Joyce Andersen Email & Phone Number

Eden Prairie, MN, US

• Create, maintain, and update quality educational materials including Quality Quick Tips, LearnSource courses, for quality measures; CMS HEDIS, NCQA CAHPS & HOS, CMS STAR ratings.
• Conduct training sessions for Optum Clinical Performance Quality teams as requested. These include the following: Positive Telephone Etiquette and Customer Service, De-escalation Strategies with Telephonic Services to.
• Create a CME (Continuing Medical Education) course for physicians and clinical providers on NCQA CAHPS and HOS Surveys and Strategies.
• Work with UHC Provider Education Manager to create a cloud based Optum course similar to a UHC course for providers on NCQA CAHPS and HOS Surveys and Importance.
• Create SOP’s and clinical policies that define and describe job functions specific to job assignments.

US

• Analysis of HEDIS and State quality measures data on provider performance and determine strategies for clinical improvement as indicated.
• Conduct monthly audits of Patient Care Opportunity Reports for assigned provider groups.
• Implement strategies and problem-solving solutions to improve quality measure results.
• Evaluate effectiveness of strategies implements and adjust activities as indicated by data.
• Present results of quality improvement activities to program leadership and internal partners.
• Collaborate with internal and external partners to ensure achievement of quality measure goals.

St Petersburg, Florida, US

Worked as an Inpatient RN Case Manager, responsible for utilization review and care coordination, including discharge planning, for patients on the neuro/surgical unit and the pediatric ICU.

Hollywood, Florida, US

Case management, utilization review for pediatric patients in the PICU at Joe DiMaggio Children's Hospital.

Madison, WI, US

Program Manager for the Emergency Medical Services for Children Program, statewide nurse consultant on care of children and families to local and regional public health departments and contracted agencies providing service to children and families in the state of Wisconsin.

Master'S Degree, Nursing

Bachelor'S Degree, Registered Nursing/Registered Nurse

Associate'S Degree, Registered Nursing/Registered Nurse