Post Job Free

Resume

Sign in

Quality Assurance Public Health

Location:
Massillon, OH
Posted:
March 07, 2024

Contact this candidate

Resume:

Sarah Bell

330-***-**** ad36ql@r.postjobfree.com *71 Shaw Ave NE, Massillon, OH 44646

EDUCATION

Kent State University, Bachelor of Science (Public Health, Community Outreach and Engagement) GPA, 3.5

EXPERIENCE

Compliance and Risk Specialist, Planned Parenthood

August 2023 - Present

-Developed, filed, and tracked root cause analyses, corrective action plans, and performance improvement plans. Ensured key stakeholders remain accountable for documented actions and timelines

-Coordinated annual and PRN reviews and updates for PPGOH manuals to ensure that program is meeting current requirements and updates from regulatory bodies

-Developed monthly audit schedule calendar - compiled and tracked audit data to report to the board and quality assurance committee. Assisted in the development of policy and filing of corrective action plans

-Performed routine audits on quality risk and compliance systems for PPGOH's health and surgical centers

Community Health Worker, UnitedHealthcare

June 2022 – March 2023

-Worked on the Children in Custody team to ensure that children in foster and kinship programs are receiving the appropriate medical treatment and coverage that they need – worked with low-to-moderate risk level children to cover all care gaps

-Educated foster families and guardians on services/benefits that the member qualifies for

-Performed monthly/bimonthly outreaches, aids with discharge planning and transition of care follow-ups.

-Liaison with multiple types of health care facilities (dental, primary care, psychiatric/behavioral health) to advocate for children’s complex medical or behavioral needs

-Worked daily in ImpactPro, MITS, Outlook, EMR and EHR systems to look up risk levels, chart information, and member denials/approvals for services and prior authorizations

-Supplied actionable data, information, and support to assist in meeting the member’s care needs

Quality Assurance Analyst, Ohio Department of Health

August 2020 – June 2022

-Conducted biweekly training sessions to onboard up to 100 new hires, ensuring comprehensive understanding and applications of role-specific knowledge and skills within the contact tracing team

-Executed audits encompassing quality assurance, HIPAA compliance, and other critical domains, ensuring the protection of patient privacy and the dissemination of accurate information to the public. Undertook necessary corrective actions following post-audit assessments

-Meticulously reviewed and analyzed all data and documentation to ensure high levels of quality and accuracy

-Actively contributed to monthly/biweekly quality review meetings, engaging in discussions regarding monthly observations, emerging behaviors and trends, and the outcomes of quality improvement initiatives, as applicable

Contact Tracing Supervisor, Ohio Department of Health

June 2020 – June 2022

-Collaborated daily with surveillance, epidemiology, and clinical staff/other health officials in establishing priorities for case investigation and contact tracing, proper triage protocols for income laboratory and provider reports, and evaluation and monitoring of case investigation/contact tracing activities and outcomes

-Directed the assignment of disease intervention activities, communication with surveillance triage staff to certify equitable assignment of priority cases and contacts for investigation. Monitored progress to ensure investigations are completed promptly

-Conducted workload assessments and adjusted work assignments as necessary for 40+ direct reports.

-Additionally worked as the inbound supervisor that supported our call center handling over 150 calls per day for all 88 counties in Ohio, ensuring quality, accuracy in data entry, and random quality audits.

-Conferred with health jurisdiction management team regarding significant events that could impact program objectives (for example, potential outbreak situations, personnel issues, changes in health care facility's policies/infrastructure or other special circumstances)

Contact Tracer, Ohio Department of Health

April 2020 – June 2020

-Remote contact tracing assigned to multiple public health departments to conduct investigative phone interviews with confirmed COVID 19 cases, documented confidential health information into secure database and supplied approved public health advice for safety and quarantine.

-Responsible for case management of 10 – 30 cases daily and followed specific procedures for local health departments.

-Consistently and accurately working between multiple case files and Excel spreadsheets, developed familiarity and comfort with formulas and data entry within Excel.

-Named solutions to problems and empathy to individuals who tested positive for COVID 19, and the ability to handle confidential information with discretion and professionalism

Talent Acquisition Specialist, Kenan Advantage Group

February 2018 – March 2019

-Developed and executed strategies to source and identify potential candidates

-Conducted interviews and assessments to evaluate skill and suitability of candidates

-Reviewed and processed all job applications for CDL drivers, mechanics, and tank washers; sent over employment verifications to former employers, followed and adhered to all regulations to qualify potential recruits for employment

-Conducted new hire and exit interviews focused on retention and analyzed turnover data

Patient Advocate, Planned Parenthood

October 2016 - January 2018

-Advocated for patients who faced barriers to accessing care, such as financial, transportation or stigma

-Referred to community resources and services, such as housing, food, or legal assistance

-Educated patients about reproductive health care rights and resources

-Scheduled appointments for all Northeast Ohio health centers and followed HIPAA laws to protect patient privacy

-Gained familiarity with different software such as EMR and EHR, multi-lined phone systems, medical insurance verifications and medical terminology



Contact this candidate