• Managed team of 7 clinical and non-clinical analysts daily to successfully complete analytic projects• Colleague level Reviews• Reviews of QIO Appeal Documentation• Reviews of Denial Documentation• SME for process improvement teams• Quality Appeals Dashboard• Quality Assurance Case Review• PDSA – Patient Engagement• Patient Experience • NCQA• Built surveys and SME on reports that are generated from Qualtrics to include patient experience surveys, monthly market reviews, and quality reviews. • Led team of analysts to prepare data for monthly reports to include collecting, analyzing and presenting the data. Collaborated with regional leadership to identify barriers and improve performance.

• Conducted documentation reviews for the care coordinators of the BPCI program and Health Plan Markets to include QIO Appeals, Denials, Care Coordinators• Conducted monthly UAT testing for enhancements of the internal EMR• Data compilation for the monthly market reviews• Maintenance and upkeep of department SharePoint site and Qualtrics software

• Callaborated with the assigned partnered hospital’s interdisciplinary team to establish and maintain an efficient working relationship to drive the care redesign plan.• Consulted with medical directors and/or management to resolve any barriers in the patient plan of care.• Educated patients and caregivers on disease process, medications, etc.• Conducted telephonic comprehensive condition specific assessment based on patient’s needs.

• Supported department’s goals of testing new models of care delivery and redesign, including participation in bundled payment and ACOs programs, internal improvement projects, and external research with universities.• Mentored a team of seven Innovation Project Managers located across the country.• Managed the creation, revision, implementation of data collection for innovation projects, including the redesign of the Amedisys patient care transitions process.• Served as liaison between the Research & Development and IT departments to achieve timely, accurate, and actionable data and reports.• Developed and conducted training both onsite and via webinars for field clinicians on new data collection systems and outcome reports used in innovation projects.• Served on project team to develop and implement a new patient care coordinator role, designed to support clinical and social needs of high-risk patients.• Managed communication and coordination for the company’s medication therapy managementstudy, which included 40 Amedisys care centers and Purdue University researchers and resulted in a randomized, controlled trial published in Health Services Research.

Created and provided monthly, weekly, and quarterly data reports to monitor differing clinical, financial, and trending data. Tracked and trended data to provide useful metric information to the company community for quality improvement.Assisted with maintenance and updating of company websites that provided weekly updated data to the Clinical Operations team.Maintained and updated data of multiple varying metrics to provide information for quality improvement specific to regional areas.Coordinated and maintained data from varying departments to track and trend into a collaborative reporting system.Identified and communicated trends/issues from weekly indicator reports to Director of Operations, Area Vice Presidents, Vice Presidents, and Senior Leadership as necessary.

Telephonically managed over 30 remote employees who were responsible for the review and locking of OASIS.Responsible for group assignments, evaluation, education, coverage and personnel files.Communicated with 80+ AVPs/DOOs for all issues relating to the QCC department.Provided education throughout the company to ensure the highest understanding of the OASIS data sets for the staff of 400+ care centers.

Responsible for 5 care centers with locking of their OASIS assessments.Continually educated OASIS clinicians and office staff.Assured accuracy of 485s development at a rate of 30+/week.

Provided in-home care to 20+ patients on a weekly basis within the local and surrounding community. Duties included: lab draws, intravenous therapy, monitoring wounds, dressing changes, providing education to the patient and caregivers, admissions, discharges. Led interdisciplinary care management team to coordinate skills of LPNs, physical therapists, occupational therapists, and speech therapists to optimize the outcomes of patients we served. Communicated with physicians to maintain appropriate medical regimen and plan of care.

Directed the nursing staff of a 100-bed facility. Responsible for 60+ team of nursing staff, both licensed and certified. Coordination and education of nursing team on a daily basis. Responsible for operating daily routines of nursing staff, maintaining $70,000 nursing budget, marketing, admission and discharge planning of patients.

Member of an interdisciplinary team. Responsible for skilled and intermediate residents MDS, coordinator of resident care plans. Attended various conferences pertaining to long term care and behavioral management. Knowledge of Medicare-Medicaid billing and regulations within the state of Ohio.

Management of a 49-bed unit. Supervision of a 195-bed facility.Scheduled on a daily basis for a 195-bed facility. Monitored completion of documentation of RNs, LPNs, and STNAs.Interviewed potential employees and hired desired applicants. Member of an interdisciplinary team, restraint-reduction team, quality improvement team, fall committee, and restorative committee.