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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
COMPETENCIES
  • Healthcare Policy Development
  • Grant Writing & Development
  • Organizational Leadership
  • Program Management
  • Strategic and Analytical Rationalization, Reporting, Planning and Execution
  • Health Screening Management
  • Healthcare Interdisciplinary
  • Operational Team Development
  • Relationship Management and Optimization
  • Analysis reporting procedure acumen
  • Maternal (pre and post partum) PIP Discipline Expertise: Integration, Collaboration, Optimization and Project Management
  • Disease Intervention and Surveillance
  • Public Health Surveilance: Communicable diseases/ HIV Acumen
Experience
Clinical Quality Improvement Analyst, 04/2019 to Current
Deaconess Health SystemNewburgh, IN,

> Program Management:

  • Program Manager for the Substance Abuse Harm Reduction program at HSCSN.
  • Program Manager for Comprehensive Diabetes Performance Improvement Project (PIP), and maintained and tracked interventions and helped develop documentation for Corrective Action Plan (CAP) with DHCF.
  • Program Manager for Maternal Child Health (PIP)

> Quality Improvement Performance

  • Analyze (Quantitative and Qualitative) using HEDIS (in conjunction with support of HEDIS initiatives) data, barriers, member survey data and claims data.
  • Identify of opportunities for improvement.
  • Curate comprehensive intervention strategies to improve quality of care/service.
  • Expert of national certification/accreditation standards, Federal and District of Columbia statutes, regulations, Delmarva guidelines, as well as contractual obligations and HSC Health Care System is an EEO Employer.
  • Assure corporate compliance by assisting in the development and subsequent update of appropriate policies/procedures, and quality/process improvement initiatives.

> Operational Leadership:

  • Design methodology, collect and interpret data, conduct clinical and statistical analyses, and monitor outcomes.
  • Designated project leader, with respective duties such as: overseeing, coordinating, monitoring, and reporting on assigned projects.
  • Prepare detailed project plans including work plans, resources requirement, timeframes, and methodology to achieve project objectives.
  • Introduce appropriate intervention measures and recommends care changes as needed as it relates to Maternal Child Health, Comprehensive Diabetes, and Harm Reduction.
  • Develop practice compliance criteria and audit tools to measures provider compliance via medical records review and/or claims data.
  • Develop target/general member and provider educational interventions to support and improve specific QI initiatives.

> Operational Responsibilities:

  • Diligent exhibition of quality improvement principles and concepts, with respects to: NCQA and/or URAC certification/accreditation surveys, implementation of clinical guidelines and quality assurance techniques to measure issues regarding members and/or providers.
  • Review project status at each phase, identifies variances from approved timetables, and proposes modified time frames.
  • Leverage measurement of specific procedures, and the development, implementation, and evaluation of interventions to investigate claims data; in order to increase efficacy of managed cared from providers.
  • Mortality record review assists in developing corrective action plans, as needed.
  • Monitor organizational compliance until resolution.
  • Participate in HSCSN committees, including Quality Management Oversight Committee (QMOC), Risk Management/Member Safety Committee, Operations Workgroup and Quality Council of Network Providers Committee.
  • Collaborate with internal HSCSN staff and external providers, to communicate NCQA/URAC standards, EQRO, DHCF Biannual reviews and elicit the necessary cooperation for successful application.
  • Authoritative knowledge in present areas of responsibility (i.e.- Attends ongoing educational programs related to provider education, diabetes, and maternal child health).
Linkage to Care Specialist, 08/2018 to Current
Medical College Of WisconsinWest Bend, WI,
  • Provides data entry and analytical support for monthly HIV grant reporting requirements by tracking and monitoring total HIV test given monthly and subsequently tracking all positive patients.
  • Lead monthly call with grant partners and prepare meeting data. (i.e- agendas, data reports, and reports on follow-up items)
  • Liaise pertinent information to interdisciplinary team for necessary action items.
  • Effectively engage with clinical team to ensure all required Department of Public Health reporting is accurately produced.
  • Under the guidance of QI manager, develop and enact process improvements to increase HIV testing in patients all clinic sites.
  • Develop data presentations for various SCC groups to showcase multifaceted modes, including dashboards, and Power-point presentations.
  • Facilitate one-on-one and group education/outreach to women and men on HIV and AIDS, HIV testing, and prevention.
  • Furnish comprehensive care for HIV positive patients assimilating to new normalcy's, supporting task such as: assisting patients in ease of access to crucial medical care and/or social services, facilitating and coordinates services between health care providers.
  • Confer with Clinical Teams, Medical Providers, Chronic Care Coordinators, Nurses, and Medical Assistants, to optimize patient care plans as they relate to linkage to care.
  • Accurately track and document communication with patients and
  • Continuously expands knowledge and understanding of community resources, services and programs provided; schedules outreach/education events in the community and conducts health education workshops at clinic and in the community.

> Community Integration:

  • Innovator in development of "Student Integrity Week" and "Got Integrity Campaign" . Designed to foster self-accountability and develop complex real-life applications emphasizing integrity.
  • Conduit vital resources to patients to enhance quality of life post diagnosis and counseling them through task such as appointment scheduling and applying for applicable assistance programs.
  • Encourage patients to be active and engaged participants in their health through clinic and community outreach.
Mobile Testing Unit HIV Testing Counselor, 09/2016 to 08/2018
Aids Healthcare FoundationCity, STATE,
  • Elicited information from client’s HIV risk history, such as: demographic information, sex history, drug and alcohol use, and past STI (Sexual Transmitted Infections).
  • Administered oral and/or finger-stick tests to detect HIV antibodies.
  • Collected and processed specimen samples in accordance with National, State, and Local guidelines.
  • Provided health education and individual risk reduction counseling sessions.
  • Conducted test result disclosure(s) and post disclosure counseling as needed.
  • Provided information and guidance to the linkage program.
  • Located new venues to conduct HIV testing.
  • Operated mobile testing unit/vehicle to multiple locations to perform HIV testing, outreach and recruitment.
  • Maintained and reconciled accurate forms: Outreach Logos; Reactive Test Result Form; Reactive Rapid Test; ID Form; testing forms; Order Form /Testing Supplies.
Education
Master of Public Health: , Expected in 05/2018
Morehouse School Of Medicine - Atlanta, GA,
GPA:
Bachelor of Science: Health Education, Expected in 05/2016
North Carolina Central University - Durham, NC,
GPA:

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School Attended

  • Morehouse School Of Medicine
  • North Carolina Central University

Job Titles Held:

  • Clinical Quality Improvement Analyst
  • Linkage to Care Specialist
  • Mobile Testing Unit HIV Testing Counselor

Degrees

  • Master of Public Health
  • Bachelor of Science

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