Summary
Overview
Work History
Education
Skills
Certification
Languages
Trainings
Timeline
Generic

Yaritza Velazquez

Las Vegas,NV

Summary

Healthcare professional with 10 years' experience across hospitals, clinics, insurance, and behavioral health. Proven in planning, executing, and finalizing projects aligned with strategic plans. Successful in strategic planning, policy development, and key management decisions. Recognized for strong work ethic, adaptability, exceptional interpersonal skills, and great leadership abilities. Eager to leverage expertise to contribute to your team's success.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Regulatory Compliance Coordinator

MountainView Hospital
Las Vegas, NV
02.2024 - Current
  • Oversees hospital compliance with all state, federal, and accrediting bodies, including TJC, NRS, CMS, NFPA, OSHA, and ITLS standards and statutes
  • Serves as the hospital's primary contact for all survey-related activities, including planned and unplanned events
  • Leads site tours, manages documents, coordinates sessions including oversight of data presentations and collaboration between process owners, and supervises the scribe and escort team during survey activities
  • Facilitates the creation of written action plans, defines corrective measures of success, and oversees data collection and reporting to both internal and external stakeholders
  • Oversees the facility's policy and procedure portal, managing the entire process for approvals and renewals to ensure compliance and efficiency
  • Completes all mandatory state reporting, including over-capacity reporting, licensed bed variance, and OSHA Workplace Violence
  • Manages Audits and monitors compliance and completion rates to ensure continuous readiness
  • Investigates all compliance-related incidents reports, including WPV, restraints, suicide prevention, and process-related safety concerns
  • Conducts Environment of Care rounds throughout the facility, covering clinical areas (nursing units, procedural areas, ER), kitchen food preparation and storage, facilities (generator warehouse, fire riser room, boilers and chillers, HVAC system), and waste management
  • Collaborates with the Safety Officer to ensure all aspects of the Emergency Operations Plan meet state and federal requirements.
  • Chairs the Facility Survey Readiness Committee.
  • Provides written and verbal updates to hospital and division executives regarding licensure, regulatory activities, updates, and ongoing action plans.
  • Ensure compliance with ADA regulations by managing Language Line services and overseeing service animal accommodations to support patient accessibility and rights
  • Oversee the recall process to ensure timely identification, communication, and removal of affected products, enhancing patient safety and regulatory compliance
  • Supervise and mentor volunteers and interns within the department, fostering professional development and growth

Quality Administrative Coordinator

MountainView Hospital
Las Vegas, Nevada
03.2020 - 02.2024
  • Assisted the Vice President of Quality, Patient Safety, and Infection Prevention, as well as the departments of Quality, Patient Safety, and Risk, in their daily operations
  • Provided collaborative input into the development of processes, policies, and procedures governing hospital operations to enhance overall organizational effectiveness
  • Oversaw and managed the hospital's system for the development, maintenance, and approval of all policies and procedures
  • Maintained strong collaborative relationships with managers, directors, and staff, while actively promoting quality and patient safety initiatives
  • Assisted in the planning and implementation of quality and patient safety activities
  • Coordinated command center activities for regulatory surveys, including those conducted by TJC, the State of Nevada, CMS, and OSHA.
  • Processed patient grievances ensuring compassionate and effective communication
  • Co-Chaired the Research Oversight Committee, ensuring adherence to research standards and protocols
  • Facilitated operations for key committees, including the Quality Council, Patient Safety, Critical Care, and Infection Control
  • Executed the Recall and Alert/Device Correction Notification process
  • Managed the Great Catch Program, aimed at improving staff morale throughout the hospital
  • Reported COVID-19 mortality data to the Nevada Department of Health and Human Services and the Southern Nevada Health District
  • Organized onboarding processes for new employees, ensuring a smooth integration into the hospital environment
  • Supervised and mentored volunteers and interns within the department, fostering professional development and growth

Clinical Administrative Coordinator

OptumCare
Las Vegas, Nevada
06.2019 - 03.2020
  • Took charge of case management through meticulous data entry of clinical information into the Facets system, utilizing various channels such as telephone, fax, and computer interfaces
  • Constructed prior authorizations and crafted letters, ensuring strict compliance with established time frames and regulatory requirements
  • Spearheaded the coordination of issue resolutions and appeals for denied authorizations, demonstrating a proactive approach to problem-solving
  • Delivered precise information to diverse stakeholders, including patients, insurance providers, healthcare staff, and office personnel, employing effective written and verbal communication skills
  • Achieved a minimum of 98% case data entry accuracy through the meticulous handling of faxes and telephone requests, meeting and surpassing department key indicator productivity standards
  • Uphold a high level of customer service while interfacing with internal departments and hospitals, effectively managing communications relevant to job responsibilities
  • Orchestrated peer-to-peer reviews, scheduling discussions between physicians and insurance providers to address medical necessity concerns
  • Notified ordering providers promptly and professionally about denied authorizations, maintaining transparency in the authorization process

Patient Service Representative

Healthcare Partners of Nevada
Las Vegas, Nevada
12.2016 - 05.2018
  • Accessed patient information confidentially through diverse software applications, adhering to stringent HIPAA regulations to uphold patient privacy
  • Efficiently scheduled and confirmed patient appointments, demonstrating strong organizational skills and effective communication with both patients and healthcare professionals
  • Addressed patient inquiries and effectively resolved complaints, showcasing a commitment to exceptional patient care
  • Played a vital role in supporting hospital and clinic operations by leveraging customer service skills and in-depth system knowledge
  • Conducted insurance verification and obtained necessary authorizations, ensuring the financial clearance of patient accounts
  • Clearly communicated policies, procedures, and services to patients, contributing to a transparent and informed patient experience
  • Collected and analyzed patient feedback to identify opportunities for improvement in customer service and enhance the overall patient experience
  • Cultivated and maintained positive relationships with patients, ensuring a high level of satisfaction and loyalty to the healthcare institution

Intern-Clinic Operational Excellence Project

Healthcare Partners of Nevada
Las Vegas, Nevada
01.2017 - 05.2017
  • Led a team of 10 as an Internship Lead, overseeing and coordinating projects dedicated to streamlining tasks for an enhanced patient experience
  • Spearheaded the identification of sources contributing to high clinic task volume, implementing strategic solutions to alleviate workload
  • Enhanced efficiency and communication across clinics, departments, and team members, fostering a collaborative and streamlined work environment
  • Conducted time study analyses and provided supervision to teammates, ensuring optimal performance and adherence to project goals
  • Conducted in-depth research and analysis on best practices for clinic operations, contributing valuable insights to drive improvements in patient experience

Guest Teacher

Clark County School District, CCSD
Las Vegas, Nevada
10.2016 - 12.2016
  • Supervised daily classroom activities for 30-40 students, cultivating a positive learning environment through gentle discipline and an enthusiastic attitude, fostering a conducive atmosphere for studying and learning
  • Enforced classroom routines to ensure students stayed on schedule and maintained a consistent level of participation, contributing to a structured and effective learning atmosphere
  • Implemented lesson plans assigned by the classroom teacher, effectively conveying key concepts to students and supporting their educational development
  • Facilitated engaging discussions with students, promoting interest and driving active participation in the learning process
  • Earned the trust and recognition for excellence, being consistently requested as a substitute teacher based on referrals and a track record of dependable performance

Administrative Assistant

Behavioral Bilingual Services
Las Vegas, NV
02.2015 - 06.2016
  • Provided comprehensive secretarial and office management support, fostering cooperative working relationships within the organization
  • Efficiently scheduled appointments, meetings, and events for management staff, demonstrating strong organizational skills and attention to detail
  • Managed both physical and digital files, monitored spreadsheets, and updated reports to facilitate the seamless coordination of project materials
  • Supervised and supported reception staff, ensuring a well-functioning front desk and reception area
  • Developed and optimized administrative processes to achieve organizational objectives and enhance overall office efficiency
  • Organized files, developed spreadsheets, faxed reports, and scanned documents, maintaining the front desk and reception area in a neat and organized fashion
  • Successfully ensured timely and budget-conscious delivery of all projects, maintaining a focus on scope and quality
  • Administered the organization's volunteer and intern program, overseeing recruitment, training, and supervision to ensure program success
  • Managed all day-to-day HR administration tasks, guaranteeing accuracy and currency of employee and HR records
  • Played a crucial role in recruitment and employee development, contributing to the growth and success of the organization
  • Orchestrated comprehensive onboarding processes for new employees, facilitating a smooth integration into the organizational culture and operations

Education

Master Business Administration -

Western Governors University
Salt Lake City, Utah
08.2023

Bachelor of Science - Health Care Administration

University of Nevada - Las Vegas
Las Vegas, Nevada
05.2017

Skills

  • Regulatory Compliance Management
  • Operational and Quality Improvement
  • Committee and Team Leadership
  • Administrative Coordination
  • Project and Team Management
  • Policy and Procedure Administration
  • Stakeholder Communication and Reporting
  • Environmental and Safety Oversight
  • Customer Service and Patient Relations
  • Human Resources and Onboarding

Certification

CPI Blue Card, Crisis Prevention Institute, Las Vegas, NV, 11/23 - 11/25

Languages

Spanish

Trainings

  • The Joint Commission - Accreditation Essentials and CMS Basics - February 25-26, 2025
  • The Joint Commission - Environment of care and Life Safety Update - February 27-28, 2025

Timeline

Regulatory Compliance Coordinator

MountainView Hospital
02.2024 - Current

Quality Administrative Coordinator

MountainView Hospital
03.2020 - 02.2024

Clinical Administrative Coordinator

OptumCare
06.2019 - 03.2020

Intern-Clinic Operational Excellence Project

Healthcare Partners of Nevada
01.2017 - 05.2017

Patient Service Representative

Healthcare Partners of Nevada
12.2016 - 05.2018

Guest Teacher

Clark County School District, CCSD
10.2016 - 12.2016

Administrative Assistant

Behavioral Bilingual Services
02.2015 - 06.2016

Master Business Administration -

Western Governors University

Bachelor of Science - Health Care Administration

University of Nevada - Las Vegas

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Yaritza Velazquez