TAJUANA M. TRONE
Atlanta,GA
Summary
Healthcare professional with 22 years of extensive hands-on experience in patient care, management, and healthcare quality. Known for dedication and providing premium patient care and driven by high need for a sense of accomplishment. Proficient with Microsoft Office, Medical Manager, NextGen/EPM, Allscripts, Greenway Centricity, E-clinical.
Overview
7
7
years of professional experience
1
1
Certificate
Work History
Clinical Manager
Cerium Medial Group
Tucker, GA
08.2021 - Current
- Regularly evaluated employee performance and provided feedback.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Oversaw overall operation of nursing services and patient care.
- Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Promoted high morale and staff retention through dynamic communication, prompt problem resolution, proactive supervisory practices and facilitation of positive work environment. Implement new policies and educate staff on changes.
- Monitored, analyzed and corrected staff performance and worked with nurse manager to raise standards of practice.
- Developed and adjusted work schedules for ten staff members. Monitor and close gaps in care for MIPS
- Educate providers on documentation requirements for healthcare quality. Managed daily operations of ten-person clinic supporting approximately 360 patients per week.
Quality Improvement Specialist
Emory Healthcare Network
Atlanta, GA
11.2019 - 08.2021
- Developed quality improvement plans, policies and operational guidelines.
- Partnered with physicians, payers, and leadership to ensure productivity was maximized and that all incentivized measures were closed.
- Coached physicians and appropriate support staff on increasing revenue and maintaining budget goals.
- Educated physicians on utilization documentation. Managed MIPS projects as well as yearly CMS incentive projects. Maintained confidentiality and adhere to HIPAA guidelines.
- Managed multiple payer projects (ie: Anthem, Cigna, United Healthcare, Humana). Used knowledge of ICD-10 coding, medical terminology, and pharmacology to effectively close gaps in care.
Healthcare Quality Specialist
United Healthcare /Optum
Atlanta, GA
01.2018 - 11.2019
- Positively impacted closing of gaps in care and productivity. Partnered with leadership, practice administration, and clinical staff to determine best strategies to support practices and patients
- Provide community resources to members to optimize quality of life, assisted with scheduling appointments, coordinated care with primary care physicians
- Frequently used knowledge of HEDIS (Healthcare Effectiveness Data and Information set) standards to perform job daily
- Used clinical documentation to perform job daily and to educate physicians and staff on documentation consistency to maintain integrity
- Used knowledge of ICD-10 as well as medical terminology to assist members in effectively navigating their care.
- Supported staff and providers within physicians' offices to maximize benefits of program and created open dialog to better take care of our members.
- Chart Review and abstraction of data. Educated physicians regarding utilization and meeting incentive criteria through process improvement and accurate documentation.
- Effectively manage cue of 300+ members consistently. Provided case management telephonically and in field to help support and appropriate level of care.
Certified Medical Assistant
Rockbridge Family Medicine
Stonemountain, GA
09.2015 - 01.2018
- Sanitized, restocked and organized exam rooms and medical equipment. Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
- Called and faxed pharmacies to submit prescriptions and refills. Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
- Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs. Closing gaps in care educating staff regarding MIPS and clinical flow.
- Utilized NextGen EMR to triage patients. Trained staff and providers as Superuser for NextGEN EMR.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Maintained detailed records of test results by entering data and patient information into computer.
Education
Information Technology
Omni Tech Institute
Atlanta, GA01.2012
Some College (No Degree) - Healthcare Administration
Strayer University
Atlanta, GADiploma - Certified Medical Assistant
Advance Career Training
Atlanta, GA06.2000
Skills
- Flexible and Adaptable
- Self-Motivated
- Team building
- Decision-Making
- Multitasking Abilities
- Excellent Communication
- Analytical and Critical Thinking
- MS Office
- Teamwork and Collaboration
- Dependable and Responsible
- Planning and Coordination
- Interpersonal Communication
Certification
- RMA - Registered Medical Assistant- Advanced Career Training June 1999-July 2000
- BLS-American Heart Association April 2022
- PMP Certification-Currently Completing
Timeline
Clinical Manager
Cerium Medial Group
08.2021 - Current
Quality Improvement Specialist
Emory Healthcare Network
11.2019 - 08.2021
Healthcare Quality Specialist
United Healthcare /Optum
01.2018 - 11.2019
Certified Medical Assistant
Rockbridge Family Medicine
09.2015 - 01.2018
Information Technology
Omni Tech Institute
Some College (No Degree) - Healthcare Administration
Strayer University
Diploma - Certified Medical Assistant
Advance Career Training
- RMA - Registered Medical Assistant- Advanced Career Training June 1999-July 2000
- BLS-American Heart Association April 2022
- PMP Certification-Currently Completing
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