Sandra Ramey
Logan
Summary
Dynamic HEDIS Review Nurse with expertise in clinical data analysis and a proven track record of enhancing patient outcomes at Logan Regional Medical Center. Skilled in HEDIS compliance and fostering teamwork, I effectively collaborated with healthcare teams to implement quality improvement initiatives, ensuring adherence to regulatory standards and optimizing healthcare delivery systems.
Professional HEDIS nurse with strong analytical skills and deep knowledge of HEDIS measures and guidelines. Adept at data collection, chart abstraction, and quality improvement initiatives. Effective team collaborator, adaptable to changing needs, and focused on achieving measurable results. Reliable in ensuring compliance with healthcare standards and improving patient outcomes.
Overview
47
47
years of professional experience
Work History
HEDIS Review Nurse
Logan Regional Medical Center
05.2023 - Current
- Analyzed patient data to identify gaps in care and recommend improvements.
- Collaborated with healthcare teams to develop strategies for enhancing patient outcomes.
- Facilitated training sessions on HEDIS guidelines and best practices for nursing staff.
- Reviewed clinical records for accuracy, ensuring adherence to regulatory requirements.
- Supported quality improvement projects aimed at optimizing healthcare delivery systems.
- Participated in cross-functional team meetings, sharing insights from HEDIS reviews to inform organizational decisionmaking.
- Served as a subject matter expert on the HEDIS review team, providing guidance and support to colleagues as needed.
- Collaborated with healthcare providers to ensure timely submission of required documentation for HEDIS review.
- Developed strong relationships with healthcare providers through effective communication and professional collaboration during the review process.
- Improved HEDIS performance by conducting thorough medical record reviews and data extraction.
- Influenced care outcomes by implementing improvements and optimizing health information technology.
- Researched and validated clinical data.
- Maintained strict adherence to HIPAA regulations while handling sensitive patient information during the review process.
- Leveraged clinical knowledge and expertise to accurately evaluate provider performance against established benchmarks.
- Conducted thorough HEDIS reviews to ensure compliance with healthcare quality standards.
Registered Nurse
Logan Regional Medical Center
06.1979 - Current
- Delivered patient care by assessing vital signs and monitoring health status.
- Collaborated with interdisciplinary teams to develop and implement individualized care plans.
- Educated patients and families on disease management, medication administration, and health promotion strategies.
- Administered medications and treatments in accordance with established protocols and best practices.
- Led quality improvement initiatives that increased patient safety measures and reduced adverse events.
- Enhanced patient satisfaction by providing compassionate, holistic nursing care that addressed physical, emotional, and spiritual needs.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Performed triage on incoming patients and determined severity of injuries and illnesses.
Education
Associate of Science - Nursing
SWVCC
Logan, WV06-1979
Skills
- Health plan operations
- Medical record review
- Data collection techniques
- HIPAA
- Clinical quality measures
- Clinical data analysis
- HEDIS compliance
- Teamwork
- Attention to detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Team collaboration
- Adaptability and flexibility
- Decision-making
Timeline
HEDIS Review Nurse
Logan Regional Medical Center
05.2023 - Current
Registered Nurse
Logan Regional Medical Center
06.1979 - Current
Associate of Science - Nursing
SWVCC