Amanda Thornton Email & Phone Number

• Implements, oversees, and maintains new and existing healthcare quality monitoring activities and programs; ensuring quality monitoring audits and investigations are performed in accordance with prescribed quality standards; data collection, reporting, and analysis to monitor key quality management activity.• Assists MFL Quality Leadership with providing the strategic direction and implementation of Health Plan quality management activities• Manages QI Compliance specialist activities, including developing work plans to meet NCQA and state and federal-based quality improvement compliance requirements. • Collaborates to ensure accountability for timely and accurate completion of State-mandated QI activities • Maintains structure and processes for tracking and trending reportable incidents, quality of care events, member service concerns, and mortalities and escalate any gaps in processes that could result in poor member satisfaction• Maintains library of accreditation and regulatory updates from NCQA, CMS, and AHCA• Ensures all quality management unit staff are well-versed in the requirements of the quality management program and day-to-day work processes to support compliance with state contract, policies, and program requirements• Utilizes proven quality improvement methods, such as the Plan-Do-Study-Act (PDSA) cycle, to facilitate individual, team, and organizational process improvement• Works to ensure all QI compliance related activities are successfully accomplished each year including: NCQA Accreditation, CAHPS Survey, PSS Survey, HEDIS Data, Regulatory Reporting

Tampa, Florida, United States

• Serves as Company’s Compliance and HR contact for employees and external partners for all related queries, coordination of client audits, answering of compliance-related questions, and updates to BHM’s system of medical necessity criteria.• Oversees accreditation renewals for URAC, NCQA, HITRUST and ensures BHM is compliant in all elements needed.• Oversees the Regulatory Compliance program.• Create, implement employee, management training programs related to accreditation requirements and reviewer education.• Oversees internal recruitment, hiring, retention practices, polices and overall management.• Serve as a Senior Leadership Advisor in various meetings, consult on policy changes, and performance concerns.• Conducts compliance audits of IRO contracts, summarizes results, and presents reports.• Oversees the tracking of BHM Policies and Procedures related to updates and annual reviews.• Ensures the organization's compliance with applicable laws and regulations through audits and other monitoring activities.• Coordinates the identification, prevention, and prompt correction of identified compliance issues.• Chairs or co-chairs the Quality Management Committee (or UR/QMC) and ensures all necessary documentation is received by responsible persons, presented to committee, recorded, and maintained.

Tampa, Florida, United States

•Serve as Company’s HR contact for employees and external partners for all HR related queries• Develop HR strategic plan including recruitment, hiring, retention practices, policies, and overall management• Create, implement employee, management training programs related to accreditation requirements and staffing/management education• Collaborate with hiring managers to understand staffing needs, candidatequalifications, and develop recruitment plan for securing qualified candidatesin a timely manner• Manage employee on-boarding including forms, background checks,citizenship verification, company orientation, facilities, and equipment• Serve as a senior leadership advisor in various meetings• Consult with senior leadership on staff policy changes, performanceconcerns, issues• Understand and keep abreast of employment policies and laws; ensureCompany and employees conform to the rules by continuously, consistentlymonitoring legal compliance

Tampa/St. Petersburg, Florida Area

• Oversee recruiting, interviewing and onboarding new contractors. • Verify such contractor’s credentials, references, and background screenings meet the requirements for AHCA Nurse Registry standards. • Create individualized care plans with clients. • Input schedules for contractors. • Process documentation for contractor invoicing. • Manage ADLware software program.

Jacksonville Beach, Florida

• Schedule all contractors to assist clients • Responded to and resolved all patient service requests.• Educate and communicate with physician offices regarding Medicare home health orders• Responsible for properly entering client and staff information into a database and updating it on a regular basis.• Provided ongoing in-service training and mandatory annual training to contractors and office staff.• Annually review and implement our CEMP and verify procedures comply with registry regulations.• Build professional relationships with clients and contractors to ensure excellent care.

Jacksonville, Fl

• Coordinate staffing needs with multiple hospice organizations• Ensure compliance is current with licensing of all nurses to AHCA standards• Collect and review nursing notes for billing and payroll purposes• Interview and onboard new candidates

Jacksonville Beach, Fl

• Begin the onboarding process for hired 1099 consultants for EMR training.• Process background checks and create offer letters for contractors.• Onboard consultants for projects/go-lives with over 500 employees.• Complete reports to track new hires and changes with consultants.• Verify all employees are within compliance of hospital policies and regulations.

Jacksonville, Florida Area

• Coordinator of Summer Teen Volunteer Program• Work with upper management with regards to scheduling and implementing the program.• Manage liability forms and training procedures for all volunteers within the hospital. • Supervise volunteers on a daily basis to ensure program efficiency.