Case Management Health Services

O L I V I A E. S I M P S O N, LPN

Indianapolis, IN 46202

WORK EXPERIENCE

Actalent/MHS Centene Corporation, Indianapolis, IN November 2021-Present HEDIS Nurse

*HEDIS Measures & IRR’s

*Chart Over Reads and Audit

*Consult Providers/Staff on current HEDIS measures Behavioral/Addictions, Adult and Child, Indianapolis, IN May 2021 – November 2021 Integrated Nurse

• Participate in formulation of patient Master Treatment Plan.

• Evaluated resident response to nursing interventions and altered care plan through ongoing assessments. Community Health Network, Primaria Healthcare/VillageMD, Indianapolis, IN Apr 2019 - May 2021, Nurse Discharge Coordinator

• Coordination of discharge planning, Disease Case Management, Patient resource management. Shalom Healthcare Center, Indianapolis, IN Jun 2018 - May 2019 Chronic Disease Nurse Educator

• Case Management for patients with chronic disease.

• Coordinate and manage patient healthcare services.

• Patient and family education.

Epic Health Services, Indianapolis, IN Jan 2018 - May 2019 Pediatric Home Health Nurse

• Nursing care for critically ill children in their home environment.

• Tracheotomy and Ventilator Care

• Case Management

CarDon Senior Living, Westfield, IN Oct 2015 - Dec 2016 Nurse Manager

• Managed Assisted Living, Skilled, Rehab, and Memory Care units

• Medication Administration

• Admissions and Discharges

Eskenazi Health Services, Special Medicine, Indianapolis, IN Sep 2010 - Oct 2015 Gastroenterology/Hepatitis C Coordinator

• Manage day to day operations of the hepatitis C/GI clinic, Prior authorization, Follow and tract patients during and up to one year post treatment, Coordinate patient healthcare needs,

• Prepare clients for medicine studies per MD referral, address critical labs during treatment, Patient and public education perform fibro scan to determine level of liver damage. Central Indiana OBGYN, Avon, IN Feb 2008 - Apr 2009 Medical Practice Manager

• Manage day to day operations of the clinic, A/P and A/R, Complete payroll, hiring, employee evaluations, and staff development, Responsible for claim appeals, Billing and Coding. Clarian Health/IU Medical Center, Indianapolis, IN Jan 2007 – Feb 2008 Team Leader Patient Access Services

• Team leader for patient access services, Patient emergency admissions, Surgery/procedure scheduling, Patient pre-registration, Assist with bed control, In and outpatient admissions. Summerlin Otology, Inc., Indianapolis, IN Sep 1999 - Jan 2007 Medical Office Manager

• Manage day to day operations of the clinic, A.R and A/P, payroll, hiring, Complete employee evaluations, Coding/billing, Responsible for claim denial appeals, Surgery

• Scheduling Assist with the in office procedures. EDUCATION

MedTech College Indianapolis – Indianapolis, IN 2010 Associate of Applied Science, Licensed Practical Nursing Ashworth College - Norcross, GA

Associate of Science, Healthcare Management

Medical Billing and Coding Diploma, Medical

Billing and Coding At Home Professions - Ft. Collins, CO

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