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Manager Of Quality Programs And Care Coordination Resume

Richmond, VA

SUMMARY:

  • Experienced, tech savvy registered nurse with a variety of experience in various healthcare settings including clinical, technical and training roles.
  • Professional clinical contributions include clinical workflow assessment and redesign, clinical expertise for medical device integration implementation projects, collaborating with clinical informaticists and information technology staff for customized solutions as well as training - classroom stand-up, virtual, technical software and Confidential including elbow-to-elbow Confidential support training.
  • MS Office Suite: Word, Excel, PowerPoint, SharePoint, Outlook, Access, Visio
  • Pre and Post Implementation Clinical Workflow Analysis and Customization
  • Relational Database Knowledge
  • SNOMED CT, HCPCS, CPT, ICD 9 & 10
  • Project Implementation Experience
  • Motivational Interviewing Skills
  • Health Information Exchange Knowledge
  • Population Health/ Quality Management
  • Medical Device Integration Experience
  • SDLC & Confidential Knowledge
  • Confidential Navigation/ Documentation/Training
  • Confidential /STARS/PQRS Knowledge athenaNet Confidential Certified
  • Confidential Systems & Troubleshooting
  • Basic Microsoft SQL Knowledge
  • Knowledge of ITIL

PROFESSIONAL EXPERIENCE:

Manager of Quality Programs and Care Coordination

Confidential, Richmond, VA

Responsibilities:

  • Directed care coordination for 32 primary care providers, serving over 108K patients, developing of workflow processes for Quality Programs and Care Coordination
  • Advise and support primary care physician practice group (7 locations) in quality program initiatives, population health management and documentation requirements (AWV, Meaningful Use, etc.)
  • Streamlined quality initiatives such as transitions of care post-hospitalization which led to a reduction in ambulatory sensitive hospital readmissions and decrease in Confidential visit by 12% in 8 months
  • Generate, extract and interpret reports using population health management clinical systems to analyze and manage gaps in care as well as high risk patients to facilitate population management

Confidential

Confidential and Optimization Support Analyst

Responsibilities:

  • Trained Physicians, Nurses and office personnel during Confidential of athenaNet Confidential in Communicator, Collector and/or Clinicals, providing elbow-to-elbow support in various ambulatory care settings athenaNet optimization post- Confidential (order sets, customized saved findings, review of systems or history of present illness, etc. as well as other quick picks and customized flowsheets and templates)
  • Troubleshooting for any athenaNet system issues (such as user configurations, access permissions, requests for enhancements including additional selections needed in dropdown menus, etc.) and coordinate with clients’ Help Desk Analysts to ensure issues are resolved quickly
  • Assessed ambulatory care workflows and proposed/advised on new workflows, making adjustments as necessary for optimization of athenaNet Confidential to improve patient care athenaNet Certified (course taken at Athena Headquarters in Watertown, MA)

Training Specialist

Confidential, Panama City, FL

Responsibilities:

  • Coordinated and delivered clinical applications training and Medical Device Integration software training to internal (employees/new hires) and external clients
  • Instructed installation of medical device integration software ( Confidential ) which included installation and SQL database configuration
  • Instructor led classroom training as well as web-based (virtual classroom) training delivery
  • Developed and maintained training materials for internal employees and external clients
  • Developed and maintained training manuals, multimedia visual aids, and other educational and training materials using a variety of methodologies

Clinical Analyst

Confidential, Panama City, FL

Responsibilities:

  • Analyzed clients' current clinical and documentation workflows using clients’ Confidential (electronic medical record and proposed optimal future workflow post- medical device integration implementation of Medical Device Integration software
  • Provided clinical expertise on a Medical Device Integration implementation project team to support the entire SDLC including Confidential Calls (Traveled 75% to various hospitals to clients’ site)
  • Executed end-to-end testing of Confidential messages from medical devices through Confidential MDI software sent into the clients’ Confidential using Confidential software application dashboards
  • Performed Confidential message raw data searches by date, timestamp, or device using a Confidential GUI dashboard during testing to validate MDI software
  • Collaborated with software development team to repair software drivers deemed clinically and/or technically invalidated via SalesForce tickets (also monitored driver repair status updates via SalesForce tickets)
  • Provided end-user training to clients (clinical informaticists) who use Confidential ’s Data Authenticator charting application, embedded in Confidential 's Confidential software

Case Manager

Confidential, Richmond, VA

Responsibilities:

  • Case management of a Medicaid population of high risk aged, blind, and disabled patients with the main focus on enhancing quality of care while reducing high cost utilization;
  • Visited patients while patient in hospital, or at other facility to conduct face- to- face comprehensive nurse assessments
  • Connected with patients telephonically for comprehensive assessments and ongoing follow up calls to ensure continuity of care, continue cost utilization containment and empower patients to problem-solve and manage their health

Training Specialist

Confidential, Richmond, VA

Responsibilities:

  • Liaised between end-users and Information Technology Team to resolve any Confidential issues
  • Provided floor support for end-users during Confidential of the Confidential upgrades
  • Applied a variety of teaching methodologies including Adult Learning Principles to quickly adapt to and meet learner needs ( Confidential model)
  • Created test cases in the training environment of the proprietary Electronic Medical Record system in preparation for new hire training and any other training events
  • Maintained attendance records for class participants using a Learning Management Systems (LearnPoint and Gemini)

Telephonic Disease Management

Confidential, Richmond, VA

Responsibilities:

  • Telephonic (VOIP) & web-based disease management for patients with chronic health conditions utilizing motivational interviewing skills to assess, teach and motivate patients to change health behaviors
  • Confidential abstractor for 6 months in 2005 for Anthem Blue Cross/Blue Shield Division

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