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Healthcare Quality Management Coordinator Resume Example

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HEALTHCARE QUALITY MANAGEMENT COORDINATOR
Professional Summary

Insightful Quality Management Coordinator with 3+ years of experience. Reviews and updates production processes to increase consistency, minimize waste and capitalize on latest technological developments. Experienced performing both process and outbound inspections. Keeps meticulous records. Specialties include operational improvements, program implementation, and documentation.

Work History
Company Name - Healthcare Quality Management CoordinatorCity, State11/2019 - Current
  • Perform audits and oversees quality auditing, as required by accrediting organizations to determine if quality related information in medical records is meeting set standards and regulations. Perform tracers and other third party payer audits when required.
  • Identify preventive care areas with declining or plateauing compliance rates over time, including root cause analysis for contributing factors.
  • Through direction of the Director of Quality, evaluate and report compliance rates on a minimum of quarterly basis; more often depending on trending of unit or area.
  • Keep abreast of accreditation and regulatory knowledge (such as Joint Commission or DNV).
  • Extrapolate, analyzes and converts data into useful business intelligence using a variety of mediums and graphical displays.
  • Organizes and keeps databases current of regulatory or accreditation information; cascades that information through departments in a usable format to the end user.
  • Collaborate with caregivers and/or teams to transform data into process improvement activities using the Plan-Do-Study-Act methodology.
  • Facilitate the dissemination of the information to the Director of Quality and Vice President of Quality and other appropriate personnel when notifications of changes to regulations are identified.
  • Gathered and submitted data to regulatory agencies for mandatory report infections such as COVID-19.
  • Worked with Infection Control Manager to implement emergency actions for especially virulent or widespread infections during the COVID-19 Pandemic.
  • Developed quality improvement plans, policies and operational guidelines.
  • Monitored staff organization and suggested improvements to daily functionality.
  • Collaborated with management to provide training on improved processes and assist with creation and maintenance of quality training.
Company Name - Administrative FellowCity, State11/2018 - 11/2019
  • Redesigned workflow processes for patient access and back-office, resulting in reduction of staffing costs by 25% system-wide.
  • Responsible for the planning and management of an annual Foundation Benefit dinner that raised over $750,000 with over 500 guests attending the event, including Foundation and Hospital Board of Trustees, event sponsors and partners.
  • Utilizing MS Excel and MS Access for advanced data mining as well as Advanced Access functionality to input information in multiple databases to maintain efficacy of records and inventory for the Management Executive Team.
  • Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability, maintaining the compliance rate at least 99%.
  • Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations (DNV-GL).
  • Devised and introduced initiatives and projects to maintain or improve existing facilities, allowing for maximization of capital component of Medicaid's per diem rate.
  • Conducted and analyzed Physician's Satisfaction Survey to develop strategies for increasing their engagement and improving their practice/experience at the hospital.
  • Assisted in all areas when necessary due to employee absence or shortage of staff, working closely with members of the administrative staff.
  • Aided Human Resources department in performing application screening and preliminary interviews.
  • Assisted in various marketing campaigns and seasonal projects.
Company Name - InternCity, State06/2018 - 08/2018
  • Monitored employees and data entry to ensure top efficiency and accuracy.
  • Secured an internship through Institute for Diversity and Health Equity's Summer Enrichment Program 2018.
  • Received Scholarship out of 50 interns to attend American Hospital Association's Leadership Summit 2018.
  • Initiated and guided the mentorship project to incorporate ACHE's Leadership Mentoring Network program into the Asian Healthcare Leaders Forum & the LGBT Forum to bring out more diverse mentors respectively.
  • Created a whole database management to help increase efficiency and team collaboration.
  • Research and present recent healthcare headlines during monthly General Staff Meeting to raise awareness to staff about current events or trends.
  • Assist in divisional projects by suggesting and or implementing process improvement techniques to increase efficiency and value.
  • Develop databases or spreadsheets to increase efficient task process.
  • Deliver feedback for evaluation projects such as customer service calls and evaluating proposals for Student Seminars during Congress to increase member satisfaction and retention.
Company Name - VolunteerCity, State01/2016 - 06/2018
  • Planned strategic methods to achieve operational goals and targets per quarter.
  • Provided management and support to subordinate teams improving accuracy of reporting and quality of work.
  • Maintained and improved organization's reputation and positive image in community.
  • Encouraged creative thinking, problem-solving and empowerment as part of facility management group to improve and support morale and teamwork.
  • Reviewed customer survey information to prioritize areas of improvement and maintain standards.
  • Updated patient charts with labels and EKG reports facilitate insurance paperwork, document patient medical history and confirm accurate completion of forms and reports for the admission, transfer and/or discharge of each patient.
  • Ensured all immigrants or international visitors obtain 100% health insurance within a certain time frame to keep the mission intact.
  • Managed sponsors' donations to buy medical supplies for events.
  • Provided health care customer service to approximately 250 patients per year.
Skills
  • Quality Management Systems
  • Compliance documentation
  • Strategic Planning
  • Process Management
  • Policy reinforcement
  • Data Analysis
  • Patient-focused care
  • EMR / EHR
  • Critical thinking skills
  • MS Office
Education
05/2018Walden UniversityCity, StateMBA: Health Administration
05/2014Indiana University BloomingtonCity, StateBachelor of Arts: Natural Sciences
Certifications
  • Certified Professional in Healthcare Quality Training - January 2021
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Resume Overview

School Attended

  • Walden University
  • Indiana University Bloomington

Job Titles Held:

  • Healthcare Quality Management Coordinator
  • Administrative Fellow
  • Intern
  • Volunteer

Degrees

  • MBA : Health Administration
    Bachelor of Arts : Natural Sciences

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