Tina Dawes
Albuquerque
Summary
Dynamic Clinical Operations Supervisor with a proven track record at Presbyterian Health Plan, excelling in utilization and care management and staff leadership. Enhanced patient care through effective compliance audits and strategic project execution, fostering a culture of collaboration and continuous improvement. Skilled in documentation requirements and patient assessments, driving operational efficiency.
Overview
21
21
years of professional experience
Work History
Clinical Operations Supervisor- UM LTC
Presbyterian Health Plan
04.2019 - Current
- Managed physician and nurses' schedules to deliver quality care and services.
- Implemented evidence-based practices into daily operations, promoting a culture of continuous learning among clinical staff members.
- Ensured compliance with industry regulations and standards by regularly reviewing procedures and updating documentation.
- Led cross-functional teams in the execution of strategic projects aimed at enhancing overall clinic efficiency and productivity.
- Facilitated communication between departments to ensure seamless coordination during workflow transitions, improving process efficiency.
- Developed key performance indicators to monitor the effectiveness of clinical operations, leading to data-driven decision making.
- Conducted regular audits of clinical operations to identify areas for improvement and implement corrective actions swiftly.
Care Management Team Lead
DaVita Medical Group
06.2015 - 03.2019
- Optimized patient assessments by creating comprehensive evaluation tools and incorporating feedback from the care team.
- Analyzed trends in patient data to identify areas for improvement within the organization''s overall strategy for care management.
- Ensured compliance with all relevant regulations and policies by regularly reviewing documentation and conducting audits when necessary.
- Established a positive work environment by fostering collaboration, open communication, and mutual respect among team members.
- Coordinated efforts between internal staff members and external partners such as insurance companies or community organizations for seamless service delivery to clients.
- Developed and maintained strong relationships with healthcare providers, fostering a collaborative approach to patient care.
Certified Pharmacy Technician
Lovelace Pharmacy
12.2004 - 05.2015
- Trained new pharmacy technicians on proper procedures and best practices, ensuring consistent quality of service.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Enhanced patient care by accurately filling and dispensing prescriptions in a timely manner.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
Education
High School Diploma -
Kirtland Central High School
Kirtland, NMNo Degree - Pharmaceutical Sciences
Central New Mexico Community College
Albuquerque, NMCPhT -
Pima Medical Institute
Albuquerque, NM04-2005
Skills
- Investigational product management
- Adverse event reporting
- Site monitoring
- Clinical trial management
- Audit preparation
- Patient care
- Clinical assessment
- Patient assessments
- HIPAA
- Patient management
- Staff management
- Documentation requirements
Timeline
Clinical Operations Supervisor- UM LTC
Presbyterian Health Plan
04.2019 - Current
Care Management Team Lead
DaVita Medical Group
06.2015 - 03.2019
Certified Pharmacy Technician
Lovelace Pharmacy
12.2004 - 05.2015
High School Diploma -
Kirtland Central High School
No Degree - Pharmaceutical Sciences
Central New Mexico Community College
CPhT -
Pima Medical Institute
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