Angela Moss has over 20 years of experience in clinical documentation improvement, case management, coding, and revenue cycle management. She currently works as a Clinical Documentation Improvement Specialist at Barnes Jewish Hospital, where she leads a team of 29 specialists and has helped improve the hospital's mortality index and value-based purchasing scores. She also works as an independent consultant, advising healthcare facilities on ICD-10 readiness and CDI program development.
Alison Hurst has over 30 years of experience in healthcare including nursing, case management, emergency services, and leadership roles. She holds a Bachelor's in Nursing and multiple certifications. Her objective is to obtain a challenging position that allows her to utilize her clinical expertise, leadership, and collaborative skills. She has a history of successfully managing teams, implementing improvements, and reducing costs.
Jill Fulkerson is a registered nurse with over 20 years of clinical leadership and healthcare administration experience. She currently serves as the Director of Inpatient Services at West Valley Medical Center in Idaho, overseeing multiple clinical departments and 160 employees. Previously, she was the Clinical Director of the Emergency Department at Tacoma General Hospital in Washington, managing a staff of 112 employees and an annual budget of $123 million. Her experience demonstrates success in improving clinical quality, patient satisfaction, and financial performance through process improvement initiatives and staff development.
Alan J. Baker has over 20 years of experience in clinical nursing and healthcare administration. He is currently the Chief Nursing Officer at Willow Springs Hospital in Reno, NV, where he oversees the nursing department budget and operations. Previously, he was the RN Manager for North American Partners in Anesthesiology, where he managed daily operations and ensured regulatory compliance. Baker has extensive leadership experience in healthcare facilities, including as Health Services Administrator at Fluvanna Correctional Center for Women. He holds multiple nursing licenses and an MBA in Health Management.
This document provides a summary of Amie Jacobs' work experience and qualifications as a registered nurse. She has over 20 years of experience in care management, utilization review, and case management roles with various health plans and hospitals. Her experience includes developing care management policies, authorizing treatment plans, conducting utilization reviews, and ensuring compliance with regulations. She is licensed as a registered nurse in California with skills in Microsoft Office, leadership, and mentoring.
The document provides a summary of Karen Faulis' professional experience and qualifications. She has over 25 years of experience in healthcare leadership, quality improvement, and nursing. As Chief Operating Officer, she led successful initiatives to improve patient outcomes, satisfaction, and financial performance at hospitals. She is skilled in quality improvement, change management, and developing employees.
Sylvester O. Foote has over 15 years of experience in healthcare administration. He is currently the Vice President of Administration, Compliance and Security Officer at Newark Community Health Centers, where he oversees administrative services and compliance for 7 health centers. Previously, he was Vice President of Clinical Services at Enable Healthcare, where he managed clinical service lines and implemented programs. He also held director roles overseeing clinical operations and an ambulatory care practice.
Natalya Csatari has over 15 years of experience as a registered nurse. She has worked as a care manager for Wellcare Health Plan and United Health Care, where she coordinated care for members, assessed needs, and developed and implemented care plans. She also served as Director of Nursing at Always Care Adult Medical Day Care Center, overseeing nursing services and education. Csatari aims to obtain a position that allows her to utilize her clinical expertise and experience in care coordination and management.
Diana Cremeans has over 25 years of experience in nursing, clinical education, case management, and leadership. She currently works as the Lead Case Manager at Select Medical/Cleveland Clinic Acute Inpatient Rehabilitation Hospital, where she oversees social workers and case managers. She also teaches as an adjunct instructor at Lorain County Community College. Previously, she held several director and manager roles involving clinical operations, case management, and nursing education at various hospitals and care facilities.
Alison Hurst has over 30 years of experience in healthcare including nursing, case management, emergency services, and leadership roles. She holds a Bachelor's in Nursing and multiple certifications. Her objective is to obtain a challenging position that allows her to utilize her clinical expertise, leadership, and collaborative skills. She has a history of successfully managing teams, implementing improvements, and reducing costs.
Jill Fulkerson is a registered nurse with over 20 years of clinical leadership and healthcare administration experience. She currently serves as the Director of Inpatient Services at West Valley Medical Center in Idaho, overseeing multiple clinical departments and 160 employees. Previously, she was the Clinical Director of the Emergency Department at Tacoma General Hospital in Washington, managing a staff of 112 employees and an annual budget of $123 million. Her experience demonstrates success in improving clinical quality, patient satisfaction, and financial performance through process improvement initiatives and staff development.
Alan J. Baker has over 20 years of experience in clinical nursing and healthcare administration. He is currently the Chief Nursing Officer at Willow Springs Hospital in Reno, NV, where he oversees the nursing department budget and operations. Previously, he was the RN Manager for North American Partners in Anesthesiology, where he managed daily operations and ensured regulatory compliance. Baker has extensive leadership experience in healthcare facilities, including as Health Services Administrator at Fluvanna Correctional Center for Women. He holds multiple nursing licenses and an MBA in Health Management.
This document provides a summary of Amie Jacobs' work experience and qualifications as a registered nurse. She has over 20 years of experience in care management, utilization review, and case management roles with various health plans and hospitals. Her experience includes developing care management policies, authorizing treatment plans, conducting utilization reviews, and ensuring compliance with regulations. She is licensed as a registered nurse in California with skills in Microsoft Office, leadership, and mentoring.
The document provides a summary of Karen Faulis' professional experience and qualifications. She has over 25 years of experience in healthcare leadership, quality improvement, and nursing. As Chief Operating Officer, she led successful initiatives to improve patient outcomes, satisfaction, and financial performance at hospitals. She is skilled in quality improvement, change management, and developing employees.
Sylvester O. Foote has over 15 years of experience in healthcare administration. He is currently the Vice President of Administration, Compliance and Security Officer at Newark Community Health Centers, where he oversees administrative services and compliance for 7 health centers. Previously, he was Vice President of Clinical Services at Enable Healthcare, where he managed clinical service lines and implemented programs. He also held director roles overseeing clinical operations and an ambulatory care practice.
Natalya Csatari has over 15 years of experience as a registered nurse. She has worked as a care manager for Wellcare Health Plan and United Health Care, where she coordinated care for members, assessed needs, and developed and implemented care plans. She also served as Director of Nursing at Always Care Adult Medical Day Care Center, overseeing nursing services and education. Csatari aims to obtain a position that allows her to utilize her clinical expertise and experience in care coordination and management.
Diana Cremeans has over 25 years of experience in nursing, clinical education, case management, and leadership. She currently works as the Lead Case Manager at Select Medical/Cleveland Clinic Acute Inpatient Rehabilitation Hospital, where she oversees social workers and case managers. She also teaches as an adjunct instructor at Lorain County Community College. Previously, she held several director and manager roles involving clinical operations, case management, and nursing education at various hospitals and care facilities.
Tonya Snyr is a registered nurse seeking full-time employment. She has over 20 years of nursing experience in various clinical settings including home health, mental health, case management, and clinical communications. Her experience includes performing assessments, medication management, care coordination, and utilizing various computer programs for documentation and patient care. She is licensed in Michigan and Ohio and maintains all necessary certifications.
Tiffany Curtis has over 15 years of experience in healthcare leadership, quality improvement, and project management. She currently works as a Quality Improvement Consultant, assisting healthcare providers in meeting requirements for electronic health records and quality reporting. Previously she has held roles as a nurse manager and clinical supervisor. She has expertise in healthcare policy, process improvement, data analysis, and ensuring regulatory compliance. Curtis holds an MBA in Healthcare Management and multiple nursing certifications.
Cynthia Cadwell has over 30 years of experience in nursing and healthcare quality improvement. She currently works as a nurse practitioner providing clinical care and case management to injured workers. Her background includes roles in healthcare consulting, clinical research, quality improvement, and executive leadership positions at hospitals and healthcare companies. She has extensive experience designing and implementing programs to improve clinical outcomes and reduce costs.
Sylvester O. Foote has over 15 years of experience in healthcare administration and nursing. He currently serves as Vice President of Administration, Compliance and Security Officer for Newark Community Health Centers, where he oversees administrative services for 7 health centers. Previously, he held roles such as Vice President of Clinical Services for Enable Healthcare and Director of Clinical Operations for Horizon Health Center. He has a PhD(c) from Seton Hall University, MHA from Western Connecticut State University, and BSN from College of Mount Saint Vincent.
Suzanne R Anders has over 20 years of experience in healthcare quality improvement, patient safety, and infection prevention. She has held several leadership roles with Health Services Advisory Group and California's Medicare Quality Improvement Organization, where she helped reduce catheter-associated urinary tract infections in hospitals. Anders is skilled in process improvement methodologies and has trained over 2000 clinicians to reduce healthcare-associated infections. She holds a Master's in Healthcare Innovation and is a registered nurse in California and Arizona.
This document discusses a model for coordinating care for patients traveling long distances to an academic medical center. It proposes assigning each patient a "temporary medical home" based on their condition to coordinate all aspects of care during their episode of care. This includes assigning a dedicated nurse to coordinate appointments, financial clearance, and navigation through intake, treatment, discharge and follow up. The goals are to improve patient and provider experience, increase patient volumes and revenue, and support the institution's research mission.
Cynthia Cadwell has over 30 years of experience in nursing and healthcare quality improvement. She holds multiple certifications including Adult Nurse Practitioner and Acute Care Nurse Practitioner. Her experience includes roles in clinical practice, education, consulting, and executive leadership focused on improving clinical outcomes and reducing costs. She has worked in hospitals, clinics, and the healthcare industry developing training programs and facilitating quality improvement initiatives.
Cynthia Collin has over 15 years of experience in clinical support roles. She is currently a Clinical Support Supervisor at Harvard Vanguard Medical Associates, where she supervises support staff and manages the administrative needs of the Behavioral Health Department. Previously, she worked at Beth Israel Deaconess Medical Center, where she was promoted from File Clerk to Lead Practice Assistant in the Dermatology department. She holds a Bachelor's degree from UMass Boston and a Master's in Management with a healthcare concentration from Cambridge College.
This document contains the resume of Fariba Fadaee. She has over 7 years of experience in clinical documentation and over 10 years practicing medicine. She has held various roles related to clinical documentation improvement and coding, including as a clinical documentation specialist, coding analyst, and CDS manager. She has extensive experience in physician education on topics like ICD-9, ICD-10, MS-DRGs, and quality reporting measures. She is proficient in various medical software programs and health records systems. Her education includes obtaining an MD in Iran and additional certifications in areas like coding, documentation, and health information technology.
This document is a resume for Chelsee Bavas summarizing her 25 years of experience in healthcare management and quality improvement. It lists her areas of expertise including organizational leadership, process improvement, data analytics, and operations management. It then details two of her most recent roles, as a Senior Specialist in Performance Improvement from July to October 2016 where she led quality improvement teams, and previously as a Clinical Director from April to October 2014 where she provided analysis and training to increase access to care. The resume concludes with her education and security clearance.
Patient satisfaction & quality in health care (16.3.2016) dr.nyunt nyunt waiMmedsc Hahm
This document discusses patient satisfaction and quality in healthcare. It defines patient satisfaction as how an individual regards healthcare services as useful, effective or beneficial. Patient satisfaction is important for public accountability and quality improvement at both the system and individual provider levels. The document outlines factors that influence patient satisfaction, including quality and competency of providers, effectiveness and appropriateness of care, and interpersonal relationships. It also discusses the importance of a client-centered approach that prioritizes patients' needs and rights.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
This standardized position description is for an Army Nurse (Clinical/Case Management) at grade GS-12. The nurse serves as a case manager on a multidisciplinary team, providing assessment, planning, implementation, coordination, evaluation and monitoring of patient care. Key responsibilities include developing plans of care for beneficiaries, facilitating communication between healthcare providers, and empowering patients to make informed healthcare decisions. The nurse also oversees nursing practice, develops clinical guidelines, and identifies strategies to improve access, quality and cost-effectiveness of care.
Patient Experience Defined. Patient experience encompasses the range of interactions that patients have with the health care system, including their care from health plans, and from doctors, nurses, and staff in hospitals, physician practices, and other health care facilities.
The document discusses the changing role and requirements of hospitals. It notes that hospitals must address increasing chronic diseases, changing public expectations, more patients requiring long-term support, and staff well-being. Hospitals now focus on health promotion for patients and staff, and consider their environmental impact. Performance is measured using data collection, analysis, and evidence-based conclusions to improve quality.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
Michaela V Andrews is seeking a position that utilizes her Bachelor's Degree in Business and Health Care Administration and over 20 years of experience as a Licensed Practical Nurse. She has experience in various clinical settings including hospitals, nursing homes, psychiatric facilities, and urgent care clinics. Her experience also includes administrative roles such as nursing supervisor, assistant manager, and clinical reviewer. She has strong skills in areas such as coding, compliance, management, and customer service.
Maria Riviere has over 20 years of experience in healthcare case management and nursing. She has worked in various roles at Baptist Health South Florida, Miami Children's Hospital, and Blue Cross Blue Shield of Florida. She is bilingual in English and Spanish with a proven record of cultivating relationships and providing culturally sensitive care. Riviere aims to ensure quality care, regulatory compliance, and optimal resource utilization through comprehensive intakes, treatment planning, and discharge processes. She is currently pursuing her BSN degree.
Rita R. Russell has over 30 years of experience in healthcare quality management, administration, and nursing. She has successfully transitioned clinics, organized educational programs, and established quality guidelines and standards. Currently she is the Quality Management Coordinator for Surgery at the John D. Dingell VA Medical Center where she assists with quality improvement, accreditation activities, and monthly/quarterly reporting. Previously she held roles as Quality Manager, Practice Administrator, and Charge Nurse where she oversaw operations, coordinated staff and resources, and provided case management.
Tonya Snyr is a registered nurse seeking full-time employment. She has over 20 years of nursing experience in various clinical settings including home health, mental health, case management, and clinical communications. Her experience includes performing assessments, medication management, care coordination, and utilizing various computer programs for documentation and patient care. She is licensed in Michigan and Ohio and maintains all necessary certifications.
Tiffany Curtis has over 15 years of experience in healthcare leadership, quality improvement, and project management. She currently works as a Quality Improvement Consultant, assisting healthcare providers in meeting requirements for electronic health records and quality reporting. Previously she has held roles as a nurse manager and clinical supervisor. She has expertise in healthcare policy, process improvement, data analysis, and ensuring regulatory compliance. Curtis holds an MBA in Healthcare Management and multiple nursing certifications.
Cynthia Cadwell has over 30 years of experience in nursing and healthcare quality improvement. She currently works as a nurse practitioner providing clinical care and case management to injured workers. Her background includes roles in healthcare consulting, clinical research, quality improvement, and executive leadership positions at hospitals and healthcare companies. She has extensive experience designing and implementing programs to improve clinical outcomes and reduce costs.
Sylvester O. Foote has over 15 years of experience in healthcare administration and nursing. He currently serves as Vice President of Administration, Compliance and Security Officer for Newark Community Health Centers, where he oversees administrative services for 7 health centers. Previously, he held roles such as Vice President of Clinical Services for Enable Healthcare and Director of Clinical Operations for Horizon Health Center. He has a PhD(c) from Seton Hall University, MHA from Western Connecticut State University, and BSN from College of Mount Saint Vincent.
Suzanne R Anders has over 20 years of experience in healthcare quality improvement, patient safety, and infection prevention. She has held several leadership roles with Health Services Advisory Group and California's Medicare Quality Improvement Organization, where she helped reduce catheter-associated urinary tract infections in hospitals. Anders is skilled in process improvement methodologies and has trained over 2000 clinicians to reduce healthcare-associated infections. She holds a Master's in Healthcare Innovation and is a registered nurse in California and Arizona.
This document discusses a model for coordinating care for patients traveling long distances to an academic medical center. It proposes assigning each patient a "temporary medical home" based on their condition to coordinate all aspects of care during their episode of care. This includes assigning a dedicated nurse to coordinate appointments, financial clearance, and navigation through intake, treatment, discharge and follow up. The goals are to improve patient and provider experience, increase patient volumes and revenue, and support the institution's research mission.
Cynthia Cadwell has over 30 years of experience in nursing and healthcare quality improvement. She holds multiple certifications including Adult Nurse Practitioner and Acute Care Nurse Practitioner. Her experience includes roles in clinical practice, education, consulting, and executive leadership focused on improving clinical outcomes and reducing costs. She has worked in hospitals, clinics, and the healthcare industry developing training programs and facilitating quality improvement initiatives.
Cynthia Collin has over 15 years of experience in clinical support roles. She is currently a Clinical Support Supervisor at Harvard Vanguard Medical Associates, where she supervises support staff and manages the administrative needs of the Behavioral Health Department. Previously, she worked at Beth Israel Deaconess Medical Center, where she was promoted from File Clerk to Lead Practice Assistant in the Dermatology department. She holds a Bachelor's degree from UMass Boston and a Master's in Management with a healthcare concentration from Cambridge College.
This document contains the resume of Fariba Fadaee. She has over 7 years of experience in clinical documentation and over 10 years practicing medicine. She has held various roles related to clinical documentation improvement and coding, including as a clinical documentation specialist, coding analyst, and CDS manager. She has extensive experience in physician education on topics like ICD-9, ICD-10, MS-DRGs, and quality reporting measures. She is proficient in various medical software programs and health records systems. Her education includes obtaining an MD in Iran and additional certifications in areas like coding, documentation, and health information technology.
This document is a resume for Chelsee Bavas summarizing her 25 years of experience in healthcare management and quality improvement. It lists her areas of expertise including organizational leadership, process improvement, data analytics, and operations management. It then details two of her most recent roles, as a Senior Specialist in Performance Improvement from July to October 2016 where she led quality improvement teams, and previously as a Clinical Director from April to October 2014 where she provided analysis and training to increase access to care. The resume concludes with her education and security clearance.
Patient satisfaction & quality in health care (16.3.2016) dr.nyunt nyunt waiMmedsc Hahm
This document discusses patient satisfaction and quality in healthcare. It defines patient satisfaction as how an individual regards healthcare services as useful, effective or beneficial. Patient satisfaction is important for public accountability and quality improvement at both the system and individual provider levels. The document outlines factors that influence patient satisfaction, including quality and competency of providers, effectiveness and appropriateness of care, and interpersonal relationships. It also discusses the importance of a client-centered approach that prioritizes patients' needs and rights.
Weitzman 2013 Relative patient benefits of a hospital-PCMH collaboration with...CHC Connecticut
Anuj K Dalal presents information on a PCORI research grant: Relative patient benefits of a hospital-PCMH collaboration within an ACO to improve care transitions.
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
This standardized position description is for an Army Nurse (Clinical/Case Management) at grade GS-12. The nurse serves as a case manager on a multidisciplinary team, providing assessment, planning, implementation, coordination, evaluation and monitoring of patient care. Key responsibilities include developing plans of care for beneficiaries, facilitating communication between healthcare providers, and empowering patients to make informed healthcare decisions. The nurse also oversees nursing practice, develops clinical guidelines, and identifies strategies to improve access, quality and cost-effectiveness of care.
Patient Experience Defined. Patient experience encompasses the range of interactions that patients have with the health care system, including their care from health plans, and from doctors, nurses, and staff in hospitals, physician practices, and other health care facilities.
The document discusses the changing role and requirements of hospitals. It notes that hospitals must address increasing chronic diseases, changing public expectations, more patients requiring long-term support, and staff well-being. Hospitals now focus on health promotion for patients and staff, and consider their environmental impact. Performance is measured using data collection, analysis, and evidence-based conclusions to improve quality.
Weitzman 2013: PCORI: Transforming Health CareCHC Connecticut
This document summarizes a presentation given by Joe Selby on the Patient-Centered Outcomes Research Institute (PCORI). It discusses PCORI's mission to fund comparative clinical effectiveness research that is guided by patients and other stakeholders. Key points include: PCORI's focus on research questions of interest to patients and providers; its criteria for funding proposals, including patient-centeredness and engagement; and its plans to significantly increase funding for such research over time. Examples are given of funded pilot projects involving community health centers.
Michaela V Andrews is seeking a position that utilizes her Bachelor's Degree in Business and Health Care Administration and over 20 years of experience as a Licensed Practical Nurse. She has experience in various clinical settings including hospitals, nursing homes, psychiatric facilities, and urgent care clinics. Her experience also includes administrative roles such as nursing supervisor, assistant manager, and clinical reviewer. She has strong skills in areas such as coding, compliance, management, and customer service.
Maria Riviere has over 20 years of experience in healthcare case management and nursing. She has worked in various roles at Baptist Health South Florida, Miami Children's Hospital, and Blue Cross Blue Shield of Florida. She is bilingual in English and Spanish with a proven record of cultivating relationships and providing culturally sensitive care. Riviere aims to ensure quality care, regulatory compliance, and optimal resource utilization through comprehensive intakes, treatment planning, and discharge processes. She is currently pursuing her BSN degree.
Rita R. Russell has over 30 years of experience in healthcare quality management, administration, and nursing. She has successfully transitioned clinics, organized educational programs, and established quality guidelines and standards. Currently she is the Quality Management Coordinator for Surgery at the John D. Dingell VA Medical Center where she assists with quality improvement, accreditation activities, and monthly/quarterly reporting. Previously she held roles as Quality Manager, Practice Administrator, and Charge Nurse where she oversaw operations, coordinated staff and resources, and provided case management.
Phillip Kwaku Duah has over 20 years of experience in healthcare administration, quality management, and small business ownership. He has a Ph.D in Health Care Administration and masters degrees in Health Care Policy and Planning and Health Care Administration. Duah has held roles managing behavioral health oversight, day-to-day operations of a home care agency, and clinical operations of TB clinics. He has a proven track record of ensuring regulatory compliance and leading quality improvement initiatives. Duah is skilled in project management, report preparation, customer service, and clinical supervision.
This document provides a summary of Judy Echols' career and qualifications. She has over 20 years of experience in health insurance, including knowledge of medical terminology, coding, Medicaid/Medicare methodology, and software systems. Her experience includes roles managing clinical operations, processing medical claims, conducting health assessments, and training others. She holds an Associate's degree in Healthcare Management and is pursuing a Bachelor's degree.
Jennifer Fighera has over 20 years of experience in healthcare operations leadership. She currently serves as the Transfer Center and Telemedicine Director for HCA, where she directs all aspects of the transfer center service line. Previously, she held nursing management and operations roles at several hospitals, where she improved processes like the patient transfer process. She has experience in areas like strategic planning, service line development, staff management, and quality improvement.
This document is a resume for Nina Ram, an RN with over 30 years of experience in medical records review, utilization management, quality assurance, and case management. She has held various roles such as a utilization management clinical consultant, HEDIS nurse auditor, medical records reviewer, and care manager. Her experience spans multiple states and healthcare organizations. She has a Master's degree in nursing and maintains several professional certifications.
The document summarizes the professional experience and qualifications of Lori Goucher. She has over 25 years of clinical nursing experience in critical care and wound care management. She holds an MBA and BSN degree and is a Lean Six Sigma Black Belt. Her experience includes roles in clinical operations and leadership, quality improvement, and sales and clinical consulting for medical device companies. She has a track record of successfully improving processes, compliance, and outcomes in various hospital roles.
Janey Wood seeks a position as a clinical informatics nurse or clinical analyst. She has extensive experience developing electronic order sets and protocols using MEDITECH at Boulder Community Health. This includes creating new orders, collaborating with interdisciplinary teams, and providing education. She also has experience coordinating clinical trials and providing direct patient care in oncology, intensive care, and transplant settings.
This document provides a summary of Frank Spencer's qualifications and experience in healthcare administration and medical coding. It includes his contact information, education history with multiple degrees, and certifications in areas such as coding, case management, and healthcare administration. The summary highlights over 15 years of experience in roles focused on medical coding, revenue cycle management, and provider education at healthcare organizations in Maine.
Cheryl Monnell is a dynamic healthcare executive with over 30 years of experience in quality improvement, project management, and leadership. She has a proven track record of achieving accreditation and increasing health plan quality scores. Her experience includes developing case management programs, managing HEDIS and CAHPS projects, and overseeing utilization management and pharmacy benefits. She currently serves as the Director of Quality Improvement at WellCare, where she helped the plan achieve NCQA accreditation and increase its star rating.
Ginger Chalker-Parker has 19 years of experience as a Certified Nursing Assistant and recently earned an MBA in Healthcare Administration. She is looking to advance her career by utilizing her new MBA knowledge and continuing her work assisting veterans. She has extensive experience providing direct patient care and administrative duties in hospital and long-term care settings. Her education includes a BS in Psychology and an MBA from Marylhurst University with a concentration in leadership and management.
This document is a resume for Steve Sanders that summarizes his experience in operations management, policy and procedure development, and budget administration over a 15 year career. He has extensive experience managing the day-to-day operations for medical clinics and surgical centers, developing policies and procedures, and forecasting and managing budgets. His most recent role was as a Revenue Cycle Analyst and Primary Software Training Specialist where he oversaw billing and collections and trained staff.
This document is a resume for Steve Sanders, who has over 15 years of experience managing operations for medical groups. He has a proven track record of developing policies and procedures, managing budgets, and supervising teams. Some of his responsibilities have included overseeing billers and collectors, ensuring compliance with healthcare regulations, and establishing processes to reduce unbillable claims and past due insurance balances.
This document is a resume for Steve Sanders, who has over 15 years of experience managing operations for medical groups. He has a proven track record of developing policies and procedures, managing budgets, and supervising teams. Some of his responsibilities included overseeing billers and collectors, ensuring compliance with healthcare regulations, and providing software training. He is skilled in areas such as leadership, performance management, program development, and problem solving.
This document provides a summary of Kimberly Shaw's professional experience and qualifications. She has over 20 years of healthcare experience, including 12 years in progressive executive roles. She is currently the Vice President of Patient Care Services and Chief Nurse Executive Officer at Dignity Health Mercy Medical Center Redding, where she oversees 600 employees and a $147M budget. In this role, she has implemented initiatives that have significantly improved quality, length of stay, staff morale and other metrics.
Jeri Constantine has over 25 years of experience in clinical education, field reimbursement, and liaising with thought leaders in the pharmaceutical industry. She has a proven track record of successfully educating medical professionals, patients, and caregivers on disease states, treatments, and reimbursement challenges. Her roles have included regional account manager, market development specialist, clinical educator, and regional senior clinical research monitor. She is recognized for her leadership, relationship building, and ability to manage multiple projects and large territories.
Beverly Fick is an experienced healthcare executive with a record of building high-performing clinical teams and raising employee engagement. She has experience in strategic initiatives that have improved cost containment, productivity, revenue, and patient experience. Fick has demonstrated success in leadership development and possesses strong interpersonal and team-building skills. She has held various leadership roles, including Chief Nurse Executive, at hospitals and healthcare facilities in California and New Mexico.
Maryann Tompkins has over 15 years of experience in grants management, business planning, and administration. She currently serves as the Grants Manager at Novartis Pharmaceuticals, where she reviews funding requests, manages relationships with patient advocacy groups, and ensures regulatory compliance. Previously, she held roles in business planning, operations support, and administration at Novartis and its research institute. She has an MBA and BS in business administration and technical skills including SAP, Ariba, Microsoft Office, and clinical research databases.
Denise L. Lakins is a professional registered nurse with over 30 years of experience in various clinical and administrative roles related to Medicare, Medicaid, and commercial insurance populations. She has extensive experience conducting utilization reviews, completing concurrent and retrospective chart reviews using Interqual and Milliman criteria, and collaborating with physicians, social workers, and case managers on discharge planning and identifying barriers to care. Lakins also has experience developing programs and guidelines for case management of high-risk pregnancies and infants in the NICU.
Mila Frazier has a Master's in Health Administration and over 10 years of experience in healthcare administration and operations. She is skilled in project management, data analysis, and ensuring compliance with regulations. Currently she volunteers as a health promoter for her church, where she plans educational programs and assists congregants in making healthcare decisions.
1. ANGELA M. (KERTZ)MOSS
440 South 4th Street
(573) 883-0562
angiemmoss@yahoo.com
PROFESSIONAL EXPERIENCE
MedPartners HIM
Clinical Documentation Improvement Specialist
Barnes Jewish Hospital October 2012-Present
• Assist in the direction and management of the Clinical Documentation
Improvement program to ensure the highest quality of medical record
documentation and coding, which demonstrate clinical excellence, severity
of illness, and risk of mortality.
• Participate in identifying opportunities and implement initiatives to advance
the organizations’ revenue cycle performances.
• Ensure compliance within the regulatory and contractual requirements
with adherence to established policies and procedure for compliance and
appropriate institutional reimbursement and outcomes reporting.
• Conduct second level reviews on mortality cases to improve Mortality
Index score. Barnes had a UHC Mortality Index of 0.73 in spring of this
year. This is an improvement from 1.4 in 2012.
• Lead a joint effort between CDI and Quality Assurance to reduce or avoid
penalties from the Hospital Value-Based Purchasing Program.
• Assist in leading a team of 29 highly experienced RN Clinical
Documentation Specialists. The core 25 are responsible for integrating a
holistic approach to documentation integrity by congruent relationship
development and ongoing information sharing.
• Developed and lead various service lines with focus on metrics, quality
and the impact of documentation for Neurology, Neurosurgery,
Orthopedics, Trauma Surgery, BMT and Medical Oncology.
• Function in a role utilizing concurrent and retrospective second level
reviews with RAC focus DRGs, high dollar cases and
sepsis/malnutrition/DVT cases.
• Developed query escalation processes for service lines hospital wide.
• Formulated CDI processes and best practices in alignment with
ACDIS/AHIMA Practice Briefs.
• Instrumental in three program expansion initiatives growing Barnes to the
second largest CDI team in the nation.
• Developed mentor/orientation program for new and experienced Clinical
Documentation Specialists.
• Promoted synergistic environment within the CDI team which led to staff
retention and a working relationship within the HIM team.
2. • Developed and presented educational programs to residents, attendings,
midlevels and CDI staff.
• Performed extensive audits and analysis of current and retrospective CDI
activity.
• Monitored and analyzed program metrics.
• Sit on the PSI and Quality Department twice weekly committee meetings
to aid in the development of a hospital wide PSI and HAC process along
UHC guidelines and recommendations and input from key physician
leaders. Developed CDI processes to bridge this gap. BJH began in 2011
with a ranking of 91 on their UHC scorecard, and then in 2012 rose to 57,
in 2013 rose to 18 and for 2014, BJH finished #9 in the nation.
• Assisted on the ICD-10 CDI/coding process build for 3M CDIS
implemented March 2014
• Collaborated with Case Management on current issues that cross both
fields.
• Led CDI team through a seamless transition of assigning principal and
secondary diagnoses solely in ICD-10-CM/PCS.
Dell Healthcare Services
Principal Consultant
Virtual travelling position March 2012-present
*Consulting with contracted healthcare facilities for ICD-10 gap analysis and
readiness assessments
*Assess CDI, Quality Management, Revenue Cycle and Case Management
departments giving recommendations, reporting tools, system requirements for
ICD-10 readiness and current state gaps; assisting with future state
recommendations for robust, effective programs to transition to ICD-10
effectively
Maxim Healthcare
Clinical Documentation Improvement Specialist
February 2012-March 2012
*Assisted in the development of HCC CDI auditing tool for outpatient clinical
and ancillary services
*Performed HCC Clinical Documentation Integrity audits, assisting in recovery
of over 8 million dollars in undocumented, under coded revenue
Conduct retrospective audit of a large Medicare Advantage Plan clinical
documentation methodologies and processes in relation to HCC validation
Assess for opportunities for documentation improvement, coding errors ,and
validation of HCC in comparison to the patient’s documented clinical condition
Provide recommendation for changes in workflow processes, coding, and
clinical documentation
IOD Incorporated HIM Services
CDI Consultant Thomas Jefferson University Hospital
Philadelphia, PA November 2011-February 2012
3. *Performed CDI audits and DRG assignment for various SICU/ISICU areas in
the facility on two campuses.
*Assisted in developing physician “buy-in” of the program, developing physician
education, physician champion assignment. Helped establish a routine
rounding program with the physicians, interns and residents.
*Assisted in staff development to broaden CDI knowledge. Encouraged
development of CDI impact reports for staff and administration.
*Performed Quality Measures abstracting on the appropriate charts.
Jefferson Regional Medical Center, Crystal City, MO
Case Manager- Case Management Department October
2007-November 2011
*Case managed a ten bed observation chest pain unit, 22 bed progressive
(intermediate) telemetry level unit for reimbursement, billing, admission
compliance and authorization requirements within CMS and HMO/PPS
contractual requirements.
*Held position with responsibilities as ER and the outpatient surgical hospital
case manager.
*Communicate closely with physicians regarding level of care requirements,
continued stay needs and treatment standards attempting to maximize care
while minimizing costs and days of stay.
* Coordinate discharge planning on a daily and weekly basis with physicians,
families and other health disciplines.
*Jefferson Regional Case Management was recognized in 2010 with the Case
in Point Platinum Award for best overall case management program nationally.
Clinical Documentation Integrity Specialist 2009-July 2010
(Interim position 2011)
*Served as interim director for the CDI program overseeing RAC medical
necessity and DRG denials, participate in denial/appeals management
*Participated in the start of the new Compliance Documentation Program
utilizing J.A. Thomas software. Exceeding Best Practice for J.A. Thomas, and
setting new benchmarks for users around the country utilizing their software,
during the initial phase of the program.
*Received certification through J.A.Thomas. Participated in the first program of
its type with their company; combining the utilization review of Medicare records
with compliance documentation.
*CMI increase from 1.39 to 1.77 while I was participating in the program.
Averaging 1.55 during my tenure there.
*Worked closely with coders for DRG maximization with an approximate
agreement rate of 80%.
*Communicated closely with physicians to assist them in providing a more
complete, compliant and accurate record.
4. Centene Corporation, Festus, MO
Clinical Code Review Auditor 2005-2007
*Handled authorization appeals on a first and second level basis. Reviewed
medical records for medical necessity, Interqual standards and certification
requirements.
*Performed code review audits of all outpatient claims and miscellaneous
codes. Assisted with code review appeals and adjudication of those claims.
*Audited emergency room charts for Medicaid HMO patients for medical
necessity.
Jefferson Regional Medical Center Crystal City, MO
Staff RN-Home Health Department 2001-2005
*Served on Outcome Based Quality Improvement committee assisting with care
plan development and policy changes.
*Member of mentor group for new medical record documentation system.
*Staff RN for home health patients.
*Strengthened my knowledge base for disease management immensely.
Sainte Genevieve County Memorial Hospital, Sainte Genevieve, MO
Staff RN-Various Departments 1996 and 1999-2001
*Interim Director of the Outpatient Clinic for 20+ physicians for a four month
period.
*Worked as a staff RN covering the ER, ICU, med/surg unit, post partum and
pediatric wards. Also served as charge nurse and house supervisor.
*Office supervisor for OB/GYN physician practice. Assisted with billing and
coding. Performed patient support, triage and interviewing.
*Established a general medical practice from ground-floor up (rural health
clinic). Including insurance contracting, marketing strategies, patient recruiting.
St. Francis Medical Center, Cape Girardeau, MO
Staff RN- Intensive Care Unit 1996-2000
*Provide care to general ICU patients, surgical, neurosurgical, cardiovascular,
trauma and pediatric patients.
*Charge RN for two years; in addition to normal ICU duties handled shift
staffing, bed assignments and headed code team for house codes.
*Coordinated scheduling for 40+ nurses for 6 month period.
*Served as diabetic competency coordinator for the ICU.
5. EDUCATION
Southeast Missouri State University
Associates Degree in Nursing
Cape Girardeau, Missouri
January 1992 to December 1994
CERTIFICATIONS
*CCDS certified since January 2015
*Past speaker at the national ACDIS conference (2014)
*Member of ACDIS since 2011
*BLS Certification since 1991
*ACLS certification from 1995 to 2003
*PACS PALS from 1997 to 1999
*JA Thomas Coding Compliance Training in 2009
*Licensed in the State of Missouri as a Registered Nurse since January of
1995.
COMMUNITY INVOLVEMENT
*Past board member for the Patron’s Club for Valle Catholic Grade School
2007-2009.
*Chaired various fundraisers for the local church and school in the last ten
years.
*Taught AWANAS at Sainte Genevieve First Baptist Church 2005 and 2006.
*Volunteered as baseball fundraiser coordinator for local chapters the past
several years.
*Served as fundraising chair and concession coordinator on the Sainte
Genevieve County Youth Football League board 2008-1010.
6. EDUCATION
Southeast Missouri State University
Associates Degree in Nursing
Cape Girardeau, Missouri
January 1992 to December 1994
CERTIFICATIONS
*CCDS certified since January 2015
*Past speaker at the national ACDIS conference (2014)
*Member of ACDIS since 2011
*BLS Certification since 1991
*ACLS certification from 1995 to 2003
*PACS PALS from 1997 to 1999
*JA Thomas Coding Compliance Training in 2009
*Licensed in the State of Missouri as a Registered Nurse since January of
1995.
COMMUNITY INVOLVEMENT
*Past board member for the Patron’s Club for Valle Catholic Grade School
2007-2009.
*Chaired various fundraisers for the local church and school in the last ten
years.
*Taught AWANAS at Sainte Genevieve First Baptist Church 2005 and 2006.
*Volunteered as baseball fundraiser coordinator for local chapters the past
several years.
*Served as fundraising chair and concession coordinator on the Sainte
Genevieve County Youth Football League board 2008-1010.