Registered Nurse and Healthcare Professional with progressive healthcare experience. Proactively advocating for the focus and the delivery of effective and efficient quality healthcare for over 25 years.
Overview
31
31
years of professional experience
Work History
Quality RN Strategist
Centene
03.2022 - 09.2023
Provide analytical, planning and coordination support to Healthcare providers for HEDIS measures, NCQA guidelines/updates, and CAHPS/HOS measures.
Collected and analyzed all LOB's metrics for Medicare, Medicaid and Commercial Health plans
Produced and submitted weekly reports outlining progress against KPI objectives for Medicare, Medicaid and Commercial Health Plans
RN Quality Consultant/Case Manager
WellMed
08.2020 - 03.2022
Provided analytical, planning and coordination support to Healthcare providers for HEDIS measures, NCQA guidelines/updates, and CAHPS/HOS measures.
Collaborated with management to provide training on improved processes and assist with creation and the maintenance of quality training.
Care Management: Developed and modified patient care plans and assisted the interdisciplinary team in identifying client needs to determine priorities of care.
Performed prior authorization review of services requiring notification.
RN Senior STARS Improvement Professional
Humana
04.2017 - 07.2020
Provide up to date information from NCQA/CMS standards of care to physicians and clinical staff.
Effectively controlled release of confidential information under mandated HIPPA laws
Seton Northwest Weekend House Supervisor (03/2013 - 07/2015)
ICU RN/ Charge Nurse (03/2006 - 03/2013)
ER RN/Charge Nurse (01/2001 - 03/2006)
Mother Baby RN (2000 - 2001)
Registered Nurse PRN
Seton Family Of Hospitals
03.1996 - 05.1999
Conducted rounds with medical staff to promote improved understanding between patients, nursing staff and medical staff to support continued quality of communication and care.
Promoted patient and family teaching to enhance patient understanding of needs and potentially accelerate recovery.