Sr. Clinical Quality Rn - Manager
Current• Spearheaded the development of a new HEDIS Physician Call Center Team, designing processes, procedures, and team standards from the ground up.• Established quality and performance metrics to ensure consistent and measurable team success.• Managed an 7-member team of LPNs, overseeing daily assignments, bi-weekly quality/productivity meetings, quarterly performance reviews, PTO requests, payroll, and ongoing education.• Mastered the Genesys Telephone System; developed training materials and conducted team education to ensure system proficiency.• Designed and implemented a manual tracking/documentation system in Excel to streamline workflow and ensure accurate reporting.• Acquired expertise in DataRap and Cozeva HEDIS abstraction systems; created detailed support materials and trained the team on documentation best practices.• Produced comprehensive status reports for markets to track team progress in chart retrieval and abstraction efforts.• Sent over 17,000 medical record requests to six markets, reviewed more than 1,500 records, and abstracted over 1,000 measures, significantly contributing to the success of the HEDIS season.