Helen Wright Email & Phone Number

Conduct HEDIS medical record reviews.

Austin, Texas

• Conduct provider and plan oversight reviews to ensure compliance with NCQA accreditation standards.
• Provide training to assigned plans and providers to improve quality of processes and practices.

Austin, TX

• Develop, implement, monitor, and report on performance improvement projects that meet all state government requirements and produce measurable results for Medicaid and CHIP managed care programs. Examples of results.
• Define and manage project data, perform data analyses to demonstrate project effectiveness.
• Conduct ongoing analysis and evaluation of quality improvement initiatives.
• Produce member and provider newsletters, documents, and educational materials to support quality improvement initiatives.

Austin, TX

• Develop and manage all aspects of statewide Utilization Management and Review (UMR) program for Medicaid nursing facility waiver and other community-based programs.
• Create and implement a UMR business plan that supports the agency in meeting its mission, goals, and objectives.
• Develop a competent and respected statewide team of managers and UR nurses who identified over $3 million in annual cost savings in FY2011.
• Produce data and reports that ensure agency accountability to stakeholders and state and federal government.
• Engage and empower all team members in continual program development and improvement.
• Translate UMR findings into multiple agency policy and process improvements.

Austin, TX

• Monitor and recommend systems and best practices that produce quality, cost effective care outcomes in a statewide public mental health system.
• As research specialist, design, manage, analyze, and report on morbidity and mortality of persons with chronic mental illness; translate findings into improvements in community nursing practice, present findings at.
• As principal program evaluator, design successful evaluation methods for federal (SAMHSA) youth suicide grant and collaborate with public and private partners to implement grant.
• As nurse consultant on quality management team, improve system of care through revising state rules, improving evaluation and monitoring methods and tools.
• Collaborate with agency and provider stakeholders to produce utilization measures and tools that meet legislative mandates for public mental health system redesign.
• Improve nursing practice through support and coordination of nursing leadership within a statewide system of community mental health centers.

Austin, TX

• Implement a quality management program to monitor and improve the quality of mental health services.
• Conduct focused studies to identify need for practice improvements.
• Investigate grievances to ensure consumers are afforded due process and practice standards and quality of care goals are met.
• Provide HEDIS and other data to ensure agency’s compliance with applicable accreditation standards and contract requirements.
• Serve on numerous ad hoc workgroups to revise, streamline, and improve company’s nationwide systems and processes.

Austin, TX

• Provide quality inpatient psychiatric care to children and adolescents.
• As house supervisor, ensure ongoing nursing care needs met throughout hospital.
• As program administrator of children’s unit, implement treatment program according to best practices and in compliance with JCAHO standards.

Austin, TX

• Provide ongoing consultation that ensures all TXMHMR mental health inpatient hospitals maintain JCAHO accreditation and Medicare certification.
• Implement a quality management program to monitor and improve the quality of community mental health services.
• Contribute to statewide policy and mental health standard development that maximizes quality and consistency of statewide inpatient and community mental health care.
• Assist with interagency coordination of investigative functions with private licensed hospitals, resulting in identifying patterns of abuse leading to major system reform.
• Serve on statewide clinical records committee to streamline and coordinate care.
• Create and successfully implement utilization review initiative that increased state hospital federal reimbursement through improved documentation of care.

Wilford Hall Medical Center, Lackland AFB, San Antonio

• Provide quality inpatient psychiatric care to adults and supervised enlisted and civilian mental health staff.
• Nominated to Self-Inspection team and Awards and Decorations committee.

Austin, TX

• Provide group therapy and quality psychiatric care to children and adolescents in residential treatment center.

Temple, TX

• Provide quality direct patient care.
• Upon promotion to unit supervisor, manage all day-to-day aspects of patient care on 15-bed Intensive Care Unit (surgical, neurosurgical, and pediatric) in a 400-bed teaching hospital, meeting all unit goals and.

Nursing Refresher Course

Doctor Of Philosophy - Phd, Public Health/Community Nurse/Nursing

Msn, Psychiatric/Mental Health Nurse/Nursing

Bsn, Registered Nursing/Registered Nurse