Experience

Quality Insights

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Task Order Director at Quality Insights

  • Jul 2021 - 2 years 6 months

• Program Director QIN-QIO

  • Nov 2019 - Jul 2021

  Charleston, West Virginia Area

• Wv Program Director

  • Apr 2019 - Nov 2019

  Charleston, West Virginia Area

• Network Task Lead for Special Projects

  • Nov 2012 - Apr 2019

  Charleston, WV Network Task Lead Special Projects • Oversight of multiple Special Innovation Projects for the five state Quality Innovation Network. • Refine and finalize project plan. • Coordinate internal and external activities. • Lead stakeholder and partnership development. • Ensure project milestones and deliverables are met. Care Transition Project Coordinator • Coordinate the WV QIO CMS Special Innovation Project targeting Dual Eligible beneficiaries with a goal to improve… Show more Network Task Lead Special Projects • Oversight of multiple Special Innovation Projects for the five state Quality Innovation Network. • Refine and finalize project plan. • Coordinate internal and external activities. • Lead stakeholder and partnership development. • Ensure project milestones and deliverables are met. Care Transition Project Coordinator • Coordinate the WV QIO CMS Special Innovation Project targeting Dual Eligible beneficiaries with a goal to improve care transitions and reduce acute care readmissions. • Includes skills in facilitation, community building, root cause analysis, developing interventions and measurements. • Partnering with a wide variety of cross setting healthcare providers and community stakeholders involved in the care of the disabled, elderly and senior populations to provide seamless care transitions and to form learning and action networks around improving that care. ACC Abstractor • Conduct data abstraction for the NCDR which is the American College of Cardiology’s worldwide suite of data registries helping hospitals and private practices measure and improve the quality of cardiovascular care they provide.



Kinetic Concepts, Inc

• Medical Device
• 1 - 100 Employee

• Post Acute Clinical Account Manager/Accredited Continuing Education Faculty

  • May 2010 - Nov 2012

  Responsible for driving VAC adoption/usage in SNFs (Skilled Nursing Facility) and HHAs (Home Health Agencies), providing clinical support and training for all customers in SNFs and HHAs, identifying potential VAC patients in SNFs and HHAs patient base and facilitating therapy initiation, providing clinical support to patient's home as required, and achieving financial and strategic territory goals for assigned territory Accredited continuing education faculty provide continuing education to… Show more Responsible for driving VAC adoption/usage in SNFs (Skilled Nursing Facility) and HHAs (Home Health Agencies), providing clinical support and training for all customers in SNFs and HHAs, identifying potential VAC patients in SNFs and HHAs patient base and facilitating therapy initiation, providing clinical support to patient's home as required, and achieving financial and strategic territory goals for assigned territory Accredited continuing education faculty provide continuing education to healthcare providers through accredited education programs designed to: Increase the direct care practitioners' knowledge base. Support safe and effective decision making in the planning and provision of care for patients at risk for wounds, and patients with indicated wound types. Support safe decision making in the implementation and use of KCI products. Show less



American Medical Technologies

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Clinical Specialist

  • Dec 2007 - May 2010

  Responsible for monthly rounds in long term care facilities to assess wounds and recommend treatment. Order supplies for wound care recommendations. Provide educational offerings to facilities about current wound care topics. Provide up to date information to facilities about current wound care research. Market to new facilities to expand territory.



Coventry Workers' Comp Services

• Field Case Management Nurse

  • Aug 2007 - Dec 2007

  Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient's appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.



Mountain State Blue Cross Blue Shield

• United States

• Care Management Nurse

  • Mar 2005 - Aug 2007

  Responsible to facilitate access to quality care and monitor the appropriate utilization of services. This includes review and evaluation of the medical necessity and appropriateness of services requested. Responsibilities encompass: pre-authorizations, concurrent review, retrospective review and discharge planning in non acute situations. This includes, but not limited to review of Home Health Care, Hospice, Durable Medical Equipment, Physical Therapy, Occupational Therapy, Speech Therapy… Show more Responsible to facilitate access to quality care and monitor the appropriate utilization of services. This includes review and evaluation of the medical necessity and appropriateness of services requested. Responsibilities encompass: pre-authorizations, concurrent review, retrospective review and discharge planning in non acute situations. This includes, but not limited to review of Home Health Care, Hospice, Durable Medical Equipment, Physical Therapy, Occupational Therapy, Speech Therapy, Cardiac Rehabilitation, Pain Management, and Show less



CAMC Patient Access Center

• Clinical Nurse III

  • Mar 2004 - Mar 2005

  Delivered a complete range of RN services and expertise. Accurately obtained and documented patient history, and medication lists, assessed individual conditions and needs, pre and post short stay surgery.



CAMC Pediatric Intensive Care Unit

• Clinical Nurse III

  • Jul 1996 - Mar 2004

  Served as temporary charge nurse caring for patients with acute illness. Exceptional capacity to multitask: manage numerous, often competing priorities with ease and foster the provision of superior patient care. Administrative and referral experience including admissions, assessment, treatment, referral and education to a wide range of patients, and families. Widely recognized as an excellent care provider and patient advocate. Outstanding interpersonal and communication skills; superior… Show more Served as temporary charge nurse caring for patients with acute illness. Exceptional capacity to multitask: manage numerous, often competing priorities with ease and foster the provision of superior patient care. Administrative and referral experience including admissions, assessment, treatment, referral and education to a wide range of patients, and families. Widely recognized as an excellent care provider and patient advocate. Outstanding interpersonal and communication skills; superior accuracy in patient history, charting, and other documentation. Show less