Debra Fleming Email & Phone Number

United States

-Modernize care team practices according to nursing standards, local, state, and federal guidelines, and organizational policy.-Screening future applicant screening during hiring process-Orientate new staff in areas of patient care, medical practices, and procedures-Yearly performance evaluations, employee improvement/corrective action plans, development.

Florida, United States

• Quality Improvement Patient Safety Meeting with CEO, COO, Providers and Department Directors reporting Quality metrics and analytics
• Inspection of both clinical, non-clinical work areas and medical equipment according to Joint Commission standards and accreditation process
• Evaluating nursing proficiencies, identifying, and targeting areas for improvement.
• Endorsing & Developing improvement plans to meet data analysis target benchmarks
• Negotiating contracts with leading clientele, encompassing industry-leading organizations and multitude of projects.
• Determining medical necessity and cost-effectiveness of services through utilization review processes.

New York, New York, United States

-Leading monthly meetings with Physician Champions, Quality Management, Clinical, and Medical Billing & Coding departments providing current and projected data analytical reports.-Strategizing with Physicians and office staff to improve patient experience, continuity of care, and Gaps in Care to achieve (5) five stars-Collaborate with team members to.

Bellevue Hospital Center

-Board meeting with the Medical Director, Medicine Chief of Staff, Attendings and Hospitalist establishing diagnoses criteria-Re-establishing and revamping methods to have a better work flow between the H.I.M dept./CDI'S and the various Specialty & General Medicine Physicians -Responsible for educating and supporting new Residents on the importance of the.

New York, New York

• Jewish Home Life care New York, NY 06/2013- PresentNurse Case Manager Evaluator (Contract)
• Manage designated hospital accounts
• Review of PRI/Screen for potential admissions. Extracting and analyzing the results
• Delegating field liaison to observe and follow up on perspective patients referrals
• Identifying best practice case studies and working with signatories to develop them
• Communication with various MD, Nurses and Social Workers to coordinate patient care

Review Appeals Files to Update Administration dataField visits to Hospitals, Physicians Offices to extract Medical Documentation Proof reading findings for accuracy Input finding into Access DatabaseEducating Physicians' office staff on HEDIS requirementImplement outreach strategies to help increase HEDIS scoresOutreach calls to client to encourage and.

Supervising Care Team staff that consist of three family practice MD, five MA, and two clerksAdvocating for patient to provide appropriate treatment, care, and services to improve Quality Of LifeChart Update in Electronic Medical Records (EMR); Obtains, verifies and records health history of patientWorked alongside Gynecology, Pediatrics, Urology.

Assist with initial assessment of patients upon admission, and assist with discharge planningTaking and Transcribing Doctors ordersAccurately dispensing of medicines via oral, GT, and NGT routesAble to relate brand name drugs to their generic names Report changes in patients' conditions routinely, and when requiring immediate attentionUrinalysis & culture.

Bachelor Of Applied Science - Basc, Registered Nursing/Registered Nurse

Education record

License Practical Nurse Program

Certificate, Medical Insurance Coding Specialist/Coder, 95

Activities and Societies: Honors