introduced and implemented new testing and interpretation procedures to maintain standards of care and meet quality assurance benchmarks
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction
- Identified new areas of scientific research and provided internal training
- Led Organization into Telehealth in the Covid-19 EMR
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical and supporting staff
- Redesigned workflow processes for patient access and back-office, resulting in increase of AWV visits by 50%
- Created and Implemented several Progrmas such as Medicare Wellness Visit Project and Trabsitional Care Management Program, Registered Dietician Services all while delivering quality patient care,
- Project Manager of Medicare Wellness program within Organization of more than 15 clinics- Leading to complete 84% of our wellness visits
- Discussed medical histories with patients in effort to provide most effective medical advice
- Spearheaded and implemented new projects to expand scope of engagement
- Collaborated with Director to maintain daily operations for each program
- Implemented best practice standards for billing resulting in substantial reduction of accounts receivable delays
- Held and Managed Provider Trainings with each Population Health program
- QC providers and staff work in order to ensure each quality measure was met.
Lead Medical Assistant Supervisor
Dignity Health Medical Foundation
2009.03 - 2018.03
- Checking in Patients, Checking Insurances, Oversee end of day Deposits, Rooming patients, assisting providers with small surgical procedures, Oversee staffs daily schedule and work, Assist Managers with projects
- Help/run implementations for the entire medical group, Assist with new hires and on boarding new providers/staff/offices
- Setting Agendas and Run meetings with staff/providers, Presenting Projects to help run offices smoothly and effectively
- Oversee staff schedule when requesting time off
- Time Card
- Updated and edited with Ceridian (time cards)
- Precepted newly hired medical assistants to train each on office procedures and important tasks
- Met operational targets consistently by guiding and motivating medical assistant team to effectively handling administrative and clinical needs
- Monitored office procedures to correct problems and implement proactive improvements for better patient flow
- Enforced department policies and procedures to keep team operating effectively and delivering top-notch care
- Enforced/implemented department policies and procedures to keep and or exceed auditing requirements
- Coordinated work of junior staff to keep team performance high and effectively handle needs of patients per day
- Audited samples and refrigerated medications to verify freshness and remove any expired packages
- Kept records of expenses and monitored budget while recommending opportunities for cost savings
- Managed and recorded facility maintenance and upkeep budget
- Monitored and notified senior management on expenditures and plans concerning budget and fiscal matters
- Remained educated on emerging healthcare technologies and wrote proposals for possible purchases of new equipment to stay at forefront of innovation
- Represented office during board and community meetings, delivering supporting information and announcing new facility programs and initiatives
- Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs
- Responded to inquiries from doctors, nurses and patients with accurate information
- Maintained up-to-date information in electronic medical records software
- Developed and updated department goals and achievements throughout fiscal year
- Developed policies and procedures for effective pharmacy management
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility
- Devised and introduced initiatives and projects to maintain or improve existing facilities, allowing for maximization of capital component of Medicaid's per diem rate
- Scheduled surgeries, managed pre-certifications and verified insurance coverage
- Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees
- Spearheaded and implemented new projects to expand scope of engagement
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction
- Organized and facilitated over 10 clinics/departments head meetings weekly, discussing current census, status on metrics set by upper management.
Paralegal Assistant
MR. Warren Green L, Attorney Office
2007.07 - 2008.12
- Filing client files, Setting up Depositions, typing up letters to client and to other law firms, answering phones, scheduling attorney phone calls, keeping office organized, Keeping attorneys schedule up to date.
Medical Assistant
Robergs Podiatry Office
2004.02 - 2007.07
- Assisted with Surgical Surgeries and or procedures in office, Roomed patients, Removed sutures and or Staples
- Schedules patients, obtained authorization for f/u appointments and or surgeries or other specialist consults
- Transcribed providers dictation, Kept back office inventory
- Updated provider with Insurances over all pay rates vs What we were seeing in office.
Education
Regional Medical Assistant Occupation Program Cert -
Oxnard, CAOxnard High School Dip -
Oxnard, CACoursera Project Management Certification -
08.2024
Skills
- Training and mentoring
- Relationship building and retention
- Staff Management
- Inventory and restocking
- Wellness services
- Team Building
- Multidisciplinary team collaboration
- Seasoned in medical clinical procedures
- Hiring and recruitment
- Project oversight
- Program Management
- Office Administration
- Proactive mindset
- Strategic Planning
- Program Optimization
- Process Improvements
- Project Management
- Report Generation
- Hiring and recruitment knowledge
- Training Coordination
- Project Coordination
- Volunteer Management
- Data management familiarity
- Generating schedules
- Referral Coordination
- Report Preparation
- Expense Tracking
- Staff Evaluation
- Eligibility Determination
- Facility Management
- Staff Development
- Standard Operating Procedures
- Team Oversight
- Report creation
- Needs analysis
- Resource Management
- Campaign Development
- Attention to Detail
- Problem-Solving
- Customer service experience
- Critical Thinking
- Decision-Making
- Active Listening
- Program Leadership
Accomplishments
- Achieved higher percentage nationally for AMWV by completing 84% of our assigned fee for service patients with accuracy and efficiency and 68% of our ACO patients, leading us to earning 96% of our account earnings with our ACO .
- Implemented needed changes to Referral Department at Dignity Health to have a 48 hour turnaround time for referrals while not cutting off patient communication when authorizations were received.
- Received the Press Ganey Award in Patient Satisfaction in 2013 & 2014, after implementing workflows to help with giving patients quality service/treatment
- Collaborated with team of over 100 in the development of TCM visits and AMWV
- Implementation of Telehealth at the beginning of pandemic March 2020.
- Implemented new workflow with standing orders to lessen overdue orders this changed process from having over 100 overdue orders each month to less than 30.
- Created and Managed new service line with our Registered Dieticians
Languages
Spanish
Native or Bilingual
Timeline
Population Health Program Coordinator
Community Memorial Health System
2018.03 - Current
Lead Medical Assistant Supervisor
Dignity Health Medical Foundation
2009.03 - 2018.03
Paralegal Assistant
MR. Warren Green L, Attorney Office
2007.07 - 2008.12
Medical Assistant
Robergs Podiatry Office
2004.02 - 2007.07
Regional Medical Assistant Occupation Program Cert -
Oxnard High School Dip -
Coursera Project Management Certification -
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