Kimberly S Hazel Email & Phone Number

Winter Haven, Fl, Us

Polk County, Florida

Medicare STARS Nurse Case Manager• Review Provider level data for HEDIS/STARS compliance and provide education to the office staff to identify actionable items for follow up with members.• Assist Providers in delivering improved patient care and decrease in hospital readmissions and misuse of emergency visits.• Educate the provider community on impact of CAHPS, HOS and HEDIS on member outcomes and STARs performance.

Grand Blanc, Mi

• Currently working as Quality Assurance RN and a active member of the Senior Management Team, the Governing Body and CQI committee for a CHAP accredited agency with an active census of 200+ cases serving over twelve Michigan counties. • Duties include; daily review of clinical documentation for compliance with CMS CoP's, OASIS review, OBQI/OBQM. Assisting DON with employee education and staff development. Providing guidance and assistance to clinical and clerical staff on billing, intake, scheduling and more. • Participates in the Administrator On Call rotation. Established and maintains tracking systems for in progress PIP's. Assists with inquires by outside agencies during audits and reviews. Consults and coordinates with clinicians on patient care concerns. Analyze and monitoring data to determine trends to reduce cost and improve patient services.• Basic knowledge with ICD-9 / ICD-10 coding and proficient with specialized clinical documentation systems such as AllScripts and Devero software.

Flint, Mi.

• Performed case management planning, organization and direction of home health care services to sick and injured home bound patients. Regularly managed 20-40 clinical cases per week acting as a advocate for patient welfare and serving as a liaison between patients, their families and health care providers to develop individualized care plans.• Provided education on new and exacerbated disease processes. Developed wound treatment plans in accordance with WOCN recommendations while also providing wound care and continued assessments. Instructed patients on home Intravenous Therapy (IV) in order to promote independence.

Flint, Mi.

• Determines initial suitability of plasmapherisis donor's through verification of accumulated data and physical examinations. Performed injury, illness, and medication evaluations, history taking, HCT Protein and other tests for eligibility, product integrity, and continued health of donors. Reviewed normal and abnormal test results and provided emergency medical care and intervention if complications arose. • Built rapport ensuring overall satisfaction thorough familiarity and compliance with all state and federal regulations, FDA-approved SOP's, OSHA, CLIA, cGMP, and internal company procedures. Ensured own competence to perform other center technical roles to ensure efficient center operations. Maintained familiarity with new products, technologies, and methods while conducting periodic staff meetings and staff reviews.

Grand Blanc Mi.

• Worked in an award-winning, JCAHO accredited, 410 bed Level II Trauma integrated health care delivery system as a State Licensed Registered Nurse (RN) within a critical care environment. Managed patient care involving; Mechanical Ventilation, specialized Drug Administration, Arterial Lines & Chest Tube, Pacemakers and more to ensure patient care plans were properly delivered.• Maintained high moral and ethical standards to patients and their families while working in a fast pace multi-unit environment. Regularly exceeded clinical expectations and received peer acknowledgement for exceptional performance.