Tiffany Simpson
Paris
Summary
Diligent service coordinator with background in coordinating clinical activities and improving member care processes. Recognized for implementing efficient workflows that enhance operational productivity and streamline communication across departments. Demonstrated expertise in managing schedules and maintaining detailed records, ensuring high standards of care and compliance, and meeting deadlines.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
19
19
years of professional experience
Work History
HSS SENIOR CLINICAL COORDINATOR
United Healthcare
06.2015 - Current
- Enhanced member care continuity through coordination of interdisciplinary teams.
- Developed clinical protocols ensuring compliance with healthcare regulations and standards.
- Managed member case loads, ensuring timely access to essential services and resources.
- Trained teams on best clinical practices to promote operational efficiency and teamwork.
- Achieved 100% NCQA pass rate by submitting compliant charts for evaluation in 2022.
- Precepted eight new coordinators within nine years, fostering professional development and skills.
REGISTERED NURSE – CASE MANAGER
Guardian Healthcare
03.2011 - 05.2024
- Enhanced patient outcomes through personalized care plan coordination.
- Developed tailored interventions by thoroughly assessing patient needs.
- Streamlined communication with interdisciplinary teams to improve patient care.
- Ensured regulatory compliance by managing case documentation effectively.
- Facilitated informed decision-making by educating patients and families on treatment options.
• REGISTERED NURSE, CHARGE NURSE
Titus Regional Medical Center
07.2008 - 03.2011
- Enhanced patient care outcomes through collaboration with multidisciplinary teams.
- Educated patients and families on effective health management and discharge planning.
- Monitored vital signs, enabling timely interventions for patient conditions.
- Administered medications safely, closely monitoring for side effects and reactions.
- Implemented fall prevention strategies, significantly reducing patient falls in the unit.
- Maintained accurate documentation of treatments, medications, and follow-up care.
LICENSED VOCATION NURSE
Salas Minor Emergency Center
07.2006 - 07.2008
- Ensured patient safety by administering medications per physician's orders.
- Documented vital signs to enhance patient assessments for care plans.
- Improved wound healing times through effective care management techniques.
- Educated patients on health management strategies to foster understanding of care protocols.
- Collaborated with multidisciplinary teams to implement successful treatment plans.
- Supported physicians during examinations, maintaining safe practices throughout procedures.
Education
Master of Science - Nursing in Care Coordination
Capella University
Minneapolis, MN06-2020
Bachelor of Science - Nursing
Capella University
Minneapolis, MN12-2018
Associate of Applied Science - Nursing
Grayson County College
Denison, TX05-2008
Licensed Vocational of Nursing - Nursing
Grayson County College
Denison, TX06-2006
Skills
- Scheduling assessments to reduce costs or keep costs at a minimum
- Clinical leadership
- Documentation per policy and member needs Meet timelines
- Assisted with creating Job Aide for pregnancy members
- Perform paperwork for JCAHO during time at Titus Regional Medical Center
- Oversight of Telemetry floor and PACU at Titus Regional Medical Center
- Oversee a team of members up to 120 members at a time or at a lowest fo 60 members during time at United Healthcare
- Prepare members and charts for UMR evaluation
- Assist managers with lead roles on projects to build quality, work ethics, and team skills Assist with covering team when manager is out of office to assist with questions or concerns
- Team Lead on survey results with problem solving to ensure improvement of results, team bonding, and how to improve on employee satisfaction within the team
- Organization with use of Microsoft Word, Excel, charts, and graphs to maintain flow with an ever-changing list of members / patients
Accomplishments
- Submitted 5 Bright Ideas within 2 year span with latest Bright Idea went before National TOT team on 04/12/2023 for a change / update in Community Care in Caregiver Section.
- 7 UMR charts in the past 3 years. All 7 UMR charts passed with 100% with no follow ups needed on first round of evaluation.
- Within 10 years, precepted 9 new Starplus Waiver Service Coordinators, 3 Star Kids Service Coordinators.
• Participates in Culture Ambassador Team within the MRSA NE. Meet monthly and promote growth and boost moral within the department.
• United Healthcare Culture Ambassador Team for 5 years
• Participated in group / trial testing for skilled nursing cases / MFG for 1 year.
• Reviewed UMR charts
• Chosen as 1 out of 2 charts for United Healthcare to achieve accreditation for NCQA in 2022. Chart passed at 100% pass rate.
Timeline
HSS SENIOR CLINICAL COORDINATOR
United Healthcare
06.2015 - Current
REGISTERED NURSE – CASE MANAGER
Guardian Healthcare
03.2011 - 05.2024
• REGISTERED NURSE, CHARGE NURSE
Titus Regional Medical Center
07.2008 - 03.2011
LICENSED VOCATION NURSE
Salas Minor Emergency Center
07.2006 - 07.2008
Master of Science - Nursing in Care Coordination
Capella University
Bachelor of Science - Nursing
Capella University
Associate of Applied Science - Nursing
Grayson County College
Licensed Vocational of Nursing - Nursing
Grayson County College