Livecareer-Resume
JC
Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Performance improvement leader with over 10 years of successful experience in clinical care and operational leadership. Recognized for performance excellence and contributions to success in healthcare. Strengths in performance improvement, team facilitation, and healthcare financial management.

Skills
  • Performance Improvement
  • Workflow Enhancement
  • Operational Leadership
  • Crisis Management
  • Staffing
  • Documentation Enhancement
  • Revenue Cycle Management
  • Leadership Development
  • Team Facilitation
  • Conflict Resolution
  • Quality
  • Project Management
Work History
06/2019 to Current Administrative Fellow Beth Israel Lahey Health | Medford, MA,
  • Led performance excellence projects with lean six sigma methodology driving system wide results aligned with organizational goals. Position emphasized leadership development, mentorship, and executive exposure.
  • Operationalized a Clinical Command Center, the health systems centralized response to COVID-19 pandemic.
  • Led NHC Summer Internship Program, managing 32 interns, with over 40 system projects.
  • Facilitated process improvement initiative, closing a process gap in charge master multiplier price change workflow of $12.9M, resulting in increased $20M in revenue the following year.
  • Led hospital-wide year-end inventory performance excellence project, resulting in decreasing general ledger variations by $382,000.
  • Created 2020 APP KPIs which resulted in 80+ provider led performance improvement projects.
  • Performance excellence coach leading leaders through the DMAIC process to solve problems throughout the organization.
  • Conducted analysis on audits being conducted throughout all NHC hospitals while providing recommendations to decrease variations and enhance standardization.
  • Identified insourcing cost savings opportunity of $250,000+ for PCME through proforma analysis.
  • Created multidisciplinary hub focusing on improving care for high cost and high impactable employees.
  • Established the Advanced Practice Provider Transition to Practice Program creating an orientation, onboarding, educational program with identification of key metrics
12/2016 to 06/2019 Transcranial Magnetic Stimulation Coordinator Maricopa County, Arizona | Various Locations Throughout Maricopa County, AZ,
  • Managed clinic daily operations: clinical staffing, provider coverage, patient scheduling, prior authorization, administration of patient treatments, vendor management, and provider education on industry best practices.
  • Identified provider credentialing error in revenue cycle management, leading to increased monetary charge value.
  • Conducted monthly audits on PB reimbursement resulting in identification of provider credentialing error
  • Conducted weekly audits on PB and HB charges within EPIC and fixed variances prior to sending bill to payor
  • Facilitated clinical documentation improvement effort with a multidisciplinary team ensuring clinical accuracy, payor requirements, and compliance standards were met, resulting in compliance review of 96% accuracy.
  • Increased patient volume by 125% within one year.
  • Enhanced MD compensation by 179% through restructuring professional billing charges and payor contractual agreements
  • Led performance improvement initiative on PB and HB charge entry process, resulting in recovering over $100,000 in missed revenue
  • Presenter at Innovation Summit Conference discussing clinical benefits and financial opportunities of Transcranial Magnetic Stimulation, leading to Abbott Northwestern Foundation offering financial incentive of $120,000 to expand program.
  • Decreased visit cycle time from 35 minutes to 19 minutes.
12/2015 to 12/2016 Mental Health Associate Allina Health System | City, STATE,
  • Clinical support on an inpatient psychiatric unit providing safe and structured patient environment through milieu management and focused review assessments with behavioral observations.
  • Operations Quality Committee Representative for hospital wide psychiatric services
  • Provided evidence based de-escalation crisis management to behavioral disturbances hospital wide Assessed and audited applied restraints to ensure safety administration and compliance.
09/2008 to 02/2015 Charge Staff Behavioral Specialist TBI Residential & Community Services | City, STATE,
  • Managed facility staffing schedules to ensure appropriate level staffing and productivity levels were achieved.
  • Implemented new standard work instructions in response to legislation changes related to 245D.
  • Facilitated on-site activities, support groups and outings for clients.
  • Completed documentation for safety / behavioral incidents and notified appropriate stakeholders such as case managers, operational leaders and guardians.
  • Organized and supervised games and other recreational activities to promote physical, mental and social development.
  • Planned and prepared various teaching aids such as standard work instructions.
  • Managed facility budget for recreational activities and supplies.
  • Reviewed documentation and implemented training modules to enhance documentation.
  • Managed facility staffing schedules to ensure appropriate staffing and productivity levels were achieved.
Education
Expected in 05/2019 Master of Health Administration | Ohio University, Athens, OH GPA:
  • Graduated with 4.0 GPA
  • Achieved Phi Kappa Phi Honors Society
Expected in 12/2014 Bachelor of Business Administration | Health Care Management University Of Minnesota Duluth, Duluth, MN GPA:
  • Graduated with honors
  • Member of Healthcare Management Student Organization
  • Selected as book award honoree for Healthcare Law
  • Minored in Organizational Management and Sociology
  • Received award for academic achievements
Expected in 05/2014 Associate of Applied Science | Professional Nursing Lake Superior College, Duluth, MN GPA:
  • Received scholarship for academic achievements
Expected in 05/2013 Associate of Science | Business Administration Lake Superior College, Duluth, MN GPA:

Led Heart Health Community Education Presentation

Member of Business Professionals of America

Regional first place, presentation skills

Certifications

Norton Healthcare Green Belt Lean Six Sigma Team Lead Certification, 2020

Certified Revenue Cycle Representative, 2020

Apparent Cause Analysis Trained, 2020

IHI Basics Safety and Quality Training, 2019

Affiliations

Women Influencing Louisville, Communications Committee Chair, 2021

Women Influencing Louisville, Governance Council Committee Member, 2020

Healthcare Financial Management Association Member, 2020

American College of Healthcare Executives Member, 2020

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Resume Overview

School Attended

  • Ohio University
  • University Of Minnesota Duluth
  • Lake Superior College
  • Lake Superior College

Job Titles Held:

  • Administrative Fellow
  • Transcranial Magnetic Stimulation Coordinator
  • Mental Health Associate
  • Charge Staff Behavioral Specialist

Degrees

  • Master of Health Administration
  • Bachelor of Business Administration
  • Associate of Applied Science
  • Associate of Science

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