Jessica Garcia Email & Phone Number

Phoenix, Az, Us

Pleasanton, California, United States

Livingston, California, United States

Collaborate with departmental directors to gather insights, align goals, and ensure diverse perspectives in project planning and execution. Spearheaded the development and launch of a patient portal for 20,000+ patients and 100,000+ encounters across behavioral health, family practice, and dental services. Oversaw the entire project lifecycle, including development, go-live, training, and performance tracking. Worked with vendors to troubleshoot issues and created an internal ticketing system for portal concerns. Monitored key metrics like staff response times and portal enrollment numbers. Developed marketing materials to promote portal adoption. Created and analyzed patient satisfaction surveys for medical, behavioral health, and dental services, supporting a behavioral health grant. Managed the referrals department, implementing workflow improvements. Supervised a team of 16, providing guidance for high performance. Participated in provider, nursing, and new hire meetings. Prepared annual and monthly board reports for risk management and quality. Led the quarterly Quality Improvement Committee and Monthly Risk Management Committee. Collaborated with health plans to improve patient outcomes and maintain strong relationships. Managed internal incident reports, grievances, and complaints, performing Root Cause Analyses and ensuring timely responses. Served on the Compliance team, ensuring policies were reviewed and approved before board submission. Facilitated the practice discharge process for patients, ensuring compliance with regulatory requirements. Participated in accreditation and regulatory compliance processes for FTCA, HRSA UDS, and PCMH. Collaborated with internal teams and stakeholders to maintain accreditation and regulatory compliance. Implemented continuous improvement initiatives to enhance FTCA and PCMH processes. Assisted with Corrective Action Plans issued by regulatory agencies, coordinating responses and implementing corrective actions.

Fresno, California, United States

Interview, train, mentor, and supervise team members to ensure optimal performance and quality outcomes.Oversee the planning, execution, and follow-up of all Quality Improvement (QI) Program Committees.Collaborate with the Medical Director in organizing various committees, including the Professional Medical Advisory Committee, Quality Improvement Committee, Participant Advisory Committee, and Ethics Committee.Conduct Root Cause Analysis, Impact Analysis, and develop Corrective Action Plans as needed.Coordinate and supervise the appeals and grievance process to ensure efficient and effective resolutions.Adapt and flexibly manage tasks as per evolving business requirements.Ensure timely completion and submission of regulatory-required information, such as HPMS/CMS quality reporting and corrective action plans.Partner with senior leadership to implement and oversee QI and compliance programs, including policy development, procedure implementation, QI plan execution, and audits.Lead mock audits, including staff preparation, scheduling meetings, meeting deadlines, conducting walkthroughs with mock auditors, and timely report submissions.Collaborate with the QI Director to prepare for and successfully navigate all state and federal audits.Partner with the Clinical Service Director to oversee the infection control prevention program, including staff training and conducting recurring audits for continuous improvement.Analyze and generate reports on all QI department data as outlined in the QI plan and required by state and federal regulations.Cultivate relationships with state and federal regulatory agencies such as the Department of Healthcare Services and the Center for Medicare and Medicaid Services (CMS).Developed an incident reporting system using Smartsheet, which was implemented statewide in California.

Fresno, California, United States

Assist the organization during audits conducted by the Department of Healthcare Services (DHCS) and the Center for Medicare and Medicaid Services (CMS) by helping gather appropriate documentation for Request for Additional Information (RAIs) and conducting Impact Analyses.Track and report incidents such as falls with injury, falls without injury, medication errors, and hospitalizations to the Health Plan Management System (HPMS).Ensure timely submission of required data to regulatory agencies.Investigate and resolve grievances and complaints promptly and thoroughly.Monitor staff adherence to policies and procedures, providing educational support as necessary, and collaborating with the leadership team to address any emerging issues.Conduct audits of Service Determination Requests (SDRs) and issue Notice of Actions (NOAs) as needed.Participate in Morning Briefings with the Interdisciplinary Team, offering guidance and support in my role as a Quality Improvement Coordinator.

Merced, California Area

Provide support to providers, medical assistants and health center managers as needed to achieve goals for UDS and HEDIS measures.Work with health plans through the QI Project Manager as required/needed to review and address gaps in incentive goals.Demonstrated proficiency in performing mock audits for healthcare areas including Infection Control, Environment of Care, Life Safety, Patient Safety, Medication Management, Waived Testing, and Information Management. Documented findings, provided actionable recommendations, and effectively communicated results to stakeholders, highlighting a commitment to complianceand patient safety.Collaborate with local site staff to provide needed training and competency assessments specific to quality and safety activities.Support the quality improvement department in the auditing of workflows as it relates to the documentation of quality indicators.Collaborate and support QI coach teams with trends, care gap reports, and other data in relation to quality metrics.Generate accurate and timely QI data, also enter data timely and accurately into established databases, spreadsheets, and other electronic mediums.Submit and present reports to QI team about the progress in metrics across the quality improvement plan and health plan incentive programs.Participate as a preceptor and trainer during general staff training presentations for quality improvement activities.Initiate interview material and interview patients as needed to request feedback on programs and identify areas for improvement.Input audit results in databases for collection and further analysis.

Merced, California, United States

Verified patient data including insurance and demographics.Collected patient copayments and compiled daily financial records.Assisted patients with filling out paperwork during check in as needed.Adhered to strict HIPAA guidelines to protect patient privacy.Managed provider schedules and scheduled for 15 providers based on optimal patient loads and clinician availability.Ensured that HRSA requirements were followed including proper collection of UDS, Financial Assistance paperwork and proper income verification.Educated patients on resources available under HRSA such as discounted visits, specialties covered, Quests discounts, and imaging locations that accept the HRSA financial assistance program.

Merced, California

Merced, California

Doctor Of Philosophy - Phd, Healthcare Administration

Master Of Business Administration - Mba

Bachelor Of Science, Healthcare Administration With A Concentration In Management

Certificate In Real Estate Salesperson License, Real Estate

The course of study includes instruction in: principles of real estate, real estate practices, legal aspects of real estate, real estate.

Associate'S Degree, Pharmacy Technician

Associate'S Degree, Social Sciences