Nijalyn Brumfield MPA, B.S,R.S
Clinical Quality program Coordinator at Louisiana Primary Care Association- Claim this Profile
Click to upgrade to our gold package
for the full feature experience.
Topline Score
Bio
Credentials
-
Registered sanitarian
Louisiana Department of HealthMar, 2019- Nov, 2024
Experience
-
Louisiana Primary Care Association
-
United States
-
Non-profit Organizations
-
1 - 100 Employee
-
Clinical Quality program Coordinator
-
Aug 2023 - Present
-
-
-
Louisiana Department of Health
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Program Manager
-
May 2022 - Jun 2023
Oversees the development of training for Bureau staff on legislative processes, on policy development methods, and on internal processes for developing policy ideas from conceptualization through to high quality implementation, and on the background and content needed for the Bureau to carry out policy development functions in various systems (Emergency Preparedness, Cultural Competency, Concept of Operation, FEMA, Logistics as well as Operation)Cultivates the capacity of high-functioning boards, commissions, councils and advisory groups. Ensures processes and procedures for compliance with mandates and procedural requirements. Drafts regulations and legislative proposals; ensures ongoing review and updating of laws, regulations and policies for the Bureau's programs. Revises rules, regulations and procedures to meet changes in law or policy. Meets with federal, state and local officials, legislators, professional organizations, and interest groups on matters relating to policies, programs administered, grants, and issues relating to the Bureau's population of focus. Prepares and oversees the complication of special reports and correspondence on complex, technical and sensitive matters.Prepares and oversees the development of documents for Bureau leadership for testimony before the legislature regarding the effects of proposed laws and other programmatic and budgetary matters.Prepares and submits funding proposals. Oversees the development of fiscal impact statements Drafts and finalize contracts and Memorandums of Understanding; as needed. Monitors revenues ad expenditures of statewide program budget; formulates budgetary projections. Monitors and mages budgetary and programmatic aspects of agreements and contracts, ensuring compliance with requirements and deliverables. With the work force grant I manage over 2 million dollars that the community based organizations as well as LDOE have been awarded. Personnel ongoing coaching and performance reviews. Show less
-
-
On-site waste water specialist/ sanitarian 4
-
Nov 2021 - May 2022
Plans, schedules, and performs comprehensive and complex surveys, audits, inspections or investigations of establishments and facilities. Receives and accepts applications from manufacturers, processors, packers, or wholesalers of foods, milk & dairy products, commercial seafood, drugs and cosmetics, or tanning facilities for permit and/or registration and recommends issuance based upon results of facility inspection and other criteria. Meets with and serves as consultant to parish, state, and federal government agencies, trade associations and civic groups for the purpose of promoting and explaining requirements of state and federal laws and regulations. Issues Notices of Violations and regulatory letters to permitted facilities or individuals found to be in violation of the Louisiana State Sanitary Code, State or Federal laws and regulations which pose a threat to the health and safety of the public. I process installer applications as well as manufacturers who supply the products to the installers for on-site waste water. I assist in developing new ways to train and present information to new and seasoned sanitarians to better perform their daily duties state wide. I was also responsible for assisting all state sanitarians with sewer related trainings and education. Show less
-
-
Public Health Inspector 4
-
Apr 2018 - May 2022
AS A PARISH SUPERVISOR Supervises highly diversified sanitarian programs such as retail food, institutions, community and individual sewage disposal, public and private water supplies within a parish. Reviews permit applications for individual sewerage disposal systems, retail food establishments, and institutions or modifications to existing permits. Conducts investigations to determine compliance with State and Federal laws and regulations and the State Sanitary Code. Conducts routine inspections of permitted establishments and permitted sewerage systems. Participates and/or assists in enforcement actions. Assists in conducting on-site inspections of existing or proposed waste water discharges from facilities such as car washes, sewage treatment facilities, etc. onto highway right-of-ways. Investigates complaints from the public regarding unsanitary conditions, insect and rodent infestations, food-borne illness, etc. and recommends any necessary corrective measures. Participates in emergency response activities. (COVID19) Opened all shelters in St.James Parish for hurricane Ida as well working at the MSNS. I have had over 5 years of experience in emergency response activities. Worked in other parishes such as, Ouachita, Madison and Richland was my domicile for 2 years before I transferred to Orleans parish and promote to St. James Parish. I was also a dual sanitarian where I collect water for St.James water system 1 and 2, Lutcher water system Gramercy water system, Pleasure Bend, Noranda chemical plant, Pinnical chemical plant as well as Marathon chemical plant. I collect BACT and DBP samples. I am familiar with the programs for the water department. I fill in wherever I’m needed and I maintain a great relationship with all of my water systems. Show less
-
-
-
Louisiana Department of Health
-
United States
-
Hospitals and Health Care
-
700 & Above Employee
-
Eligibility Specialist
-
Aug 2016 - Oct 2017
Process Medicaid applications and annual renewals up to the final decision. Clear issues in Application Management to assist with the processing of Applications and Renewals. Review data systems to obtain required information and verification needed to establish eligibility. Establish and maintain controls to ensure. certifications are completed within required deadlines. Document eligibility research electronically in the required Medicaid system applications and research third party data systems to assist in making accurate eligibility determinations. Prepare decision notices by inputting required data into the corresponding Medicaid application systems. Maintain knowledge of Medicaid policies and procedures and ensure that any new changes,orclearances are applied accordingly. Maintain knowledge and usage of all verification systems the agency has access to.Review requests from newly eligible recipients for retroactive reimbursements for paid medical expenses and ensure that requests are forwarded to the correct unit for reimbursement processing. Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance.Correspond with current enrollees and prospective applicants regarding eligibility requirements, available programs, location of Application Centers. Conduct interviews with recipients and determine Medicaid eligibility on roll-down applications received from the DCFS Respond to caller's and visitor's questions and provide quality customer service. Manage caseloads after certification, including completing required interim changes into computer system and responding to requests from enrollees, state officials and other agencies regarding Medicaid-related information. Counsel recipients regarding Medicaid covered services and other available resources and refers them to other governmental agencies or community resources as appropriate. Show less
-
-
Administrative Coordinator
-
Aug 2015 - Aug 2016
PROTECT THE SECURITY OF MEDICAL RECORDS TO ENSURE THAT CONFIDENTIALITY IS MAINTAINED. PROCESS PATIENT ADMISSION AND DISCHARGE DOCUMENTS. REVIEW RECORDS FOR COMPLETENESS, ACCURACY AND COMPLIANCE WITH LOUISIANA STATE REGULATIONS. VERIFY MEDICAID, MEDICARE, AND PRIVATE INSURANCE. ENTER DATA, SUCH AS DEMOGRAPHIC CHARACTERISTICS, HISTORY AND EXTENT OF DISEASE DIAGNOSTIC PROCEDURES AND TREATMENT INTO COMPUTER. SUPERVISE 3-4 PERSONS IN THE IMMUNIZATION AND TUBERCULOSIS CLINIC. TRAIN CLERICAL STAFF ON IMMUNIZATIONS AND HOW TO SCREEN PATIENTS FOR ELIGIBILITY OF THE VACCINE PROGRAM. 2 years of educational background of medicaid and policy making process. medicaid experience in making sure that the patients are active. Great understanding of policy making process and who is eligible for medicaid and Medicare. Show less
-
-
Education
-
Tulane University School of Public Health and Tropical Medicine
DrPH, Public Health -
Grambling State University
Master of Public Administration - MPA, Health Services Administration -
Grambling State University
Bachelor's degree, Biology, General