Quality Medical
Resume:
Columbia, MO *****
abg21t@r.postjobfree.com
Chris Molloy
Current Objective: Be a part of a leadership team in a progressive healthcare organization that
provides exceptional service in quality, customer satisfaction, safety, and financial indicators .
Work Experience
Director Care Coordination, St. Mary’s Health Center, Jefferson City, MO - Missouri Quality
Award Recipient; Top 1% in the Nation for Quality
December 2008 – present
Accountable for and provide direct leadership (mentoring, coaching,
performance appraisals) for the disciplines of social services, case
management, and the clinical documentation medical specialists (CDMP).
Performance driven.
Establish and monitor monthly department goals (that are aligned with
system goals) including: Patient and Customer Satisfaction (Press-Ganey),
Physician satisfaction with Coordination of Care, Employee Satisfaction,
Financial Goals - total expenses based on units of service, Growth based
on the amount of status changes that are performed, and finally, Safety,
making sure staff are educated about safety measures in health care
systems. Create action plans when not meeting goals.
Investigate and act on all opportunities for improvement (complaints &
grievances) that involve areas of responsibility
Work with staff (including case management peers at the corporate level)
to revise and update department/system policies and procedures based
on information received from CMS, Joint Commission, and other Payer
sources.
Work closely with Director of Quality and Risk to align processes and
assure compliance. Serve on the Corporate Responsibility Quality Team
Successfully initiated and serve as the system administrator for on-line
InterQual Criteria for Medical Necessity (CERMe). Acquired the tools and
equipment needed for staff to do their jobs well. (InterQual Training and
Laptops)
Prepare annual budget for department.
Obtained certification as a Project Team Leader in Continuous Quality
Improvement (CQI+), Learned lean and six-sigma tools; green-belt
equivalent in manufacturing – Initial Project, “Patient Status; Getting it
right the first time” Resourceful, forward thinker.
Member of the RAC Steering Committee - Assist the Director of Health
Information Management with all RAC and other such entities
requests/demands. Perform medical necessity reviews and determine
appeal statuses. Have a working knowledge of AudaPro software; a RAC
process monitoring tool.
Responsible for compliance with the Centers for Medicare and Medicaid
Service Quality Indicators and Joint Commission
Active member of Hospitalists’ Group, Morbidity & Mortality, Education
Council, Patient Care Council, Revenue and Responsibility, Utilization
Review Committee, and the Corporate Responsibility Committees for
Case Management & Quality.
Director Patient Care, General and Surgical Specialties, Unit 4000, Boone Hospital Center,
Columbia, MO- Magnet Recognized
July 2005 – October 2008
Utilized Quint Studer tools and techniques for advocating cultural change
within an organization
Managed and provided leadership to operate a progressive 40-bed
surgical unit along with an 8-bed step down unit
Maintained 24-hour accountability for staffing, customer satisfaction,
finances, quality, growth, and service indicators.
Responsible for compliance with the Centers for Medicare and Medicaid
Service Quality Indicators and Joint Commission
Lead a unit based initiative “Transforming Care at the Bedside” which
incorporated the development of a unit based council and increased
employee engagement
Initiated “Bedside Reporting” and daily “Quiet Time” which markedly
increased satisfaction scores and safety among patients, physicians, and
staff
Nurse Manager, North Kansas City Hospital, North Kansas City, MO
July 2001 – June 2005
Operationalized a new 20-bed medical-surgical unit then later
assumed 20 more beds for a total of 40 –beds, with telemetry
Also managed a hospital-wide IV Team, helped them acquire PICC
line insertion certification
Assured appropriate staffing 24/7
Maintained monthly financial and vacancy reports
Rounded daily on all new admission and followed up on customer
concerns
Received training in “The Seven Habits of Highly Effective People”
by Franklin Covey
Case Manager, North Kansas City Hospital, North Kansas City, MO
April 1997 – June 2001
Assisted health care customers through the continuum of care
Followed State and Federal Guidelines and third party payer
regulations
Evaluated discharge needs
Set-up home care services and other community assistance
Assisted physicians in determining appropriate levels of care
Served on Utilization Review Committee
First in department to be assigned to/and develop a working
relationship with a primary Internal Medicine Physician Group
Staff/Charge RN, North Kansas City Hospital, North Kansas City, MO
June 1993 – April 1997
Provided direct nursing care for the medical-surgical patient
Made patient assignments, directed patient flow
Preceptor for new employees
Recipient of “Notice-a-Nurse” Award
Utilization Review Nurse, Heartland Health System, St. Joseph, MO
August 1991 – June 1993
Performed initial and concurrent medical reviews on patient
admission using InterQual Criteria
Communicated and collaborated daily with all payer sources
Worked closely with Social Services coordinating discharge
planning
Staff/Charge Nurse, Heartland Center for Rehab, St. Joseph, MO
August 1989 – August 1991
Delivered total patient care for rehabilitative clients experiencing
neurological, physical, and mental illnesses or injuries
Worked collaboratively with the multi-disciplinary team
Staff/Charge Nurse, Cox Medical Center South, Springfield, MO
May 1986 – August 1989
Team Leader of a 30-bed open heart, step down unit, evening
shift
Charge Nurse of a 30-bed orthopedic unit, transferred to day shift
Preceptor for new employees
Staff/Charge Nurse, Heartland Hospital West, St. Joseph, MO
June 1982 – April 1986
Staff Nurse – General Surgery
Placed in Charge on evening shift as a new graduate
Education University of Missouri, Columbia, MO – On-Line, Near completion (three
classes left), Masters in Nursing Leadership of Health Systems
Continuous Quality Improvement (CQI) Plus, Project Team Leader for
Healthcare – Equivalent to a “Green Belt” in Industry - September 2010
Missouri Western University, St. Joseph, MO – Bachelors of Science in
Nursing, May 2003
Methodist Medical Center School of Nursing, St. Joseph, MO – Diploma in
Nursing, May 1982
Orient-Macksburg High School, Orient, IA – Diploma 1979, Salutatorian,
and Student Council President
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