Nurse Front Office
Resume:
Tara N. Connell
HIM B.S LPN
Professional Experience
Absolute Total Care Centene 06/18-12/2019
Quality Department
Clinical Nurse Liaison
Healthcare Effectiveness Data and Information set (HEDIS) measure review by National Committee for Quality Assurance (NCQA) guidelines Adult BMI assessment, weight assessment and counseling for nutrition and physical activity for children/adolescents, colorectal cancer screening, care for older adults, controlling high blood pressure, comprehensive diabetes care, medication reconciliation post-discharge, transitions of care, cervical cancer screening, prenatal and postpartum care, lead screening in children, immunization for adolescents, childhood immunization status, well child visits first 15 months of life 6+ visits, well child visits ages 3-6 years of life, and adolescent well care visits and other measures.
Data entry
Clinical Data Abstraction
Over reader for ATC and Change Healthcare
Quality Improvement Projects
Update and create policy and procedures
HEDIS and QI Provider outreach education onsite clinic visits and medical record pull
HUI user Interface system and TruCare user
TruCare system user
EMR EPIC, Greenway, Aprima, Practice Fusion, e Clinical Works
Quality Spectrum Hybrid Reporter (QSHR) HEDIS system user
Resource and liaison for utilization and case management activities
Medical Record requests
Support team and member initiatives
Select Health of SC, Amerihealth Caritas 01/18-05/18
Contracted through TechLink System
Quality Department, Charleston, SC
HEDIS Project
Healthcare Effectiveness Data and Information set (HEDIS) measure review under The National Committee for Quality Assurance (NCQA) guidelines
Clinical Data Abstraction
Data entry
Medicare and Medicaid review
Inovalon, Quality Spectrum Hybrid Reporter (QSHR) system user
Onsite medical record collection and call/fax ROI collection
EMR EPIC, Greenway
Clinical audit criteria met at 100% inter-rater reliability
HIPPA compliant
GroupHealth Cooperative-Tukwila, WA 01/14-07/16
Emergency Medicine Utilization Review/Case Management
EPIC, JIVA, LOTUS, MCG and IBM Superuser
ED telephonic Case management emergency patient transfer and admission services
Utilization review ensures that treatment delivered is appropriately and meets the member’s needs to transfer from one ED/hospital to a better care facility based on clinical decisions and JIVA and MCG review.
Insurance Coordinator
HIPPA Compliant
Quality Improvement Project using The National Committee for Quality Assurance (NCQA) guideline.
ROI, medical record requests
Healthcare Information Management 11/13-07/14
UW Medicine Northwest Hospital- Seattle, WA
Clinical Data Abstractor (contract)
EPIC implementation Phase I and Phase II project rollout
EPIC prelude patient demographic and insurance EMR chart creation
Oversaw three outpatient clinics individually for Phase I that were paper chart based
Remote abstract Allscripts EMR into EPIC EMR
Phase I clinical abstraction flow was based on physician daily schedule, pull medical paper charts from medical records room, open EPIC and review from paper chart and enter into EPIC patient demographics, face sheet, find past history diagnosis, active diagnosis, allergies, surgical, family, social history and medications.
Helped clinical flow staff and physicians with EPIC user issues
Phase II EPIC implementation will include prelude patient registration of over 2,400 patients that well be registered, and seven clinics to be abstracted.
Remote abstraction HEDIS measurement breast cancer screen
GroupHealth Cooperative- Capital Hill Seattle, WA OB/GYN/Midwifery 04/11-10/12
Triage Licensed Practical Nurse
EMR EPIC
HIM, FMLA lead nurse, ROI/HIPPA/HITECH Act compliant
Managed 12 MD, 7 CNM
Surgery scheduling
Diagnostic orders
Triage phone
Data Entry
Urgent care assist
Preop/postop patient teaching
Maxim Healthcare Services Seasonal –Seattle, WA 10/10 -12/10
Charge Nurse 09/11- 12/11
Pediatric-geriatric ambulatory care setting with little to no supervision
Set-up flu clinics at various locations: Virginia Mason Employee Health, Sandpoint
Ensured all materials and supplies are adequate for all nursing and clerical staff
Coordinated efficient patient flow
Oversaw nursing and clerical staff
Managed security of materials, Maintain expensive vaccinations at personal home
Patient assessment and care tasks/ Administer injections
Overlake Medical Clinic, – Bellevue, WA contracted through Nuwest group 03/10 - 09/10
Triage Healthcare Coordinator/ Licensed Practical Nurse (contract)
• EMR E-clinical works, MEDITECH, data entry
• Appointment coordinator, insurance referral coordinator/HIM/ROI, billing specialist
• Managed front office and back office patient care
• Ambulatory and acute care environment
• Telephone and walk-in triage
• Patient teaching and assessment
• Assisted in hiring and orienting new employees
• Supervised clinical staff, coordinated nursing activities with practitioners
Interlake Medical Center, P.L.L.C. – Redmond, WA 04/07-09/09
Pediatrics Licensed Practical Nurse/Medical Records Specialist
Assisted pediatrician and family practice physician
Prepped, filed, copied, paper patient charts
handled all HIM/ROI,
HIPPA compliant
HEDIS childhood and adolescent immunization review
Front office and back office patient care
Horizon scheduling system proficient
Education
University Of Washington
Public Health 2015
Bachelors of Science
Health Informatics and Health Information Management
Lake Washington Technical College 2008
Licensed Practical Nurse
License Practical Nursing Proficiency Certificate President Honor’s List
Current health care provider BLS certification
LP60046673 Licensed Practical Nurse WA
LP50034 Licensed Practical Nurse SC ACTIVE
Bellevue College 2007
Associate of Arts and Science Degree
Certificate of 2018 HEDIS Medical Record Review and Data Entry Training 2018
Med Prep 2007
Nursing Assistant Certificate
Group Health
Telemetry Certified 2011
Group Health
IV Certified 2011
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