Haley Thomas Email & Phone Number

Georgia, United States

• Responsible for responding to client concerns related to quality
• Responsible for analyzing data and developing and managing action plans related to trends
• Oversight of CMS validation, measure updates, audit results and regulatory changes
• Partnered with subject matter experts to develop and deploy education for clinical team members; including pre-hire testing, orientation programs, and ongoing education
• Actively driving change by improving processes in support of the Quality Program

• Direct management of Team Leaders and abstraction staff, overseeing orientation and providing ongoing performance feedback. Monitoring and assessing quality and efficiency of staff providing feedback and education when.
• Assisted in new client implementations and collaborated with other team members to successfully start up new clients. Accountable for quality program for service line. Optimize staff utilization and team efficiency.
• Subject matter expert – staying up to date with regulations and abstraction changes
• Identify and assist in development of processes to improve efficiency and client satisfaction,

• Responsible for monitoring and managing client satisfaction, meeting client deadlines, managing/implementation of new clients, coordinating abstractions and assignments, completing and monitoring ongoing IRR for each.
• Responsible for monitoring backlog cases and implementing action plan for the completion of cases, monitoring for performance issues and developing performance improvement plans when needed, monitoring pending cases.

Chattanooga, TN

• Responsible for all physician peer review activities within the facility.
• Responsible for Coordinating and conducting the Peer Review Committee
• Organize and Manage Performance Improvement Committee meeting monthly.
• Day to day responsibilities include: Performing routine chart reviews for procedure complications/appropriateness/various other required indicators, mortalities, cardiac, pathology/radiology discrepancies, etc. These.
• Assist with various regulatory activities, reviews as well as risk management; Assist with Planning and implementing changes as may be required due to regulatory and risk identified items.
• Oversee and assist with maintaining all performance improvement activities within the facility; Evaluation of the performance improvement activities.

• Responsibilities included having knowledge of all events and activities affecting the quality of care patients received and ensure that patient care outcomes are measured and monitored on a consistent and reliable basis.
• Responsible for reporting to multiple medical staff committees including Medical Executive Committee and hospital administration about intervention opportunities to improve care based on the results of hospital.
• Coordinated the collaborative process by which medical staff and hospital administration formulate strategies and policies/procedures to ensure the delivery of high-quality, cost effective care. Responsible for daily.
• Through the day to day operations of case management; assured that the facility: (1) Provided high-quality, cost-effective medical care services to the patients; (2) Implemented evidence-based disease management and/or.
• Responsible for oversight of day to day clinical case management operations including data collection for core measures and other performance measures as set by administration and the medical staff

• Responsible for supervision of all department case managers and social workers in the day-to-day performance of case management activities, as well as performing day-to-day activities of case management.
• Ensured efficient daily departmental operations by determining staffing assignments as needed for coverage of all patient care units related to patient census and continually evaluate department operations to assure.
• Facilitated Utilization Review Committee activities which focused on patients that had a LOS > 4 days. This committee was chaired by the Physician Advisor and attended by Administration, Home Health, Hospice and case.
• Responsible for day-to-day communication with case management staff and physicians regarding the continuum of care for the patients for which we rendered care.

• Responsibilities included oversight of the day-to-day activities of the nursing/nursing assistant staff, scheduling and staffing, problem solving, chart reviews, staff coaching and counseling, weekly patient care.
• Responsible for supervision in excess of 30-35 nurses and nurse assistants

• Responsible for case managing the health care of approximately 25 to 30 patients. Scheduled their visits, performed nursing skills in their homes, and administered intravenous antibiotic therapy, blood transfusions and.

Bachelor Of Applied Science (Basc), Registered Nursing/Registered Nurse

Associate'S Degree, Registered Nursing/Registered Nurse