Tami Agner
North Lewisburg,OH
Summary
Dynamic Registered Nurse Case Manager with extensive experience at Molina Healthcare, excelling in HEDIS compliance and quality improvement initiatives. Proven ability to enhance patient care coordination and data accuracy, leveraging strong analytical skills and attention to detail to drive significant improvements in health outcomes. Committed to advocating for patients and fostering interdisciplinary collaboration.
Overview
1
1
Certification
6
6
years of professional experience
Work History
Registered Nurse Case Manager
Elevance
01.2021 - 04.2022
- Executed patient assessments to identify needs and create individualized care interventions.
- Coordinated comprehensive care plans that improved health outcomes and service continuity.
- Launched quality improvement initiatives that enhanced service delivery and elevated patient satisfaction levels.
- Served as an advocate for patients, ensuring communication of preferences and verification of treatment alignment.
- Facilitated patient and family involvement in planning, addressing questions and concerns effectively.
- Administered medications and treatments following physician prescriptions.
- Managed a software database containing vital information for coordinated patient care access.
HEDIS Nurse
Molina Healthcare
09.2016 - 01.2021
- Conducted comprehensive chart reviews to identify HEDIS measures and ensure compliance with quality standards.
- Collaborated with interdisciplinary teams to develop care plans promoting member health outcomes.
- Analyzed clinical data to identify trends, enhancing reporting accuracy for HEDIS performance metrics.
- Educated healthcare providers on HEDIS guidelines, fostering understanding and adherence to quality initiatives.
- Led training sessions focused on HEDIS requirements, improving overall team performance and compliance rates.
- Provided expert guidance on HEDIS measures, assisting colleagues in understanding complex guidelines and requirements.
- Enhanced data accuracy with meticulous documentation of patient information and provider contacts.
- Improved HEDIS metrics by efficiently reviewing medical records and identifying gaps in care.
- Actively participated in team meetings, sharing insights on current projects while seeking feedback from peers to continually refine skills as a HEDIS nurse professional.
- Analyzed electronic health records to identify areas for care improvement and cost reduction.
Education
Associate of Science - Nursing
Clark State Community College
Springfield, OH07-1991
Skills
- HIPAA
- Medical record review
- Health plan operations
- Patient care coordination
- HEDIS compliance
- Quality improvement initiatives
- Time management
- Attention to detail
- Problem-solving abilities
- HIPAA compliance
- Electronic health records
- Analytical skills
Certification
- Case Manager Management Certification
- Registered Nurse License, Multistate
Personal Information
Title: Registered Nurse Case Manager
Timeline
Registered Nurse Case Manager
Elevance
01.2021 - 04.2022
HEDIS Nurse
Molina Healthcare
09.2016 - 01.2021
Associate of Science - Nursing
Clark State Community College