URAC Coordinator - Accreditation Compliance Officer
Resume:
Mya Jackson Brown
Miamisburg, OH 45342
email: *********@*****.***
Education:
Associate of Science in Nursing
Essex Community College
Baltimore, Maryland
December, 1996
Certificate: Continuous Process Improvement
Sinclair Community College
Dayton, OH
June, 2012
Certifications:
CCM, Certified Case Manager
Six Sigma Green Belt
Experience:
September 2005 to Present: Sheakley UniComp, Cincinnati, OH
Current Position: URAC Coordinator-September 2011 to present
-Responsible for oversight of the company's compliance with all URAC Case Management Standards.
-Perform quality audits within the Case Management Department.
-Chair the Total Quality Management Committee
-Create and monitor quality improvement projects
-Oversee the Case Management Training Program
-Oversee the company's Core Training Program for all positions
-Project Management
Previous Positions:
Case Manager Trainer/Case Manager Project Coordinator- March 2009 to September 2011
-Developed and managed the Case Management and Case Management Support training programs.
-Maintained compliance with URAC Case Management standards and Ohio BWC Contract requirements within the Case Management Training program
-Created and updated policies and procedures
-Oversaw special projects
-Assisted with process changes and workflow management
-Developed staff interested in leadership within the training program
-Provided orientation and continual training to Nursing staff
-Served as back up to the URAC Coordinator
Quality Improvement Coordinator-January 2008 to March 2009
-Performed quality audits and case reviews
-Tracked trends and performed data analysis
-Served as Assistant to the URAC Coordinator
Assistant Case Manager Trainer-January 2007 to January 2008
-Assisted the Trainer with Orientation for newly hired Case Managers
-Maintained a full Case Management assignment
RN Case Manager-September 2005 to January 2007
-Provided Case Management services to Ohio injured workers
-Maintained employer and provider relationships
October 1999 to August 2005: Contract and Agency PRN Nurse-RN
Delivered Nursing care to patients in various specialties
August 2003-August 2005, American Nursing Care, Cincinnati, OH
October 2002-August 2004, Nurse Finders, Cincinnati, OH
October 1999-October 2008, K-Force, Cincinnati, OH; Dayton, OH
October 1999-October 2001, Travcorps, Malden, MA
Facilities: University Hospital, Cincinnati, OH; Christ Hospital, Cincinnati, OH; Mercy-Mt. Airy Hospital, Cincinnati, OH; Mercy-Fairfield, Cincinnati, OH; Fort Hamilton Hospital, Hamilton, OH; Bethesda North Hospital, Cincinnati, OH; Hospice of Cincinnati, Cincinnati, OH; Vitas Hospice, Dayton, OH; Grandview Hospital, Dayton, OH; Southview Hospital, Dayton, OH; Group Health Associates, Cincinnati, OH; Cardiology South, Middletown, OH; Lasik Vision, Cincinnati, OH.
Specialties: Med-Surg, Telemetry, Orthopaedics, Hospice, Neuro-Surgical, Rehab, Chemical and Treadmill stress testing, Outpatient Surgery, Remicaide Infusion Nurse.
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