Quality Assurance/Process Engineer Director

Karen Biss

*E. Clifton Ave. *nd.Flr. 201-***-****

Clifton, NJ 07011 *******@***.***

SUMMARY

Experienced dual career Executive Level Leader in Software Quality Management and Process Engineering with NJ LPN License - implemented Manual and Automated Testing Standards/Procedures for Multiple Industries including a $15 million front-end system for Fortune 500 clinical laboratory. Lead CMM Level III – Software Quality Assurance certification for Public Utility Client. Exercised leadership and team skills in managing Alzheimer’s Dementia homes/communities.

SEI – Capability Maturity Model

Six Sigma – Green Belt

Barnes-Oxley Act

MS Word

MS Excel

MS Visio

MS Project

MS Power Point

Project Portfolio Tool - Niku

SQL

Data Modeling

Rational Test Suite – Win Runner

Insurance Billing Requirements

Scheduling

Process Mapping

NJ LPN License

Phlebotomist Certification

Jira

PROFESSIONAL EXPERIENCE

8/2017 – present Epic Health Services

QA Coordinator

Analyze, review and report on charts, charting trends, and quality assurance indicators.

Monitor compliance for policies and procedures including but not limited to clinical documentation.

Train new hires (Orientation) and existing nurses on Hope Device for electronic documentation along with manual documentation procedures/processes.

Process Physician Verbal Orders to point of completion

Assist with Plan of Care documentation processes

Support documentation for Hospital Admissions/Discharges

Invoke Client Discharge from Services Procedures/Processes

Track Infection Control factors

Support for internal/external Audits

10/2015 – 2/2017 Brookdale of Paramus

Clare Bridge Program Manager

Overseeing the Clare Bridge Care staff

Providing training and coaching to Associates in all aspects of the Memory Enhancement and Clare Bridge Program

Overseeing the implementation of Brookdale's Clare Bridge Program guidelines

Planning, coordinating, and facilitating programs

Strengthening local community involvement through promotion of volunteerism among members of the community and residents families

Ensuring that resident's lives are maintained by providing activities and daily care

9/2015 – 10/2015 Amedisys Inc.

LPN

Perform scheduled home visits according to procedures.

Document visits

Attend e-learning sessions

Attend meetings

4/2015 – 8/2015 Brookdale – Emeritus of Paramus

LPN

Adhere/execute the established Resident care plan and the Physician's Plan of Treatment.

Perform assigned duties, including administration of medications, treatments and procedures as indicated, monitoring and documenting the Resident's changes as per procedures.

Adhere to safety and infection control policies and practices.

Build rapport with family members as applicable.

Provide supervisory support and instruction to Med-Techs and CNAs.

12/2012 – 2/2013 Bayada Home Care

LPN

Adhere/execute the established client care plan and the Physician's Plan of Treatment

Perform assigned duties, including administration of medications, treatments and procedures as indicated, monitoring the client's condition.

Report changes in client's condition as per procedures - Update client's care plan as needed

Implement safety and infection control policies and practices

Build rapport with family members as applicable.

2014-2015 CareEvolve BioReference Laboratories

Implementation Manager

CE Support: contribute to 1st line review- prioritization, client response, delegation in Jira

Interface Monitoring – Alerts: restart down interfaces, escalate interface issues

National Implementation: participate in weekly calls, document meeting minutes and update weekly project status

EMR Implementation: execute EMR Project Process per Project Assigned, Conduct Weekly EMR Project Meeting with internal staff and management (agenda/minutes/action items)

CE Internal Upgrade Meetings: participate in weekly CE Internal Upgrade Meetings

External Integration: Conduct bi-weekly meeting with Sr. Departmental Heads, maintain project list w/status, priority, assignment, document and distribute meeting agenda & minutes with action items

Processes and Procedures: document/update per Sr. Mgmt. instruction and obtain staff sign-off

Create Visio process flow documentation to depict Ordering and Registration for Sr. Mgmt. request

High Impact BioReference Projects: invoke Project Management practices towards the success and completion of projects

Participate in ICSA Certification: research, scope clarification, and assist in steps required to obtain certification.

2013-2014 BioReference Laboratories

Billing Representative

Executed Auto Posting background programs for multiple insurance companies.

Create and maintain Bi-Monthly and Monthly Rejection Files excel spreadsheets.

Create and import data into Access database to support insurance auto-posting unresolved and denial outputs for multiple insurance companies.

1/2012 – 12/2012 Potomac Group Homes/Memory Care Living at Potomac

Resident Care Supervisor

Medication Monitoring/Monthly Turn-Over

MAR Validation/Monitoring

Lab Orders/ Result follow-up

Medical Testing Orders

Narc Log Creation/Updates/Monitoring

Vital - Weights Monitoring

Care Plan Monthly Log Creation/Monitoring

Incident Documentation/Follow-up Monitoring

Monthly Medical Dr. Psych Dr. Podiatrist, Physical Therapy, and Dentist Visits Schedule

Visiting Nurse Schedule

Private Therapy Schedule (e.g. music by resident)

Family Scheduled External Doctor Visits

Tours/Admission

Documentation: Charts, Reports, Elopement Exercises, Fire Drill Exercises

Medical & Incontinent Supply Orders

2006- 2010 A&P Tea Co., Montvale, NJ

Process Manager/ Business Analyst

Analyzed, researched and initiated methods for achieving best supply chain cost with regards to Cross-docking and Direct Store Delivery- Annual delivery savings of $3.5 million

Evaluated delivery processes, identified improvements and implemented.

Participated in key role on the Banner Integration Team to identify, document and communicate Merchandising Processes with newly defined Roles/Responsibility to all levels of the organization.

Process Mapped, Voice Of the Customer - Customer Requirements, Root Cause Analysis, Data Collection, Value Added Metrics, Cycle Time, Cost Benefit Analysis, and ROI

Validated identified processes for Barnes-Oxley Act (2002) compliance (documentation, controls and accessibility to file transaction reports)

Supported Vice President of Supply & Logistics Department for Executive Reporting.

1989-1997, 2002 – 2003 Quest Diagnostics, Inc. /Corning Clinical Lab/Metpath, Lyndhurst/Teterboro, NJ

Director Process Engineering and Management Office/Project Leader/QA Manager /Problem Management Coordinator /Senior Billing Representative

Implemented Organizational Process Model – CMM Level 2 & 3 integrated with Six Sigma.

Facilitated Software Engineering Process Group to maintain and implement Project Execution Processes for the Nation-Wide Information Technology Organization.

Participated as a member on the Six Sigma Quality Council to conduct monthly Black Belt and Green Belt project status/compliance review.

Lead Organization in Project Portfolio tool selection, Capital Expense Board approval and configuration and implementation.

Liaison between Project Managers, Development Group, End Users and Team Members

Create Test Plan(s) including: test strategies, structured test cases, validation of conversion mappings, User Acceptance and sign-off.

Create/Manage Microsoft Project Plan(s)

Coordinate/Implement Processes related within QA Dept. and Production

Reported problems into an Access (and Lotus Notes) database, assigning tracking numbers, routing problems to the appropriate group for resolution, prioritization and documentation of resolution.

Developed Sybase SQL Scripts to verify User access issuing grant statements to re-establish User authority.

Maintained databases using utilities and SQL tools in support of system testing, user training and production data validation.

Presented numerous demonstrations on benefits of proposed system to interested parties at all levels of the organization including the Chairman of the Board, Corning, Inc.

Summarized milestone testing and results including: outlined specific functionality and noted any missing functionality, made specific recommendations regarding payment of invoices exceeding $250K

Held a key role in the requirements gathering/design session’s process for $15 million front-end system for this Fortune 500 clinical laboratory company identifying defects prior to coding and indicate areas of high risk.

Participated in re-engineering of existing processes to identify areas of labor reduction and increased efficiency.

Enlisted support of sales force to improve quality of billing information received on requisitions.

Suggested mainframe-programming fixes to increase percentage of billable requisitions

2000 – 2001Kiodex, Inc. New York, NY

Director, Quality Management

Developed, documented and implemented a Kiodex Quality Management Methodology.

Established and implemented software testing tool suite standards with cross-functional training.

Assisted in development and implementation of an independent QA Test Environment.

1998 – 2000 Prudential Roseland, NJ

QA Programming Manager/QA Team Lead

Created, Documented and Implemented SEI/CMM Level II Key Process Area - Processes, Standards and Audit Trail

Maintained Y2K Compliance Requests and Implement Standard Y2K Testing Methodology within Scheduled Release Testing Processes.

Participated/Mentored as a Subject Matter Expert for Enterprise - Center of Excellence Committees pertaining to Process Improvement and Implementation of Quality Initiatives.

1997 – 1998 Keane, Inc. Clark, NJ

SQA Team Lead / Software Configuration Control Board Lead for several Major Companies such as: PSE&G, MECA (formerly known as Panasonic), Cahner’s Travel Group and Bowker’s Publishing

Obtained SEI- CMM Level III Certification through preparation and participation in day SEI Audit.

Created, Documented, Communicated and Implemented Standards, Processes, and Templates with orientation, charters, manuals, checklists and metrics.

EDUCATION

3/2012 – 6/2012 Department of Community Affairs

Boarding Home Operators Class C License

A 10 week course, including lectures on the following subjects: Regulation, Nutrition, Mental Health Wellness & Recovery, Cultural Competence, Understanding Mental Illness, Issues Related to the Elderly, Psychotropic Meds & Side Effects, Medications & Physical Side Effects, Screening and Selection, Emergency Preparedness, Behavior Management, Substance Abuse and MICA

9/2010 -9/2011 Lincoln Technical Institute

Practical Nursing Program-Diploma

An intensive 12 month-course, including 1500 Clinical Hours, theory and hands on training.

5/2004 The Cittone Institute

Medical Assistant-Phlebotomy Program-Diploma

An intensive 9 month-course, 900 Instructional Hours with 180 Clinical Externship Hours.

1990-1991 Dover Business College - CPI Division

Diploma - Business Computer Programming 4.0G.P.A.

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