Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Victoria Rupert

Columbus,MS

Summary

Detail-oriented Clinical Quality Specialist bringing advanced abilities in data analysis and reporting. Focused on leveraging clinical data to optimize processes, improve patient care and enhance compliance. Expertise in scanning and indexing medical records/Data to various data bases. Proficient in reviewing medical records in various EMR systems. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

33
33
years of professional experience
1
1
Certification

Work History

Hedis Abstractor

Capital BlueCross
Harrisburg, PA
11.2024 - 05.2025
  • Medical record collection and review for HEDIS, and HEDIS-like measures.
  • Proficient clinical and healthcare knowledge; demonstrates the ability to read and interpret medical records; identifies required data within the medical records.
  • Verified the accuracy of all abstracted data before submission.
  • Access various EMR systems to obtain and abstract medical record data per specifications.
  • Adhered to strict confidentiality protocols when handling sensitive client information.
  • Reviewed documents to identify relevant information for abstracting.

Mental Health Registered Nurse/PerDiem

Crisis Stabilization Unit, Behavior Health
West Point, MS
11.2023 - Current
  • Assessed, evaluated, and monitored patients' physical and mental health conditions to determine nursing care needs.
  • Provided individualized patient-centered care plans that addressed the psychological and social needs of each patient.
  • Administered medications prescribed by a psychiatrist according to established protocols.
  • Provided crisis intervention services for suicidal ideation or violent behavior in order to de-escalate situations safely.
  • Documented observations, interventions and concerns in patient charts and electronic systems, sustaining continuum of care from admission through to discharge.

Legal Medical Record Reviewer/Abstractor

Epic Global
Charlotte, NC
07.2023 - 11.2023
  • Reviewed case files for accuracy and completeness of information.
  • Performed complex legal research to prepare for cases or arbitration.
  • Abstract data from legal documents against source material.
  • Performed quality control reviews on completed abstracts prior to submission.
  • Reviewing medical records submitted by class members and documenting the evidence by the program-specific protocols.
  • Performs moderately complex tasks characterized by the identification of specific data in the medical records under the assigned protocols.
  • Performs moderately complex tasks characterized by the identification of specific data in the medical records under the assigned protocols.
  • MRR then delivers customized reporting to our clients to provide an overall summary of the inventory of their cases and individually for each claimant.

Nursing Home/Per Diem Registered Nurse

Consulate Healthcare-Nursing Home
Starkville, MS
03.2023 - 07.2023
  • Monitored and managed various treatment and care interventions.
  • Administered medications and treatments, monitoring patients for reactions and side effects.
  • Adhered to infection control procedures to facilitate safe, clean patient environment.
  • Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.

Clinical Quality Analyst/ Medical Records Retrieval Specialist

United Health Care
Minnetonka, MN
01.2023 - 04.2023
  • Medical record collection and review for HEDIS and HEDIS-like measures
  • Proficient clinical and healthcare knowledge; demonstrates the ability to read and interpret medical records; identifies required data within the medical records
  • Market specific data collection efforts and provider outreach
  • Outreach Calls to provider offices for retrieval of medical records

Clinical Quality Analyst

UHC United Healthcare
Minnetonka, MN
01.2022 - 04.2022
  • Quality & Value Solutions Delivery, Medical record collection and review for HEDIS and HEDIS-like measures
  • Proficient clinical and healthcare knowledge; demonstrates the ability to read and interpret medical records; identifies required data within the medical records
  • Obtaining access to multiple EMR systems for QVCD chart review and retrieval
  • Access a variety of EMR systems to obtain and abstract medical record data per specifications

Clinical Quality Specialist

United Healthcare
Minnetonka, MN
05.2021 - 11.2021
  • Obtaining access to multiple EMR systems for QVCD chart review and retrieval
  • Collecting medical records by specific guidelines for Risk Adjustment Project
  • Loading/Saving collected medical record files to OnBase directory for Indexing
  • Access a variety of EMR systems to obtain and abstract medical record data per specifications
  • Outreach Calls to provider offices for retrieval of medical records

Clinician

Westrock
Eutaw, AL
04.2020 - 09.2020
  • I/Covid-19, Provide temperature scans via infrared thermometer (no touch) for all parties entering the Mill/
  • Manufacturing plant
  • Client Infection Control Procedure (ICP) /Covid-19 based questions and screening

HEDIS Abstractor/Remote

Change Healthcare
Alpharetta, GA
01.2020 - 04.2020
  • Used the Hedis codes to abstract patients’ charts with high blood pressure
  • Performs medical record abstraction in support of the annual Healthcare Effectiveness Data and
  • Information Set (Hedis) data collection
  • Ability to accurately and efficiently collect data from medical records electronically with highest degree of integrity, as evidence through audits and interrater reliability testing
  • Refers cases not meeting medical necessity to Care Coordinator for additional review and those requiring

Telehealth Nurse

Cortex Health
Salt Lake City, UT
06.2019 - 01.2020
  • Telehealth Post Discharge Patient Monitoring/Remote
  • Contact/Telecommunication Center
  • Telephone/Computer Platform system used for Phone Outreach to discharge patients about Post care and home health needs for healthcare facilities
  • Documentation of answered questions to queue for assessment need
  • Provided Call Emergency assistance to patents

RN Correctional Nurse

Henley Young Detention Center
Jackson, MS
07.2018 - 05.2019
  • Administer medications to adolescents
  • Documented assessment in medication for physicians
  • Performed sick calls and intake
  • Provided Emergency protocol to adolescents
  • Recorded patient condition, vital signs, recovery progress and medication side effects.
  • Administered medications, tracked dosages and documented patient conditions.
  • Conducted intake assessments with patients and relatives to gather case history.

Behavioral Health Registered Nurse

Diamond Grove Center/Behavioral Health
Louisville, MS
01.2018 - 11.2018
  • Administered medications and treatments, monitoring patients for reactions and side effects.
  • Assessed patient needs, prioritized treatment, maintained patient flows and assisted physicians with non-invasive procedures.
  • Monitored and managed various treatment and care interventions.
  • Conducted intake assessments with patients and relatives to gather case history.
  • Monitored medications for effectiveness and side effects, providing education about medication use to patients and families.

RN Oncology Chart Abstractor/Remote/Part Time

Flatiron Health
New York, NY
10.2017 - 05.2018
  • Abstracted Small cell lung cancer data from oncology medical charts for research
  • Performed clinical analysis for medical data documentation
  • Abstracted data from electronic medical records and use the proprietary software system to enter the data into flatirons database
  • Maintained accurate records of all abstracted documents for future reference.
  • Reviewed medical records to ensure accuracy and completeness of data elements for abstracting.
  • Utilized various computer software programs for data entry purposes such as MS Word, Excel, Access.

RN Travel Nurse

Jackson Nurse Professionals
Orlando, FL
02.2017 - 05.2017
  • Administration of medication and treatment to medical surgical patients
  • Provided emergency assistance to the patients as needed

RN - Oncology Nurse

NMMC – Oncology
Tupelo, MS
08.2015 - 02.2017
  • Worked on an oncology med/surf unit administering meds and treatments to patients
  • Administered medications and provided treatments to patients according to physicians orders
  • Foster a supportive and caring environment to patients and their families

Hedis Abstractor/Part-Time

Altegra Healthcare
Alpharetta, GA
02.2016 - 04.2016
  • Used the Hedis codes to abstract patients’ charts with high blood pressure
  • Performs medical record abstraction in support of the annual Healthcare Effectiveness Data and
  • Information Set (Hedis) data collection
  • Ability to accurately and efficiently collect data from medical records electronically with highest degree of integrity, as evidence through audits and interrater reliability testing
  • Refers cases not meeting medical necessity to Care Coordinator for additional review and those requiring
  • Documents activities and progress in Electronic Medical Records

RN Travel Nurse

OR Nurses
Memphis, TN
04.2015 - 08.2015
  • Monitor patient’s condition and assess their needs to provide the best possible care
  • Collaborate with physicians and nurses to devise individual care plans for patients
  • Administer patient’s medication and provide treatments according to physician's orders
  • Foster a supportive and caring environment for patients and their families

RN Charge Nurse

Baptist Memorial Hospital
Columbus, MS
03.2009 - 04.2015
  • Worked as a charge nurse on a medical/oncology/inpatient hospice unit
  • Administered meds, PO meds and IV chemotherapy and treatments according to physician’s orders
  • Provided a supportive and compassionate environment for patients and their families

RN Supervisor/Charge Nurse

Aurora Australia Lodge
Columbus, MS
05.2008 - 03.2009
  • Worked as an RN supervisor in a skilled nursing home
  • Managed and cared for residents by assessing, administering meds and providing loving care
  • Administered patient’s medication and provide treatments according to physician’s orders

RN Travel Nurse/Neuro

Fastaff
Memphis, TN
02.2008 - 05.2008
  • Med Surgical
  • Monitor patient’s condition and assess their needs to provide the best possible care
  • Collaborate with physicians and nurses to devise individualized care plans for patients
  • Adjust and administer patient’s medication and provide treatments according to physician’s orders
  • Foster a supportive and compassionate environment to care for patients and their families

Behavioral Health RN/PRN

Baptist Memorial Behavioral Health
Columbus, MS
01.2007 - 02.2008
  • Administered medications and treatments, monitoring patients for reactions and side effects.
  • Maintained thorough, accurate and confidential documentation in electronic medical records.
  • Monitored and managed various treatment and care interventions.
  • Conducted intake assessments with patients and relatives to gather case history.
  • Performed assessments of patients' mental health status utilizing DSM IV criteria.

RN Clinic Nurse PRN

Columbus Hematology and Oncology
Columbus, MS
02.2007 - 02.2008
  • Triage patients for assessments, treatments and follow up care
  • Foster a supportive and compassionate environment for patients and their families
  • Administered medications to patients and provided treatments according to physician's orders

RN Charge Nurse/Medical Oncology

Baptist Memorial Health Care Corporation
Columbus, MS
05.1992 - 02.2008
  • Worked as a full-time staff nurse and charge nurse on a medical oncology unit
  • Providing loving care to patients
  • Fulfilling the duties of an RN
  • Administered medications to patients and provided treatments according to physician’s orders

Education

Associate degree - Nursing

MUW
05.1992

High school diploma or GED - Academic

Jim Hill High School
05.1985

Skills

  • Medical Records/Data Collection
  • Data Entry
  • Quality/Audit Review
  • Medical records Abstraction/Data Abstraction
  • EMR/EHR Systems - Epic, Cerner, eClinicals, and NextGen
  • Patient Medical Records Maintenance
  • Time Management
  • Attention to Detail
  • Patient Information Verification
  • Microsoft Excel

Accomplishments

  • Medical record collection, abstraction and review for HEDIS and HEDIS-like measures
  • Knowledge of Hedis -NCQA
  • Market specific data collection efforts and provider outreach
  • Performs overread of medical records
  • Access a variety of EMR systems to obtain and abstract medical record data per specifications
  • Used the Hedis codes to abstract patients’ charts
  • Documents activities and progress in Electronic Medical Records

Certification

RN License/ CPR Certification

Timeline

Hedis Abstractor

Capital BlueCross
11.2024 - 05.2025

Mental Health Registered Nurse/PerDiem

Crisis Stabilization Unit, Behavior Health
11.2023 - Current

Legal Medical Record Reviewer/Abstractor

Epic Global
07.2023 - 11.2023

Nursing Home/Per Diem Registered Nurse

Consulate Healthcare-Nursing Home
03.2023 - 07.2023

Clinical Quality Analyst/ Medical Records Retrieval Specialist

United Health Care
01.2023 - 04.2023

Clinical Quality Analyst

UHC United Healthcare
01.2022 - 04.2022

Clinical Quality Specialist

United Healthcare
05.2021 - 11.2021

Clinician

Westrock
04.2020 - 09.2020

HEDIS Abstractor/Remote

Change Healthcare
01.2020 - 04.2020

Telehealth Nurse

Cortex Health
06.2019 - 01.2020

RN Correctional Nurse

Henley Young Detention Center
07.2018 - 05.2019

Behavioral Health Registered Nurse

Diamond Grove Center/Behavioral Health
01.2018 - 11.2018

RN Oncology Chart Abstractor/Remote/Part Time

Flatiron Health
10.2017 - 05.2018

RN Travel Nurse

Jackson Nurse Professionals
02.2017 - 05.2017

Hedis Abstractor/Part-Time

Altegra Healthcare
02.2016 - 04.2016

RN - Oncology Nurse

NMMC – Oncology
08.2015 - 02.2017

RN Travel Nurse

OR Nurses
04.2015 - 08.2015

RN Charge Nurse

Baptist Memorial Hospital
03.2009 - 04.2015

RN Supervisor/Charge Nurse

Aurora Australia Lodge
05.2008 - 03.2009

RN Travel Nurse/Neuro

Fastaff
02.2008 - 05.2008

RN Clinic Nurse PRN

Columbus Hematology and Oncology
02.2007 - 02.2008

Behavioral Health RN/PRN

Baptist Memorial Behavioral Health
01.2007 - 02.2008

RN Charge Nurse/Medical Oncology

Baptist Memorial Health Care Corporation
05.1992 - 02.2008

Associate degree - Nursing

MUW

High school diploma or GED - Academic

Jim Hill High School

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Victoria Rupert