Medical Staff
Resume:
ROXANNE TERRASE CPCS, CPMSM
***** ********* ***** ****** *** Vegas, Nevada 89148
240-***-**** *******.*******@*****.***
MEDICAL STAFF SERVICES PROFESSIONAL
Accomplished medical staff services professional and administrative specialist with over 20 years of combined experience impacting hospital staff and patients through skillful enhancement and orchestration of process development and improvements, and streamlined paperless document processing. Innovative team leader, highly capable of orchestrating meeting planning and scheduling, program and event management, and team training and coaching.
Areas of Expertise
Policy & Process Development Regulatory Compliance • Medical Program Management
Credentialing Project Planning Database Management • Patient & Healthcare Administration
Team Building & Training Scheduling & Records Management Research & Data Analysis
Organization & Planning Relationship Building Paperless Application Processing
Meeting Planning
PROFESSIONAL EXPERIENCE
ADVENTIST HEALTH CARE, Rockville, Maryland • 2013-2015
2 acute care hospitals, 2 specialty hospitals and Managed Care
Medical Staff Data Integrity Officer
Oversaw and directed decentralized credentialing verification program and ensured compliance with all applicable accreditation standards and policies of participating facilities within Adventist Health Care. Served as a liaison and promoted/maintained positive and collaborative rapport and effective communications with Medical Staff Services personnel and Medical Staff Leadership. Provided expertise, management, manipulated and analyzed data and reported results.
Major Contributions:
Daily operations included identifying problematic areas and conducting research to determine the best course of action to correct the data, analyzed and problem solved issues and current and planned systems as they related to the integration and management of practitioner data, analyzed reports of data duplications or other errors to provide ongoing appropriate inter-departmental communications and monthly and daily data reports, monitored for timely and accurate completion of select data elements, identified, analyzed and interpreted trends and patterns in complex data sets and Monitored data dictionary statistics.
Data capture included collaboration with others, development and maintenance of databases, and data systems necessary for projects and department functions, acquired and abstracted primary or secondary data from existing internal and external data sources, collaborated with others, developed and implemented data collection systems, and other strategies to optimize statistical efficiencies and data quality and performed data entry, either manually or using scanning technology, when needed or required.
Data reporting included collaboration with others, interpretation of data and development of recommendations based on findings, developed graphs, reports and presentations of project results, performed basic statistical analysis for projects and reports and generated routine and ad-hoc reports.
Promoted and supported decentralized system application processing and acted as a liaison to medical staff offices. Assured that all policy changes are communicated to medical staff offices and other related department.
Directed and assured compliance with accreditation requirements, including but not limited to, TJC, NCQA, CMS and other regulatory standards.
Designed necessary reports and queries in MSOW (Morrisey Credentialing software) database to analyze and ensure compliance with all duties and responsibilities related to the work of decentralized application processing.
In collaboration with Adventist Health Care entities, developed policies and procedures and business rules that met legal, regulatory and accreditation requirements as well as credentialing policies in accordance with each facilities governance documents.
Directed and oversaw implementation of a Quality Plan, conducted and analyzed customer satisfaction surveys; managed complaints and expectations regarding the application process; and responded to individual concerns. Developed and oversaw performance improvement program. Identified and implemented opportunities to improve or enhance services, policy/procedures changes, staff training and monitoring activities as indicated by results of performance improvement program; prepared annual performance improvement program reports for Adventist Health Care entities.
WASHINGTON ADVENTIST HOSPITAL, Takoma Park, Maryland 2012-2013
270 bed acute care hospital with over 600 medical staff practitioners.
Medical Staff Services Director
Oversaw medical staff organization support services in collaboration with medical staff president, medical executive committee, and medical staff leaders. Directed programs and activities supporting department objectives and requirement compliance. Draft MEC policies, procedures, programs, and strategies. Regulate governance documents, including staff bylaws, rules and regulations, manual, and credentials policy in compliance with various regulatory agencies, including but not limited to, State, Federal, and nationally recognized accreditation entities.
Major Contributions:
Complete re-write of Medical Staff Bylaws, Rules and Regulations for organized Medical Staff.
Improved efficiency and productivity by computerizing documentation processes.
Streamlined application processing and physician on-boarding procedures with enterprise-wide credentialing system.
Merged 5 practice patterns into 1 concept by eliminating redundant processes.
SOUTHERN MARYLAND HOSPITAL, Clinton, Maryland 2011-2012
Hospital with 270 beds and over 800 medical staff practitioners.
Medical Staff Services Director
Managed programs and activities, policies, procedures, and programs. Led special projects planning and execution, and program implementation. Headed application and credentials management, staff evaluation and support, budget management, and meeting planning.
Major Contribution:
Increased efficiency with paperless application processing.
SOUTHERN HILLS HOSPITAL & MEDICAL CENTER, Las Vegas, Nevada 2008-2010
Medical Staff Services Director
Drafted and maintained all staff documents, including bylaws, rules, regulations, and policies in compliance with various regulatory agencies, including but not limited to, State, Federal, and nationally recognized accreditation entities.
Major Contributions:
Conducted committee planning, such as agenda material procurement, minutes documentation, follow-up memos and letters, and information research and preparation.
Increased efficiency with paperless application processing.
SUMMERLIN HOSPITAL MEDICAL CENTER, Las Vegas, Nevada 2004-2008
Medical Staff Services Manager
Ensured compliance of information systems, and policies and procedures. Supervised medical staff policies and procedures, workflow, budget development, and variance reporting.
DESERT SPRINGS HOSPITAL MEDICAL CENTER, Las Vegas, Nevada 2003-2004
Medical Staff Services Manager
Managed project planning and implementation, staff policies and procedures, documentation and reports, staff coaching, and information assessment.
Major Contributions:
Introduced computerized application processing.
DOCTORS COMMUNITY HOSPITAL, Lanham, Maryland 1997-2003
Medical Staff Services Director
Drafted policies, procedures, programs, and plans for medical staff support services. Delivered resources, reports, governance documents, and project planning.
Major Contributions:
Improved efficiency and productivity with paper-light application processing and document maintenance.
Aided medical staff leaders and legal counsel in updating governance documents to current practices.
SENTARA HEALTH SYSTEMS, Norfolk, Virginia 1993-1997
Credentials Coordinator
PROFESSIONAL DEVELOPMENT
Certified Provider Credentialing Specialist
Certified Professional Medical Services Management
TECHNICAL SKILLS
Novell GroupWise
CACTUS, Morrissey, ECHO
Quicken, RightFax, Crystal Reportwriter
MS Office (Word, Excel, Outlook, PowerPoint)
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