Dawn K. Email & Phone Number

Austin, Tx, Us

Kyle, Tx, Us

Austin, Texas, United States

Maui County, Hawaii, United States

United States

French Camp, California

Managed HealthcareHEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement initiatives in the service and clinical areas.Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and results. Establish and maintain an action plan to improve HEDIS scores. Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities. Collaborate with providers and internal departments on rate investigation and validation activities, including maintaining all evidences, documentations, and changes. Manage the HEDIS project to include training binder and training of temporary staff, assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality. Conduct quality audit and maintain all data and process controls to ensure compliance.Participate in annual audits for both DHCS and NCQA. Oversees collection of documentation for NCQA standards and quality rating. Create and aggregate Member Satisfaction Survey's(CAHPS) as well as Behavioral Health survey's (ECHO).

Stockton, California Area

Managed HealthcareConducts initial health risk assessment for selected members; triaged as appropriate. Conducts initial and ongoing education of member needs and follow up to ensure they understand and adhere to their care plan.Assists the member in identifying, completing and/or obtaining the required documents, tests and other items required for medical appointments. Refers and connects members to appropriate community resources and support services. Documents and maintains activities and records in appropriate systems according to standard.Participate and collaborate in numerous committees to include; Health Education, FIMR, and Behavioral Health. Produce and distribute meeting minutes. Assist in the creation and structure of the new prenatal program for the health plan.

Stockton, California

On completion of my training I now possess the following knowledge and skills:Health Information management, Medical terminology, Anatomy and Physiology, Pathophysiology, Pharmacology, Coding and reimbursement, Insurance processing, English composition, Oral communications, Human relations, Computer applications

Tracy, Ca

(Availability - Temporary Position) Office CoordinatorSupervised and worked alongside the administrative team to assist in daily task and projects. Human Resources: Coordinated benefits open enrollment and 401K meetings. Processed and submitted; new hire, leave of absences, vacation and sick leave, termination and workman’s comp paperwork. Maintained an updated employee and client files. Safety: Created and maintained emergency plan and safety & disaster plan binder, assisted with quarterly safety inspections. Billing: processed e-billing and created invoices using QuickBooks. Maintained client demographics: entered new client contracts, updated existing and expired contracts. Processed purchase requisitions. Accounts Payable/Receivable: reviewed AR summary report, researched any payment discrepancies and followed up with vendor for payment.

Alamo, Ca.

Project Manager, Curbside MD LiveStartup Company in pilot phase: Assisted the CMO and CTO in day to day operations. Managed all meetings and events for the Project Team and Board of Directors. Collected and processed all new contracts and nondisclosure agreements to ensure participant accounts are created and registered. Supported participants with any application questions and set up needs. Created and maintained daily dashboard analysis. Produced and maintained PowerPoint presentations and all publication materials.

French Camp, Ca

(Office Team - Temporary Position) Administrative AssistantAssisted the Medical Director in day to day operations including correspondence with internal and external professionals with sensitive material. Organized and maintained all travel, meetings and events, as well as, physician and hospital presentations for the Medical Director and nursing staff. Prepared and distributed meeting minutes. Processed urgent disenrollment’s for the Health Plan to ensure members receive the care they need in a timely manner. Produced, maintained and monitored the Daily Census & Bed Days reports. Supported entire Medical Management department in daily clerical tasks. Completed all responsibilities ensuring compliance with all Federal and State regulations, as well as NCQA Accreditation requirements; performed a variety of moderately complex tasks that required a high degree of discretion and independent judgment.

Assisted the CEO, CFO and President of the company with various tasks in an efficient manner. Booked all travel, meetings and events for the entire executive team. Kept all calendars up to date and coordinated all meetings, conference calls and personal appointments. Processed confidential information for business development. Traveled to new locations to assist in the start up of new business as office manager while maintaining work load for the executive team. Updated and tracked delegated tasks, to the Vice Presidents and General Managers, to ensure progress to deadlines. Organized and prepared quarterly meeting packages for board members.

Administrative Assistant 01/2004 - 07/2007Assisted Accounts Payable and Receivables: Coded and posted checks to appropriate accounts. Processed high volume of customer statements and prepared for mailing. Provided administrative support to the entire department.Customer Service 11/2000 - 12/2003Provided customer service in person and by phone - taking customer orders. Assisted customers with their flooring needs by discussing the different types of flooring as well as installation and delivery. Duties included: order entry, heavy phones and customer service relations.

Environmental Health & Safety - InternAssisted department manager in the EH&S department to include data entry, produce departmental memos, and maintained and updated the Material Safety Data Sheets (MSDS). Create interoffice advertisements for up coming safety training's and presentations, as well as, statistical graphs and charts using Power Point Presentation and Publisher.

Business

Cca Certification - Ahima 8/2015