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Boston Medical Access Manager

Location:
Katy, TX
Salary:
76,000
Posted:
June 26, 2021

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Resume:

NATALIE SMITH

**** ******** ***** (C) ***- ***-**55 Katy TX 77494 ***************@*******.***

HEALTHCARE CLINICAL MANAGEMENT

Accomplished healthcare clinical manager capable of managing and developing diverse clinical teams of professionals to new level of success with a proven track record of clinical and personnel management, facility operations, managing and implementing measures for MIPS & MACRA. Successful direction of startup organizations with experience in marketing, recruiting, training, and developing team skills to maximize business result. Ability to address key clinical outcomes and provide and maintain an excellent patient experience through leadership and talent management.

AREA OF EXPERTISE

Clinical Management

Facilities Management

Dynamic Leadership

EMR /EHR Implementation

Performance data collection

Operation Improvement

Operation Management

Physician Relations

Patient Relations

Process Improvement

MIPS & MACRA

PROFESSIONAL EXPERIENCE

Texas ENT Specialist 2021 - Present

Site Operations Manager (LVN)

Reports and audits

Taking full responsibility for the day to day running of all operational areas

Promoting a positive health and safety culture on site.

Setting and achieving operational goals.

Oversees the supervision of personnel including work allocation, training, problem resolution, and all employee & client grievances. Evaluates performance and makes recommendations for personnel actions. Motivates employees to achieve peak productivity and performance.

Continuously measure and evaluate the departmental goals and all work processes.

Providing coverage for Regional Site Managers as required

Driving the best practice standards and processes across the business

Ensure clinical and clerical policies and procedures are carried out daily.

Identify and recommend policies and procedures as needed to ensure quality, compliance, accuracy, and cost efficiency.

Solid understanding of finance management and basic understanding of revenue cycle

Participates in the development and implementation of program policies and procedures to ensure efficient and safe operation of various clinics.

The Center for ENT. Houston, TX 2018 – 2021

Clinical Manager (LVN)

The Center for ENT consists of 7 Otolaryngologist, 1 Allergist and 4 Audiologist providing medical and surgical treatments for condition affecting ear, nose, and throat.

Oversees and ensure efficient clinic operations, ensuring a prominent level of productivity and providing operational and technical direction. Manage 18 clinical staff including Medical Assistants, Scribes, Radiology Tech and Surgery Scheduler.

Proven record of accomplishment of successfully managing and implementing measures of MIPS & MACRA. Increasing performance scores by 3.25% resulting in a $34K reimbursement for 2017 and 2018 reporting.

Proven record of accomplishment of implementing procedures for patient that No-Show their appointments. Bringing in revenue of $79K for 2018-2019.

Proven record of decreasing clinical spending by $70k for 2018-2019.

Negotiating vendors /site contracts and managing budget.

Audit charts for accurate documentation for surgery authorizations scope denials.

Lead, develop, and participate in Continuous Improvement and Quality initiative, including monitoring and using clinical data, monthly reports, and mandatory reporting data to improve staff clinical processes to patient care.

Coordinate clinic operations and activities to ensure proficiency and quality service delivered within all sections of the clinic, ensuring compliance with regulations and standards.

Responsible for hiring, training, and development, and salary recommendation etc.

Creates, maintains, and communicates efficient and timely employee schedules according to the needs of the facility. Review and approve clinical staff payroll.

Ensures all clinical staff is trained appropriately and serve patients with the highest level of patient service and care.

Strong ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedure etc., that is necessary to providing quality care and maintain a sound operation.

Provides written documentation of all disciplinary conferences in accordance with the established personnel policies and confers with Administrator and Human Resources regarding the nature of the disciplinary decisions.

Developed and implemented clinical policies and procedures, as well as clinic-specific procedures and programs.

Monitors and enforces clinical budgets guidelines.

Marketing

Assists with growth through business planning and special projects.

Allergy & ENT Associate. Katy, TX 2015 – 2018

Clinical Manager (LVN)

Assessed with planning, implementing, and evaluating patient care needs.

Immunotherapy - specialty testing (allergy testing), Oral food challenges, sinus CT scans, RUSH, IV insertion, etc.

Prepared surgical charts/folders for ENT patients scheduled for surgery throughout the practice.

Monitored all Pre-Op results- documents abnormalities in EHR and task information to physician. Provide surgical facilities with all necessary documentation per facility guidelines.

Assisted with minor surgeries and post-op care.

Monitored workflow of patient and staff.

Supervised 8 staff nurse in clinic and related satellite clinics.

Ensured accomplishment of Corporate goals and objectives.

Ensured staff compliance with patient care policies, procedures, and protocols.

Maintained nursing schedule and supplying adequate staffing within budget guidelines.

Monitored utilization and ordering of medical supplies within budget guidelines.

Interacted monthly with each physician to ensure their needs are met and resolving any clinical issues.

Provided leadership, focus to clinic operations, resource to nursing staff, while proving and ensure excellent customer service.

Brigham & Women’s Hospital Physician Group. Chestnut Hill, MA 2014 – 2015

Triage Nurse (LVN)

Administered vaccines/ injections as ordered by the Physician and according to established policies and procedures.

Telephonically supported the practice by answering and screening calls, offering information as appropriate and facilitating communication.

Responsible for discussing normal lab and pathology results with patients as directed by physician. Patient care management/coordination – works with physicians/clinical support/scheduling staff to ensure that patient care needs are met.

Performed and documents all triage interaction, lab results, EKG’s, and prescription renewals in the LMR and in accordance with Brigham and Women’s Hospital and Department procedures.

Performed routine tests that may include but is not limited to electrocardiograms, vision and hearing screening, and the collection of specimens for laboratory testing and point of care.

Participated in prescription management tasks including preparation of new prescriptions requiring Physician approval, prior authorizations, and medication reconciliation.

Beth Israel Deaconess Internal Medicine. Wayland, MA 2013 -2013

Clinical Manager (LVN)

Assisted with Credentialing, monitor activities related to patient care.

Manage and direct startup operations for new office location.

Worked to promote a positive culture, ensuring a high employee morale and a professional, effective, and efficient work atmosphere.

Addressed patient complaints and issues to improve customer service practices.

Performed competencies and tasks within the scope of the license practical nurse. Assists with the prescription refill request in collaboration with physicians and call in refill to pharmacy.

Assisted in patient education activities in collaboration with the physicians and other professionals in the practice.

DaVita Dialysis. Boston, MA 2007 – 2015

Facility Administrative Assistant/ Vascular Access Manager

Monitored weekly productivity and monthly census for facility and gather data and take part in CQI/QA

Approved vendor list and procurement

Approved payroll, and assist in staff performance review

Coordinated with the Vascular Surgeons at Boston Medical Center regarding mature dialysis access and removal of catheters

Coordinated information and scheduling appointment for patients visiting our facility including coordinating with the Boston Medical Amyloid Clinic.

Collaborated with the multidisciplinary team providing education, assessment of opportunity for improvement, and ongoing monitoring of the process of vascular access program

Increased the effectiveness of all the multidisciplinary access care team’s vascular access and identified opportunities for vascular access improvement

EDUCATION

The University of Texas Arlington: Arlington, TX June 2019 – Current

Bachelor of Science – Public Health

Southern New Hampshire University: Manchester, NH

Master of Science in Business Management

Southern New Hampshire University: Manchester, NH

Bachelor of Science in Healthcare Management

Medical Professional Institute: Malden, MA

Practical Nursing Certificate

AFFILIATIONS

Greater Houston Women’s Chamber of Commerce

Southern New Hampshire Alumni Association, Life Member



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