HEALTH PROCESSES & INFORMATICS
EXPERIENCE
What I’ve Done
September 2022 - Present
REVENUE OPERATIONS, NURSE MANAGER
Lead clinical and non-clinical staff to recover revenue through payer negotiations, benefit determinations, and ensuring medical necessity is appropriate. My role as the healthcare knowledge leader provides me the opportunity to motivate staff through educating, developing, and presenting data analytics for tracking, trending, and reporting. I have created policies, mentored teams for new process changes, and participated in Lean projects for process improvement.
December 2019 - September 2022
COMMUNITY CARE NURSE,
DEPARTMENT OF VETERANS AFFAIRS
Facilitated the approval of care for veterans to be seen by healthcare providers in the community. Managed various categories of care with the responsibility of consistently, strategically, and systematically moving contractual agreements with community partners through the contractual lifecycle.
August 2015 - December 2021
DOCTORAL GRADUATE
Explored and synthesized regulatory standards, policies and researched best practices to develop a patient safe and reliable operations policy manual for staff daily use. The resource tool was developed to create and maintain consistent, effective, and reliable clinic operations by using the Institute of Health Improvement’s Framework for Safe, Reliable, and Effective Care method and such standards as the Patient-Centered Medical Home standards and Center for Disease Control & Prevention guidelines.
May 2016 - December 2019
ASSISTANT NURSE MANAGER,
DEPARTMENT OF VETERANS AFFAIRS
Lead and directed multi-disciplinary nursing and clerical staff caring for veterans in a complex outpatient clinic setting. Collaborated and interacted with interdisciplinary leaders and senior leadership to modernize processes and create policies for efficient and effective patient care experience.