Yunexy Morales
Homestead,FL
Summary
Quality improvement professional with strong expertise in driving process enhancements and ensuring compliance. Adept at leading cross-functional teams to achieve significant results, adaptable to evolving organizational needs. Skilled in data analysis, project management, and implementing best practices. Known for reliability, strategic thinking, and collaborative approach.
Overview
10
10
years of professional experience
Work History
Director of Quality Improvement
Palm Medical Centers
03.2023 - Current
- Lead cross-functional teams to drive continuous improvement and operational excellence initiatives.
- Promote a collaborative, learning -oriented environment focused on problem-solving and accountability.
- Support quality improvement initiatives through data collection and analysis.
- Conducted research on best practices for quality management systems.
- Participated in training sessions to enhance understanding of quality metrics.
Quality Professional Improvement II
Conviva Medical Centers/ Humana
06.2017 - 03.2023
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Effectively developed, enhanced and maintained provider clinical relationships .
- Reviewed provider/member-specific metrics, coach providers and care coordinators on gap closing opportunities.
- Assisted with formulation of quality objective and coordinations of objectives to maximize quality outcomes.
- Educated staff regarding Quality improvement process and activities.
Case Manager/Customer Care Coach
Conviva Medical Centers/ Humana
09.2015 - 06.2017
- Coordinated patient care plans, ensuring comprehensive support across multidisciplinary teams.
- Assessed client needs and developed tailored intervention strategies to improve health outcomes.
- Monitored patient progress, adjusting care approaches based on evolving health conditions.
- Facilitated communication between patients and healthcare providers to enhance service delivery.
Education
Bachelor of Science - Nursing
Grand Canyon University
Phoenix, AZ11-2022
Associate of Science - Nursing
University of Southernmost Florida
Miami, FL04-2015
Certified Professional Medical Auditor, CPMA - Medical Auditing
American Academy of Professional Coders
Miami, FL07-2011
Certified Professional Coder, CPC - Coding And Billing
American Academy of Professional Coders
09-2010
Skills
- Operational excellence
- Customer focus
- Quality management systems
- Process improvement expertise
- Problem Solving
- Research and analysis
- Medical terminology
- Positive attitude
- Teamwork
- Attention to detail
- Multitasking Abilities
- Relationship building
Timeline
Director of Quality Improvement
Palm Medical Centers
03.2023 - Current
Quality Professional Improvement II
Conviva Medical Centers/ Humana
06.2017 - 03.2023
Case Manager/Customer Care Coach
Conviva Medical Centers/ Humana
09.2015 - 06.2017
Bachelor of Science - Nursing
Grand Canyon University
Associate of Science - Nursing
University of Southernmost Florida
Certified Professional Medical Auditor, CPMA - Medical Auditing
American Academy of Professional Coders
Certified Professional Coder, CPC - Coding And Billing
American Academy of Professional Coders