Jessica Morin, MHL, BS
Quality Consultant at Healthcare Management Solutions, LLC- Claim this Profile
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Bio
Credentials
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Creating a Program Strategy
LinkedInMar, 2023- Sep, 2024 -
Develop Your Skills as a Program Manager
LinkedInMar, 2023- Sep, 2024 -
Essentials of Team Collaboration
LinkedInMar, 2023- Sep, 2024 -
Leadership Foundations
LinkedInMar, 2023- Sep, 2024 -
Managing Resources Across Project Teams
LinkedInMar, 2023- Sep, 2024 -
Negotiation Foundations
LinkedInMar, 2023- Sep, 2024 -
Organization Communication
LinkedInMar, 2023- Sep, 2024 -
Program Management Foundations
LinkedInMar, 2023- Sep, 2024 -
Project Management: International Projects
LinkedInMar, 2023- Sep, 2024 -
Project Manager to Project Motivator: Unlock the Secrets of Strengths-Based Project Management
LinkedInMar, 2023- Sep, 2024 -
Project Resource Management
LinkedInMar, 2023- Sep, 2024 -
What Is Program Management?
LinkedInMar, 2023- Sep, 2024
Experience
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Healthcare Management Solutions, LLC
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United States
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Business Consulting and Services
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1 - 100 Employee
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Quality Consultant
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Sep 2023 - Present
• Value-based care quality consultant for the Bundled Payment for Care Improvement Advanced (BPCI-A). • Responsible to plan, execute, and deliver reviews of administrative and medical records related to the implementation of BPCI Advanced model activities. • Assist with claims data analysis. • Identify key sources of documentation in accordance with compliance requirements. • Develop memos, charts, and presentations. • Promote value-based care line of business. • Value-based care quality consultant for the Bundled Payment for Care Improvement Advanced (BPCI-A). • Responsible to plan, execute, and deliver reviews of administrative and medical records related to the implementation of BPCI Advanced model activities. • Assist with claims data analysis. • Identify key sources of documentation in accordance with compliance requirements. • Develop memos, charts, and presentations. • Promote value-based care line of business.
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Ascension
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United States
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Health, Wellness & Fitness
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Program Manager
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Mar 2022 - Apr 2023
• Reviewed care management contracts (SmartHealth, Ascension Complete, SNP, Ascension Personalized Care, Medicare Shared Savings Program (MSSP), Medicaid, Blue Cross Blue Shield, and commercial lines of business) for appropriate population health engagement. • Engaged with stakeholders to ensure appropriate patient risk segmentation and oversight of the national care management program, services, and best practices. • Collaborated with stakeholders to develop productivity dashboards… Show more • Reviewed care management contracts (SmartHealth, Ascension Complete, SNP, Ascension Personalized Care, Medicare Shared Savings Program (MSSP), Medicaid, Blue Cross Blue Shield, and commercial lines of business) for appropriate population health engagement. • Engaged with stakeholders to ensure appropriate patient risk segmentation and oversight of the national care management program, services, and best practices. • Collaborated with stakeholders to develop productivity dashboards, metrics, and ensure effective population engagement.• Utilized reporting tools and platforms such as Tableau, Optum Care Coordination Platform, and Cotiviti to analyze program outcomes and key performance indicators (KPIs) for areas of opportunity. • Developed and managed program plans, goals, and infrastructure to align with defined business strategies. • Led cross-functional teams, ensured resources were aligned, and monitored and recommended budget changes to meet program goals. • Developed job aides, presentations, educational materials, and other program-specific documents. Show less • Reviewed care management contracts (SmartHealth, Ascension Complete, SNP, Ascension Personalized Care, Medicare Shared Savings Program (MSSP), Medicaid, Blue Cross Blue Shield, and commercial lines of business) for appropriate population health engagement. • Engaged with stakeholders to ensure appropriate patient risk segmentation and oversight of the national care management program, services, and best practices. • Collaborated with stakeholders to develop productivity dashboards… Show more • Reviewed care management contracts (SmartHealth, Ascension Complete, SNP, Ascension Personalized Care, Medicare Shared Savings Program (MSSP), Medicaid, Blue Cross Blue Shield, and commercial lines of business) for appropriate population health engagement. • Engaged with stakeholders to ensure appropriate patient risk segmentation and oversight of the national care management program, services, and best practices. • Collaborated with stakeholders to develop productivity dashboards, metrics, and ensure effective population engagement.• Utilized reporting tools and platforms such as Tableau, Optum Care Coordination Platform, and Cotiviti to analyze program outcomes and key performance indicators (KPIs) for areas of opportunity. • Developed and managed program plans, goals, and infrastructure to align with defined business strategies. • Led cross-functional teams, ensured resources were aligned, and monitored and recommended budget changes to meet program goals. • Developed job aides, presentations, educational materials, and other program-specific documents. Show less
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Oakland Physician Network Services, Inc.
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United States
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Wellness and Fitness Services
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1 - 100 Employee
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Clinical Project Associate
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Feb 2017 - Mar 2022
• Project lead for a Blue Cross Blue Shield of Michigan Collaborative Quality Improvement Initiative (CQI). • Assessed gaps in care for patient populations such as: Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and those discharged to Skilled Nursing Facilities. • Improved care coordination through use of EMRs, Continuity of Care Document Architecture (CCDA), population health registries, and Michigan Health Information Network's (MiHIN) Admit, Discharge and Transfer… Show more • Project lead for a Blue Cross Blue Shield of Michigan Collaborative Quality Improvement Initiative (CQI). • Assessed gaps in care for patient populations such as: Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and those discharged to Skilled Nursing Facilities. • Improved care coordination through use of EMRs, Continuity of Care Document Architecture (CCDA), population health registries, and Michigan Health Information Network's (MiHIN) Admit, Discharge and Transfer (ADT) platform. • Tracked Pay-for-Performance (P4P) measures and 30-day readmission/emergency department rates for incentive opportunities. • Assessed patient experience, healthcare barriers, and transition of care through engagement survey. • Abstracted patient records, using standard classification systems and passed yearly data audits with >95% accuracy. • Quality Assurance and Utilization Management Committee liaison: prepared reports and presented data to stakeholders. • I-MPACT Data Review and Reporting Committee liaison: stakeholder in developing metrics, reports, and KPIs. • Completed and communicated Quality Improvement log to monitor project milestones and deliverables. • Developed and maintained project plans and tracked performance to ensure key deliverables were on schedule. • Scheduled and facilitated stakeholder meetings and communicated project status and performance Show less • Project lead for a Blue Cross Blue Shield of Michigan Collaborative Quality Improvement Initiative (CQI). • Assessed gaps in care for patient populations such as: Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and those discharged to Skilled Nursing Facilities. • Improved care coordination through use of EMRs, Continuity of Care Document Architecture (CCDA), population health registries, and Michigan Health Information Network's (MiHIN) Admit, Discharge and Transfer… Show more • Project lead for a Blue Cross Blue Shield of Michigan Collaborative Quality Improvement Initiative (CQI). • Assessed gaps in care for patient populations such as: Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and those discharged to Skilled Nursing Facilities. • Improved care coordination through use of EMRs, Continuity of Care Document Architecture (CCDA), population health registries, and Michigan Health Information Network's (MiHIN) Admit, Discharge and Transfer (ADT) platform. • Tracked Pay-for-Performance (P4P) measures and 30-day readmission/emergency department rates for incentive opportunities. • Assessed patient experience, healthcare barriers, and transition of care through engagement survey. • Abstracted patient records, using standard classification systems and passed yearly data audits with >95% accuracy. • Quality Assurance and Utilization Management Committee liaison: prepared reports and presented data to stakeholders. • I-MPACT Data Review and Reporting Committee liaison: stakeholder in developing metrics, reports, and KPIs. • Completed and communicated Quality Improvement log to monitor project milestones and deliverables. • Developed and maintained project plans and tracked performance to ensure key deliverables were on schedule. • Scheduled and facilitated stakeholder meetings and communicated project status and performance Show less
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Beaumont Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Clinical Research Coordinator
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Dec 2015 - Feb 2017
• Assessed eligibility of potential subjects through screening interviews, reviews of medical records and discussions with physicians and clinicians. • Informed patients and caregivers about study aspects and outcomes to be expected. • Tracked enrollment status of subjects and documented dropout information causes and subject contact efforts. • Monitored study activities and maintained records in accordance with regulatory protocols and institutional policies. • Maintained contact… Show more • Assessed eligibility of potential subjects through screening interviews, reviews of medical records and discussions with physicians and clinicians. • Informed patients and caregivers about study aspects and outcomes to be expected. • Tracked enrollment status of subjects and documented dropout information causes and subject contact efforts. • Monitored study activities and maintained records in accordance with regulatory protocols and institutional policies. • Maintained contact with sponsors to coordinate site visits.
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Clinical Exercise Physiologist
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Feb 2012 - Dec 2015
• Developed individual treatment plans and exercise programs in accordance with exercise science standards, regulatory requirements, and credentialing requirements. • Modified exercise prescriptions for special patient populations such as diabetes, angina, PAD, CHF, and COPD. • Interpreted exercise program participant data to evaluate progress and identify needed program changes. • Conducted education classes on topics such as risk factors, stress management, and healthy lifestyle… Show more • Developed individual treatment plans and exercise programs in accordance with exercise science standards, regulatory requirements, and credentialing requirements. • Modified exercise prescriptions for special patient populations such as diabetes, angina, PAD, CHF, and COPD. • Interpreted exercise program participant data to evaluate progress and identify needed program changes. • Conducted education classes on topics such as risk factors, stress management, and healthy lifestyle behaviors. • Performed routine lab tests for cholesterol panel and glucose tolerance. • Conducted stress tests using electrocardiograph (EKG) machines. • Completed inpatient hospital rounding to assess and recruit potential cardiac rehabilitation patients. • Developed a free trial cardiac rehabilitation maintenance program to improve outcomes and generate revenue within the department. • Presented exercise knowledge, program information, and research study findings at professional meetings. • Trained and mentored interns and new employees.
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Non-Invasive Cardiology Technician
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Jun 2011 - Feb 2012
• Performed 12-lead EKGs, setup event monitors, and assisted with graded exercise, pharmacological, myocardial perfusion imaging stress tests, stress echocardiograms, and tilt table tests.
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Education
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2018 - 2021
Western Governors University
Master's degree, Health Leadership -
2005 - 2009
Oakland University
Bachelor of Science - BS, Health Science/Exercise Science
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