Tracey Lane Belcher
Kendall,WI
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
26
26
years of professional experience
Work History
National Trainer
VAMC-National Revenue Utilization Review
02.2020 - 02.2025
- Served as a Cerner platform tester, engineered workflows, and developed comprehensive training materials and delivery strategies for Cerner training sessions.
- Collaborated with multiple Cerner points of contact to troubleshoot issues and devise effective solutions.
- Educated new nurses on Revenue Reimbursement, Customer Service, Legal regulations, Tort, Service Connection, Special Authority, Third Party Payers (Insurance), and the roles and responsibilities of Revenue Operations.
- Formulated instructional job aids for training purposes.
- Acted as a Blackboard instructor for new nurses while providing program support assistance.
- Led the development of curricula to meet educational needs.
- Pilot tested new platforms prior to their National launch for Revenue Operations.
- Partnered with other program offices to resolve complex Revenue issues.
- Chaired the Collaborative Workgroup to drive team initiatives forward.
- Contributed as an active member of the RUR workgroup, focusing on cost-effective solutions.
- Assisted and directed the resolution of staff inquiries and concerns.
- Collaborated closely with the Utilization Management team to enhance operational efficiency.
- Harnessed knowledge of InterQual and MCG evidence-based standards for admissions and utilization of outpatient medical resources.
- Applied Medicare and Medicaid policy knowledge to ensure compliance and effective operational strategies.
- Consulted with other program offices to streamline processes and enhance service delivery.
- Resolved process issues within training materials and platforms to improve learning outcomes.
- Conducted quality assurance assessments of processes and training materials.
- Championed the Clinical Documentation Initiative to enhance documentation accuracy.
- Optimized training curriculum with team exercises, group discussions and lectures.
- Participated in business improvement groups to capture information and feedback for topic delivery and training mandates.
- Delivered training to over 500staff members and quality assurance teams while managing employees to maximize performance.
- Leveraged industry trends to deliver up-to-date training.
- Authored new training packages while automating online training systems to streamline team sharing.
- Created online training module suites to implement into primary training tools for new employees.
- Established and maintained quality control standards.
- Developed and implemented successful onboarding program.
- Worked with vendors to customize courseware to accommodate business needs.
- Utilized variety of instructional design methodologies to create effective learning experiences.
- Developed job-specific competencies and performance standards.
- Conducted needs assessments to identify gaps in performance and develop targeted learning solutions.
Revenue Utilization Review Nurse
Revenue Utilization Review
02.2017 - 03.2020
- Managed Revenue Reimbursement processes.
- Facilitated collaborative Customer Service efforts across multiple departments.
- Conducted legal, tort, and service connection chart reviews for quality assurance.
- Partnered with healthcare providers to improve patient outcomes.
- Engaged in third-party communication with insurance companies regarding claims and coverage.
- Performed thorough chart reviews and documentation to ensure accuracy and completeness.
- Maximized the utilization of resources to support operational objectives.
- Led educational activities to enhance team knowledge and performance.
- Oversaw Denials Management to mitigate financial loss.
- Utilized InterQual and MCG guidelines to inform decision-making processes.
- Executed Utilization Management protocols effectively.
- Coordinated Tricare authorizations for non-MCCF Veterans.
- Handled clinical appeals for varied reasons, including medical necessity, non-coverage, and documentation gaps.
Telephone Nurse Advisor
Gundersen Health System
12.2017 - 11.2018
- Conducted triage and assessment of medical issues to provide appropriate level of care advice.
- Managed medication regimens and collaborated on anti-coagulation therapy.
- Coordinated patient appointments efficiently.
- Consulted with providers and specialty departments to deliver comprehensive care advice.
- Developed effective communication plans of care for patients.
- Maintained accurate documentation in the EPIC system to ensure continuity of care.
Faculty Member
Chamberlain School of Nursing
10.2008 - 10.2018
- Delivered constructive feedback and instruction on papers addressing healthcare issues in undergraduate courses.
- Reviewed and assessed students' communication, writing, and presentation skills within an online platform, maintaining APA and online integrity standards.
- Created a dynamic online learning environment to enhance student engagement.
- Integrated an evidence-based practice curriculum into course delivery.
- Taught essential topics including nursing informatics and nursing research.
Nurse Educator
VAMC-Tomah
01.2016 - 02.2017
- Analyzed, organized, implemented, and evaluated educational programs tailored for the Tomah VAMC.
- Facilitated the Leadership Development program to enhance staff capabilities.
- Delivered training for the Basic Life Support and Advanced Cardiovascular Life Support programs.
- Directed the Prevention and Management of Disruptive Behavior program to uphold a safe learning environment.
- Mentored and coached staff in professional development.
- Prepared for new programs based on organizational needs.
- Utilized simulation techniques for enhanced learning experiences.
- Provided preceptor education to ensure effective mentoring practices.
Patient Safety; Performance Improvement
VAMC-Tomah
09.2014 - 10.2016
- Assessed and analyzed patient information through daily incident reports to identify trends and areas for improvement.
- Managed risk through proactive risk management strategies.
- Applied quality improvement tools to enhance organizational effectiveness.
- Analyzed compliance data to inform best practices and policy revisions.
- Conducted Environmental Care Rounds to ensure safety and quality standards were maintained.
- Executed Root Cause Analysis for incidents to promote patient safety improvements.
- Promoted evidence-based practices to ensure optimal patient safety outcomes.
Faculty Member
University of Phoenix-Online
05.2005 - 06.2015
- Provided feedback and instruction on papers related to health care topics in both graduate and undergraduate courses.
- Reviewed and assessed students' communication, writing, and team presentation skills in an online environment, ensuring adherence to APA format standards.
- Prepared relevant patient assignments tailored for student learning outcomes.
- Organized and managed pre- and post-classroom activities to enhance the educational experience.
- Courses instructed include: Health Care Delivery (Undergraduate), Influencing the Future of Nursing and Healthcare (Graduate), Health and Disease Management (Undergraduate), Health and Chronic Disease Management (Undergraduate).
Home Telehealth-RN; Mental Health
VAMC-Tomah
05.2014 - 09.2014
- Assessed and analyzed patient information received from home medical devices.
- Provided vital assistance for mental health care needs and managed care effectively.
- Identified and proactively assisted Veterans facing challenging situations in their home environments.
- Delivered resources and support for caregivers to enhance patient care.
Director of Education and Training
VAMC-Tomah
08.2012 - 05.2014
- Supervised Education and Library staff to ensure effective program delivery.
- Implemented evidence-based educational programs tailored to organizational needs.
- Conducted organizational learning needs assessments for curriculum development.
- Identified and researched optimal instructional methods to achieve learning objectives.
- Developed comprehensive curricula to facilitate effective training.
- Managed staffing methodologies and budget considerations for educational initiatives.
- Reviewed and developed policies and procedures to align with educational goals.
- Directed and evaluated all educational programs, including Basic Life Support/Advance Cardiac Life Support, Prevention and Management of Disruptive Behavior, Leadership Development Program, Simulation, School at Work Program, School Affiliations Program, Nursing New Employee Orientation, RN Transition-to-Practice Program, VALOR Program, and Mentor/Coach Program.
Case Management-Primary and Ambulatory Care Services
VAMC-Tomah
05.2010 - 11.2012
- Reviewed and collaborated with clients and families as part of an interdisciplinary team to provide holistic care.
- Collected, collated, analyzed, and summarized patient movement data to inform care decisions.
- Coordinated the referral process to ensure timely and safe patient transfers.
- Managed case planning for complex client care, integrating diverse healthcare services.
- Assisted with care coordination efforts outside of the Tomah VAMC, including both VA and non-VA facilities.
- Integrated healthcare technology into service delivery to enhance care coordination.
- Ensured compliance with VHA directives, OIG standards, Joint Commission Standards, and other regulatory bodies.
- Prepared written reports featuring data analysis, recommendations, and evaluations to improve care standards.
- Developed action plans to address non-compliance issues, incorporating education and resources for staff.
- Maximized resource utilization for enhanced patient outcomes.
- Facilitated Chronic Disease Management programs to support patient wellness.
Performance Improvement Analyst-Ambulatory and Acute Care
VAMC-Tomah
11.2007 - 05.2010
- Reviewed and developed policies and procedures to enhance organizational processes.
- Conducted data collection and analysis for performance improvement initiatives.
- Presented data related to identified process gaps to stakeholders for action planning.
- Led process improvement initiatives to enhance care delivery efficiency.
- Facilitated quality improvement discussions and activities as a member of the Research and Performance Improvement Council.
- Conducted tracer studies to ensure compliance with organizational standards.
- Demonstrated knowledge of JCAHO, OIG, OSHA, and other governing agency standards.
- Utilized Lean Thinking and Six Sigma concepts to drive organizational change and improvement.
- Exhibited expert knowledge in conducting systematic reviews to inform best practices.
Nursing Instructor (Associate Program)
Western Technical College
09.2007 - 12.2007
- Provided clinical supervision for nursing students in medical-surgical settings to enhance practical skills.
- Delivered feedback and instruction on nursing care plans, hands-on skills, and documentation during clinical hours.
- Reviewed and assessed nursing students' communication skills, bedside manners, and clinical skills to ensure competency.
- Prepared patient assignments to facilitate learning outcomes for nursing students.
- Managed the organization of pre- and post-clinical activities for enhanced learning.
- Conducted classroom instruction on Pharmacology and Advanced Nursing Skills.
Case Manager (Critical Care Units)
Fort Sanders Medical Center-Regional
05.2006 - 07.2007
- Led discharge planning initiatives to ensure smooth transitions for patients.
- Provided patient education on core measures and documentation initiatives.
- Applied thorough knowledge of DRGs and CMS guidelines for reimbursement processes related to admissions and treatment diagnoses.
- Acted as a collaborative team player in concurrent coding practices.
- Administered utilization reviews to assess the appropriateness of admissions in regards to severity of illness and intensity of service criteria.
- Managed prior authorizations and denials to facilitate patient access to care.
Sexual Assault Nurse Examiner (Contract)
SANE-TN
05.2006 - 07.2007
- Conducted examinations of victims of sexual assault aged 13 and older to provide compassionate care and support.
- Collected forensic evidence according to established protocols to ensure integrity.
- Maintained the chain of command for evidence to ensure proper legal processes.
- Served as an expert witness in court trials to provide professional testimony.
- Documented injuries meticulously using body diagrams and photographic evidence to support legal proceedings.
- Ensured compliance with current laws protecting victims of sexual assault.
Director of Nursing
Sunrise Community of Tennessee
06.2005 - 04.2006
- Supervised and delegated nursing duties to ensure high quality of care.
- Provided RN oversight for LPNs and individuals receiving services from Sunrise, maintaining patient safety and care standards.
- Conducted physical assessment reviews of individuals to determine healthcare needs.
- Instructed a 20-hour initial medication administration course and an 8-hour recertification course for staff.
- Conducted staff education programs to enhance skillsets and knowledge.
- Developed monthly and quarterly tracking and trending reports and summaries for organizational performance and compliance with state regulations.
- Assessed, intervened, and evaluated patient care plans for effectiveness.
- Reviewed, evaluated, and integrated current nursing practices into standards of care guidelines.
- Ensured compliance with state regulations regarding all patients' appointments and medical documentation.
- Actively participated in Incident Management, Safety, and Management meetings to enhance operational protocols.
Medical Unit (RN)
VAMC-Sheridan
06.2001 - 05.2005
- Assessed, intervened, and evaluated patient care plans to optimize health outcomes.
- Participated in patient safety committees focusing on fall prevention and needleless systems safety.
- Administered chemotherapy and other high-risk medications according to best practices.
- Delegated duties to nursing staff based on individual competencies and patient needs.
- Conducted ICU validation to maintain high standards of care.
- Developed and implemented templates in CPRS for use by both medical and nursing staff to streamline processes.
- Maintained proficiency in CPRS and BCMA systems for effective patient care delivery.
- Reviewed, evaluated, and integrated current nursing practices into established standards of care.
- Facilitated the insertion and management of PICC and Central lines to meet patient needs.
- Provided patient education and staff training to ensure safety and knowledge utilization.
Cardiac Rehabilitation (RN)
Sheridan County Memorial Hospital
02.2002 - 07.2003
- Assessed, intervened, and evaluated cardiac patients' care plans to optimize recovery.
- Educated patients on medications, risk factors, and lifestyle changes to promote heart health.
- Coordinated care plans with physicians to ensure seamless patient management.
- Developed and implemented cardiac educational classes to enhance patient knowledge.
- Created and implemented data collection measures for outcomes assessment.
- Reviewed, evaluated, and updated policies and procedures for the cardiac rehabilitation program based on best practices.
- Networked with other cardiac rehabilitation programs to share knowledge and resources.
RN, Day Surgery and Cardiac Rehab
Hess Memorial Hospital
10.1998 - 05.2001
- Assessed, intervened, and evaluated cardiac patients' care plans to promote health recovery.
- Educated patients on medications, risk factors, and lifestyle modifications to enhance cardiac health.
- Coordinated and communicated care plans with physicians for integrated care delivery.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
- Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
- Managed patients recovering from medical or surgical procedures.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
Education
Doctor of Education - Educational Leadership And Management
University of Phoenix
Phoenix02-2009
Master of Science - Nursing
University of Phoenix
Phoenix02-2003
Bachelor of Science - Nursing
College of St. Catherine's
St. Paul, MN05-1995
Skills
- Quality assurance and control
- Care plan implementation
- Nursing staff development
- Clinical documentation
- Patient assessment and care
- Patient education
- Nursing assessments
- Care coordination
- Clinical judgment
- Attention to detail
- Goal oriented
- Needs assessment
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
National Trainer
VAMC-National Revenue Utilization Review
02.2020 - 02.2025
Telephone Nurse Advisor
Gundersen Health System
12.2017 - 11.2018
Revenue Utilization Review Nurse
Revenue Utilization Review
02.2017 - 03.2020
Nurse Educator
VAMC-Tomah
01.2016 - 02.2017
Patient Safety; Performance Improvement
VAMC-Tomah
09.2014 - 10.2016
Home Telehealth-RN; Mental Health
VAMC-Tomah
05.2014 - 09.2014
Director of Education and Training
VAMC-Tomah
08.2012 - 05.2014
Case Management-Primary and Ambulatory Care Services
VAMC-Tomah
05.2010 - 11.2012
Faculty Member
Chamberlain School of Nursing
10.2008 - 10.2018
Performance Improvement Analyst-Ambulatory and Acute Care
VAMC-Tomah
11.2007 - 05.2010
Nursing Instructor (Associate Program)
Western Technical College
09.2007 - 12.2007
Case Manager (Critical Care Units)
Fort Sanders Medical Center-Regional
05.2006 - 07.2007
Sexual Assault Nurse Examiner (Contract)
SANE-TN
05.2006 - 07.2007
Director of Nursing
Sunrise Community of Tennessee
06.2005 - 04.2006
Faculty Member
University of Phoenix-Online
05.2005 - 06.2015
Cardiac Rehabilitation (RN)
Sheridan County Memorial Hospital
02.2002 - 07.2003
Medical Unit (RN)
VAMC-Sheridan
06.2001 - 05.2005
RN, Day Surgery and Cardiac Rehab
Hess Memorial Hospital
10.1998 - 05.2001
Doctor of Education - Educational Leadership And Management
University of Phoenix
Master of Science - Nursing
University of Phoenix
Bachelor of Science - Nursing
College of St. Catherine's