Dynamic healthcare professional with extensive experience at WellMed Medical Management, specializing in quality assurance and regulatory compliance. Proven track record in enhancing patient care coordination and implementing effective health education programs. Skilled in data analysis and cross-functional collaboration, driving continuous improvement and customer satisfaction in diverse healthcare settings.
Overview
17
17
years of professional experience
Work History
HEDIS Clinical Quality Consultant II
WellMed Medical Management - United Health Group
12.2019 - Current
Led quality assurance initiatives to enhance compliance with regulatory standards.
Developed and implemented quality improvement plans to optimize operational processes.
Conducted root cause analyses to identify areas for process enhancement.
Collaborated with cross-functional teams to establish best practices in quality management.
Analyzed performance metrics to drive continuous improvement in service delivery.
Facilitated training sessions on quality standards and compliance requirements for staff.
Reviewed clinical documentation to ensure accuracy and adherence to organizational policies.
Enhanced customer satisfaction through timely resolution of complaints and implementation of corrective actions.
Performed detailed data analysis to identify trends, uncovering opportunities for further enhancements in product quality or operational efficiencies.
Care Coordinator LPN
Memorial Hermann Hospital
06.2016 - 12.2019
Coordinated patient care activities, ensuring seamless communication among multidisciplinary teams.
Managed patient scheduling and follow-up appointments to enhance service delivery efficiency.
Implemented care plans based on patient assessments and physician recommendations.
Educated patients about treatment options, medication management, and health maintenance strategies.
Developed collaborative relationships with community resources to support patient needs post-discharge.
Developed strong relationships with patients and families, establishing trust and fostering open communication channels.
Managed complex cases involving multiple medical conditions or high-risk situations through diligent assessment processes and proactive intervention strategies as needed.
Facilitated smooth transitions of care for patients, collaborating with multidisciplinary teams to coordinate necessary services.
Educated patients about self-care techniques, thereby enabling them to manage their conditions more independently over time.
Improved patient care by effectively coordinating and managing healthcare services for diverse populations.
Optimized resource utilization by consistently evaluating available services and making informed recommendations to enhance patient care quality.
Reduced hospital readmissions by proactively identifying potential issues and providing appropriate interventions.
Collaborated closely with primary caregivers in order to provide comprehensive support during all aspects of patient care journeys, improving overall experience levels.
Immunization Nurse
Fort Bend County Health Department
11.2012 - 07.2016
Administered vaccinations in accordance with state and federal guidelines.
Educated patients on vaccine schedules and potential side effects.
Collaborated with healthcare teams to enhance immunization outreach programs.
Developed patient tracking systems to ensure follow-up vaccinations were completed.
Led community vaccination events, increasing public awareness and participation rates.
Streamlined inventory management processes for vaccines and medical supplies.
Evaluated immunization protocols to improve efficiency and compliance with health regulations.
Conducted regular audits of vaccine storage facilities, ensuring optimal conditions were maintained at all times to preserve efficacy levels.
Ensured compliance with vaccination guidelines, contributing to an overall improvement in public health outcomes.
Community Diabetes Coordinator
Victoria City County Health Department
06.2008 - 08.2011
Coordinated health education programs to enhance community awareness and participation.
Developed and implemented operational protocols for various public health initiatives.
Collaborated with multidisciplinary teams to ensure compliance with health regulations and standards.
Streamlined communication processes between departments to improve service delivery efficiency.
Entered data, generated reports, and produced tracking documents.
Physician Business Manager at WellMed Medical Management - United Health GroupPhysician Business Manager at WellMed Medical Management - United Health Group