Data Entry Patient Care
Resume:
Laine Kennedy
New Braunfels, TX *****
*****************@***********.***
Experienced in a multitude of nursing positions in the past 34 years 12+ years in Hedis/Stars in Quality Improvement
Authorized to work in the US for any employer
Work Experience
Case Management Analyst, Hedis, Stars compliance Cigna Care Allies
August 2008 to June 2021
Care Allies Healthspring - 8 /2008 thru 6/02/21
(Cigna HealthSpring/Texas HealthSpring Merger)
Responsible for Hedis/Stars Quality Measures - EMR Documentation Abstraction Created a program tool in 2008 for cigna to simplify obtaining measures for Quality Improvement which is still being utilized by Cigna Healthcare today. Advanced Cardiovascular Specialist Beaumont Texas (Christus Transfer). Responsible for pacemaker clinic for 4-Physician office Pre and post operative care to include wound care and instructions Pacemaker follow-up monthly computerized phone checks Floor nurse to include pre physical chart preparation Perform treadmill Stress test. Dr. Tighe Huber and Dr. Frank Kotzur Family Practice (Christus) Head office nurse interim office manager of 30+ staff All office nursing patient care duties including minor surgeries Preparing charts with RX's, etc for Dr. viewing and signing. Scheduling out patient procedures. Coordinator of all nurses schedules Coordinator all OSHA compliance for the office
Dr. Scott Compton Orthopedic Surgeon
Responsible for obtaining All Texas licensure/ Medicare/ Medicaid and private insurance obtained prior to Dr. coming to Texas.
Head nurse/ office manager of staff
All office nursing duties including patient care surgery schedule Medicare and Insurance pre and post op verification Extensive workers compensation experience.
Doctors Hospital
Front office pre- admission. All insurance pre-admission utilization review for monthly staff meetings. Receiving pre-admission orders
Scheduling out patient test
Scheduling out patient surgeries
Utilization review for extended stay
Medical Surgical patient care duties out of school 1st 6 months then Primary Charge Nurse on 3-11 shift. Duties to include patient care I.V. therapy. Medication administration.
Record report for A.M. shift
Manager of all the staff on whatever shift I was charge nurse on. Case Management Analyst, Hedis, Stars compliance Cigna care Allies - Houston, TX
August 2008
I help Drs obtain Stars scores and Hedis Compliance. Data entry. I’ve done start up in 11 offices. My 1st year of work in 2008 with Texas HealthSpring I composed measure tools which put my 5 Physicians in the top 8 in compliance in the the country. My tools have been used now across the country for years now and they are still used in some offices... most are now integrated into EMR systems. I’ve used multiple EMR systems over the past 13 years.
Education
Associate in Nursing
LVN Lamar State College - Port Arthur, TX
1987
Skills
• Self Starter, EMR trained EClinicals, Ascender, Tableau, Arcadia, PowerPoint, EMD, Word, Amazing Charts, Quest 360, Inovalon (10+ years)
• Data Entry (10+ years)
• HEDIS (10+ years)
• Microsoft Office (5 years)
• Medical Records (10+ years)
• Excel
• Microsoft Word
• Medical Terminology (10+ years)
• Microsoft Outlook
• Documentation (10+ years)
• Management (8 years)
• problem solving (10+ years)
• ICD-9 (10+ years)
• Insurance Verification (8 years)
• CPT Coding (10+ years)
• Acute Care (10+ years)
• Managed Care (10+ years)
• Office Experience (10+ years)
• Customer Service (5 years)
• Microsoft Powerpoint
• Phone Etiquette (10+ years)
• English (10+ years)
• Office Manager Experience (8 years)
• Supervising Experience (8 years)
• Microsoft Excel
• Time Management (10+ years)
• Data Collection (10+ years)
• Business Analysis
• Medical Coding (10+ years)
• Quality Assurance (10+ years)
• ICD-10
• Leadership Experience (10+ years)
• EMR Systems (10+ years)
• HIPAA (10+ years)
• Medical Office Experience (10+ years)
• Utilization Review (2 years)
• Analytics
• Patient Care (10+ years)
• Catheterization (3 years)
• Triage (5 years)
• Medical Scheduling (10+ years)
• Anatomy Knowledge (10+ years)
• Hospital Experience (6 years)
• Medical Billing (2 years)
• Nursing (10+ years)
• Experience Administering Injections (10+ years)
• Employee Orientation (3 years)
• Business Requirements (10+ years)
• Problem-solving (10+ years)
• Team Work (10+ years)
• Reliability
• Physiology Knowledge
• Typing (10+ years)
• Autism experience (10+ years)
• Contracts (1 year)
• Documentation review (10+ years)
• Process improvement (10+ years)
• Medical management (10+ years)
• Medication administration (10+ years)
• Case Management (Less than 1 year)
• Flexibility (10+ years)
• quality improvement hedis Stars extraction (10+ years)
• Computer literacy (10+ years)
• Research
• Utilization management (1 year)
• Vital Signs (10+ years)
• Filing
• Utilization review
• Nursing home experience
• Interviewing
• Primary care
• Leadership
Awards
Cigna champion x3 2019
An employee that goes above an beyond to fulfill the job title or to help those in need Cigna Champions
January 2019
awards given by management for going above and beyond Certifications and Licenses
LPN
January 1987 to February 2023
Assessments
Patient-focused care — Proficient
July 2021
Responding to patient concerns with sensitivity
Full results: Proficient
Data entry: Attention to detail — Proficient
July 2021
Maintaining data integrity by detecting errors
Full results: Proficient
Electronic health records: Best practices — Familiar July 2021
Knowledge of EHR data, associated privacy regulations, and best practices for EHR use Full results: Familiar
Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.
Additional Information
Certified ICD9/CPT coding certified at Lamar University in 2000. OSHA compliance nurse for 5 years
Up to date on Stars, Hedis, OSHA, all yearly training
Contact this candidate