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

Contact this candidate