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Skills

  • Patient screening adherence coaching
  • Oxygen saturation standards
  • Data entry
  • Preventative health
  • Chronic disease management
  • Data analytics and reporting
  • HEDIS® measure abstraction
  • Fluent in French
  • Patient data collection automation
  • Process optimization

Work Experiences

  • Addressed underperforming HEDIS® measures.
  • Achieved a 31% reduction in reportable errors.
  • Reported findings to quality departments and collaborated with the team to develop corrective actions for any deficiencies after conducting routine restraint audits.
  • Advocated for patients in my care and implemented prescribed treatment strategies using firsthand knowledge and clinical expertise.
  • Assessed and abstracted electronic medical records (EMRs) for multiple cycles of HEDIS® reporting, which contributed to Brightline achieving a Innovation Award.
  • Acted quickly in situations that threatened the unit's safety and security, implementing crisis prevention interventions to control and de-escalate the situation.
  • Provided critical-ill patients with a skilled, timely, and level-headed emergency response.
  • Gave medications and treatments to patients and tracked their responses while collaborating with healthcare teams to adjust treatment plans.
  • Oversaw 8 nurses and nursing activities in a 7-bed hospital, providing comprehensive nursing guidance and ensuring high levels of patient satisfaction and care.
  • Analyzed medical records for compliance.

Summaries

  • Flexible and adaptable to changing patient needs and conditions.
  • Budget management is something I'm very familiar with.
  • With strong attention to detail, clinical expertise, and emergency response experience, she is adaptable and resilient.
  • Successfully led unit-based groups to improve care delivery and patient satisfaction.
  • Achieved a 37% reduction in chart abstraction errors.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Professionally trained with risk assessment and client relations abilities.
  • Bringing a 13-year track record of nursing success and seeking a HEDIS Nurse position with a procedure facility.
  • Achieved 22% improvement in reporting accuracy.
  • Ready for a new opportunity to put my outstanding nursing skills to work in a method setting.

Accomplishments

  • Facilitated monthly HEDIS® data validation meetings with clinical staff, improving real-time compliance performance by 58%.
  • Executed a multi-departmental training on HEDIS® data capture processes, resulting in a 53% increase in data submission accuracy.
  • Documented and resolved system which led to metric.
  • Led thorough reviews and audits of medical records to identify care gaps, increasing documentation accuracy by 33% by the end of 2023.
  • Facilitated improvement workshops with clinical teams to address underperforming HEDIS® metrics, resulting in measurable gains across 16 essential benchmarks.
  • Introduced automated tools for HEDIS® abstraction, reducing time spent on manual data retrieval and enhancing measure accuracy by 26%.
  • Contributed to strategic planning for HEDIS® compliance initiatives, yielding a 83% improvement in key measures related to chronic disease management.
  • Created a HEDIS® abstraction guide that improved the training of new hires, reducing onboarding time by 6 weeks, bolstering team productivity.
  • Supported medical records retrieval for HEDIS® audits, ensuring that 8 records met NCQA standards, which led to zero deficiencies in the audit.
  • Collaborated with cross-functional healthcare teams to improve HEDIS® performance metrics, contributing to a 64% reduction in non-compliant claims for 2018.

Affiliations

  • Certification in Healthcare Quality and Performance Improvement (LEAN Six Sigma Green Belt)
  • National Association of Healthcare Access Management (NAHAM)
  • Society of Human Resource Management
  • Association for Professionals in Infection Control and Epidemiology (APIC) - HEDIS® specific workshops
  • Healthcare Financial Management Association (HFMA)
  • HEDIS® Quality Improvement Workgroups - category
  • Population Health Alliance Partnership
  • Association for Computing Machinery
  • American College of Healthcare Executives (ACHE)
  • Quality and Safety Education for Nurses (QSEN) Institute

Certifications

  • Advanced HEDIS® Data Abstraction Workshop Certification
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified in Special Population Analytics (CSPA)
  • Certified Informatics Nurse (RN-BC)
  • Certified Health Information Management (CHIM)
  • Certified Healthcare Technology Specialist (CHTS)
  • Project Management Professional (PMP)
  • Certified in Electronic Health Records Management (CEHRS)
  • SHRM Certified Professional (SHRM-CP)
  • ICD-10 Medical Coding Specialist (ICD-10-CM)

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