Quality Assurance Medical

Geeta Sehgal D.O. FACOG

* ****** ****, ******, ** 07871

862-***-**** (Mobile)

*********@*****.***

Summary

Self-starter with more than 14 years diverse experience as a physician and

leader. Excellent communication skills with demonstrated strong analytical

and problem solving skills. Extremely proficient in searching medical

literature and databases. Highly valued for building motivated, results

oriented teams. Known for novel risk mitigation

PROFESSIONAL EXPERIENCE

Executive Health Resources, Newtown Square, PA

Physician Advisor, 2013 - Present

* Advised, assisted and educated treating physicians, hospital case

managers, senior medical management, administration and all others involved

in the delivery of timely, appropriate and cost effective care.

* Conducted verbal and written review and appeal of denied or downgraded

coverage determinations made by managed care/commercial payers.

* Promoted the efficient and effective clinical care of hospitalized

patients via collaborative telephonic communication and interactions with

hospital clients.

* Facilitated communication between managed care/commercial payors and

providers regarding benefit coverage issues, utilization review and quality

assurance processes.

* Promoted payer and provider adherence to NCQA standards, state

regulations, and all other applicable regulatory standards.

* Encouraged hospital adherence to ensure compliance with CMS policy

regarding inpatient admissions and observation status, as well as the

appropriateness of continued hospital stay.

* Provided in-depth clinical expertise in the management of specific

patient populations to effectively manage length of stay for hospital

clients and facilitate care across the healthcare continuum by intervening

as necessary to address barriers to timely and efficient care delivery and

reimbursement.

* Discussed and educated treating physicians regarding alternative courses

of action or modification to the treatment plan, including but not limited

to, appropriate documentation of the plan of care, to resolve utilization

issues.

WOMENCARE OB/GYN, Newton, NJ

Physician,

2007 - 2013

* Created and built a clinical/surgical practice for 6,000 patients

specializing in Obstetrics and Gynecology.

* Developed, administered and reviewed workflow process of the practice to

improve patient satisfaction, cost savings and efficiencies. Increased

patient volume by 20%, from 4 to 5 patients/hour.

* Led and implemented new electronic health records (EHR) system, providing

clinical leadership for the practice while acting as a liaison with the

software company. Conducted regular on-going training sessions with staff

to supplement initial training and enhance utilization.

* Volunteered and lectured at off-site locations on medical issues

affecting women.

* Supervised clinical rotation of nursing/pre-medical students

* Consistently developed extraordinary researching skills to maintain and

further increase clinical and technical expertise.

* Managed staff and multiple 3rd party service providers.

* Developed and maintained professional relationships with key opinion

leaders, academic and community based physicians, as well as pharmaceutical

representatives.

*Clinical expertise in Obstetrics & Gynecology; Management, diagnosis, and

treatment of all aspects of female reproductive health including

gynecologic oncology patients.

NEWTON MEMORIAL HOSPITAL, Newton, NJ

Chief of Department of Obstetrics and Gynecology, 2010 - 2012

* Responsible for all administrative and clinically related activities for

the department of Obstetrics and Gynecology.

* Revised, updated and implemented departmental policies and procedures.

* Managed several complex projects in parallel and delivered on time with

high quality.

* Fostered and created cross-functional working relationships with internal

teams and external project partners.

* Demonstrated insight and the ability to be proactive in identifying

issues and hurdles that may handicap the effective implementation of

policies and resolve related issues in a timely fashion. Implemented

workflow for IV antibiotics administration and thrombosis prevention for

all surgical patients admitted to Labor & Delivery unit.

* Superior writing skills and ability to effectively communicate with

clinical and non-clinical personnel.

* Demonstrated technical skills by translating complex medical information

for peers as well as for nonclinical sources.

* Monitored and reported on Quality Assurance indicators for the department

of Obstetrics and Gynecology.

* Presented findings to the Quality Assurance department and Medical

Executive committee members.

* Participated in strategic meetings as a member of the Executive

Committee.

* Conducted Clinical Peer Reviews for surgical cases submitted by Quality

Assurance department.

* Chaired and organized monthly department meetings.

* Supervised other clinical staff including nursing and nurse midwives

* Worked collaboratively with other Department Chiefs to resolve

interdepartmental issues

Vice-Chief, Department of Obstetrics and Gynecology, 2005 - 2006

* Conducted risk analysis of departmental cases.

* Member of Hospital Quality Assurance Committee

* Created and delivered educational presentations for clinically adverse

events identified via risk analysis within the department.

* Strong project planning, leadership, negotiation and presentation skills

as well as an ability to contribute creative yet practical solutions for

problems in implementing quality measures for the department.

WOMEN'S HEALTHCARE ASSOCIATES, Newton, NJ

Physician, 2002 - 2007

* Functioned as part of a team of clinicians to deliver optimum care in

Obstetrics and Gynecology

* Participated in recruiting and interviewing process of hiring new

associates

* Volunteered and marketed practice at various community sponsored events.

* Managed mid-level clinical staff in office and hospital environments.

ALBANY MEDICAL CENTER, Albany, NY

Nursing Assistant, 1989 - 1992

* Working with co-workers and other nursing personnel to provide quality

care to patients in PACU.

* Managed all clerical tasks for the unit.

* Assisting nursing personnel in immediate post-operative care of patients.

EDUCATION AND TRAINING

Saint Vincent's Catholic Medical Centers of New York, Staten Island, New

York

RESIDENCY - Department of Obstetrics & Gynecology 1998 - 2002

Memorial Sloan Kettering Cancer Center, New York, New York

Galloway Fellow in Gynecologic Oncology 2001

Extensive surgical and medical management of gynecologic oncology patients.

St. Elizabeth Medical Center, Utica, New York

Rotating Internship 1997 - 1998

Rotations in Internal Medicine, General Surgery, Emergency Medicine, Family

Medicine

Grandview Hospital, Grandview, Ohio

Pulmonary Rotation 1996

Eastern Maine Medical Center, Bangor, Maine

Pathology Rotation - concentration in Hematologic Oncology 1996

Syracuse University, Utica, New York

Clinical Medical Network 1994

Rotations in Gynecology, Emergency Medicine, Anesthesiology, General

Surgery

University of New England College of Osteopathic Medicine, Biddeford, Maine

Doctor of Osteopathic Medicine 1993 -1997

VA Medical Center, Albany, New York

Pathology Department 1993

Developed technical skills in use of electron microscopy

State University of New York, Albany, New York

Bachelor of Science in Biology, Cum Laude 1988 - 1992

Continuing Medical Education

Introduction to Drug Safety and Pharmacovigilance - BioPharma Institute

2/13

Certified Peer Reviewer - ABQAURP 1/13

American Board of Obstetrics and Gynecology Recertification Exam 12/12

Safety and Communication Course - American Board of Obstetrics and

Gynecology 6/12

Perinatal Resources - 60 credit review course 10/11

BOARD CERTIFICATION AND LICENSURE

American Board of Obstetricians and Gynecologist - Board Certified 2004 -

Date of recent recertification 2012

Active Medical License - State of New York

Active Medical License - State of New Jersey

PROFESSIONAL AFFILIATIONS

American College of Obstetrics and Gynecology

Society of Obstetrics/Gynecologist Hospitalist

Research/Presentations

"Increased breath markers of oxidative stress in normal pregnancy and pre-

eclampsia."

"Maternal Vascular and Endothelial Function Pre- and Post Treatment in Pre-

eclamptic Pregnancy."

Awards

* Second Place Award for presentation of Paper at Annual Resident Research

Day at St. Vincent Medical Center New York, New York

* Finalist Award for Paper presentation to the Brooklyn Gynecological

Society

* Agustin N. Ravelo MD Award for Resident Excellence in Obstetrics and

Gynecology

* Patrick P. Scarantino, MD Scholarship Award

TECHNICAL/COMPUTER SKILLS

* Strong computer skills - proficient with Microsoft Office programs,

including Outlook, Word, Excel and PowerPoint.

* Others - eClinicalWorks EHR, MdConnection Practice Management, Cerner

PowerCharts, EHRic

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