Shelia Miller-Larry
Frisco,TX
Summary
Self-motivated healthcare professional accustomed to handling sensitive and confidential records while thriving in deadline-driven environments. Recognized for coordination of clinical and administrative functions, improving the quality of patient care, and providing a professional environment for patients. Stellar reputation for collaborating with physicians, nurses, aides, and therapists to formulate, implement, and modify individual care plans while securing and protecting healthcare data. Accomplished at working with diverse cultures, serving in leadership roles, and dedicated to supporting high-performing teams with a demonstrated ability to provide outstanding outcomes.
Overview
19
19
years of professional experience
Work History
HEDIS Nurse Educator
IngraNet Health
08.2022 - Current
- Leads and/or supports collaborative business partnerships, promotes client understanding and insight by advising and making recommendations to educate providers and their staff in appropriate documentation of HEDIS measures, medical record documentation guidelines, and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
- Researches and validates clinical data
- Analyzes electronic health records to identify areas for care improvement
- Incorporates quality improvement methodologies and tools to improve workflow processes.
Staff Nurse
V-Care Home
02.2022 - 08.2022
- Provided skilled nursing care to clients in their place of residence
- Coordinated care with interdisciplinary team, patient/family, and referring agency
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection
- Administered medications via oral, IV, and intramuscular injections and monitored responses
- Assessed physical, psychological, physiologic, and cognitive status of patients
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options
LVN
Ally/Choice Home Health
07.2020 - 01.2022
- Provided skilled nursing care to clients in their place of residence
- Coordinated care with interdisciplinary team, patient/family, and referring agency.
- Managed patient care by closely monitoring respiration, blood pressure, and blood glucose levels.
- Cared for wounds, provided treatments, and assisted with procedures.
- Worked with multidisciplinary team to carry out successful treatment plans for diverse acute and chronic conditions.
- Assessed patients' temperature, pulse, and blood pressure and recorded them in electronic medical records.
Charge Nurse
DeSoto Nursing & Rehabilitation Center
01.2019 - 06.2020
- Assessed and treated residents within scope of practice.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments
- Conducted daily shift briefs to inform staff of changes in patient care assignments
- Supervised and managed daily scheduling, tasking, and administration
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans
- Cared for patients' wounds and changed dressings
LVN
Alliance A+ Home Health Care
06.2017 - 01.2019
- Provided skilled nursing care to clients in their place of residence
- Coordinated care with the interdisciplinary team, patient/family, and referring agency.
Quality Improvement Specialist
Christus Health
11.2015 - 03.2016
- Provided knowledge of HEDIS and Medical Records Review process for CMS Star Ratings
- Assisted with providing support with completion of reports for Accreditation.
- Documented and reported issues with compliance, standards of care and quality assurance requirements
- Completed site visits to conduct assessments
Quality Coordinator
United Health Group/WellMed
12.2014 - 11.2015
- Analyzed data, evaluating for possible data integrity and data deficits, and documented findings of such
- Created quality detail reports and flagged patients’ charts with missing data for quality measures
- Supported and assisted PCPs/clinics/staff with quality data collection
- Created reports and monitored performance at local level
- Engaged PCP and clinic staff in developing strategies to close quality gaps
Quality Auditor
Virtual Home Care
09.2012 - 12.2014
- Performed quality audits of Home Health medical records submitted by clinical staff
- Educated and oriented employees to improve compliance with quality control protocols
Patient Care Coordinator
Home Care Network
01.2006 - 07.2012
- Managed 12 home health aides, provided home health aides’ monthly in-services, developed weekly clinicians’ schedules
- Assisted DON with various projects and chart audits
- Upheld confidentiality requirements and regulatory compliance guidelines
- Monitored patient health records for accuracy to meet compliance with healthcare guidelines
- Resolved customer complaints using established follow-up procedures
- Delivered support to medical staff in completion of patient paperwork
Clinic Nurse
Parkland Health & Hospital Systems
01.2005 - 01.2006
- Implemented quality nursing care to patients in Community Oriented Primary Clinic
- Triaged patients prior to being seen by physician
- Assisted physician with medical procedures for 25-30 patients daily
- Partnered with support technicians, nursing staff and social workers to coordinate services
- Observed and assessed patients to identify concerning symptoms
- Administered medications and topic treatments to address patient symptoms
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms
- Documented treatments delivered, medications administered, discharge instructions, and follow-up care
Education
Associate of Arts - Business Administration And Management
McLennan Community College
Waco12.2020
BBA - Business Administration And Management
Strayer University
Cedar Hill, TX2016
Certificate - Medical Aesthetics
National Laser Institute
Dallas, TX2012
Technical - Nursing
Concorde Career Institute
Arlington, TX2004
Skills
- Electronic Medical Record Software
- Microsoft (Word, Excel)
- Outlook (TEAMS)
- Excellent written and verbal communication
- Experience working with diverse staff and multicultural and underserved communities
- Teamwork
- Critical thinker
- Medical Abstraction
- Data Entry
Timeline
HEDIS Nurse Educator
IngraNet Health
08.2022 - Current
Staff Nurse
V-Care Home
02.2022 - 08.2022
LVN
Ally/Choice Home Health
07.2020 - 01.2022
Charge Nurse
DeSoto Nursing & Rehabilitation Center
01.2019 - 06.2020
LVN
Alliance A+ Home Health Care
06.2017 - 01.2019
Quality Improvement Specialist
Christus Health
11.2015 - 03.2016
Quality Coordinator
United Health Group/WellMed
12.2014 - 11.2015
Quality Auditor
Virtual Home Care
09.2012 - 12.2014
Patient Care Coordinator
Home Care Network
01.2006 - 07.2012
Clinic Nurse
Parkland Health & Hospital Systems
01.2005 - 01.2006
Associate of Arts - Business Administration And Management
McLennan Community College
BBA - Business Administration And Management
Strayer University
Certificate - Medical Aesthetics
National Laser Institute
Technical - Nursing
Concorde Career Institute
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