Program Manager Quality Management
Resume:
Charon Blaney
Bossier City, LA ***** ******.******@*****.***
Seeking an Executive role in Healthcare Administration or Quality Management. My combined educational endeavors such as a Bachelor of Science in Nursing, Masters in Business Administration, Doctorate in Health Administration, and Certification as a Lean Sigma Greenbelt and Lean instructor have prepared me for taking on leadership roles in quality management and process improvement. My passion for process improvement and customer satisfaction drives me to seek effective, efficient, equitable, and cost-neutral processes that benefit all involved stakeholders. I possess transferable skills such as strategic planning, identifying, monitoring, analyzing, and reporting KPIs, research, budgeting, time management, multitasking, supervising others, scheduling, computer skills; customer service, auditing, critical thinking skills, investigation, adult instruction, and problem resolution.
Published peer review works titled, Omnibus Reconciliation Act Revisited, The Influence of Changing Nurse Documentation Practices Have on Patient Satisfaction, Amalgamated Leadership Model, and Critical Analysis of the Role of the Federal Government in Health Services Delivery in the United States. My recent experience as the Louisiana Regional Clinical Coordinator for an ACO in Tennessee. This role allowed me to work independently and remotely with minimal oversight in educating, monitoring, and advising providers on hard-wiring clinical workflow to improve meeting CMS KPI metrics. The role also consisted of EMR audits, and data entry, along with collaborating with practices to identify areas of improvement and developing annual strategies and goals. Past experiences as an Integrity Revenue and Healthcare Quality Analyst have also equipped me with collaborating with multi-disciplinary teams and departments to capture improvement opportunities in clinical operations, billing processes, and designing cross-departmental collaborative workflows. These roles have sharpened my diligence through current and retrospective audits. In addition, led performance improvement projects that focused on clinical operations, clinical outcomes, and waste reduction. As well, as the creation of physician scorecards and data collection tools, and the analysis of KPIs.
I have served in leadership roles such as Home Health Administrator, Director of Quality, Acute and
Ambulatory Quality Analyst, Charge Nurse of a 30-bed medical–surgical unit, Clinical Supervisor of a 26-bed oncology and medical/surgical unit nursing, Unit Director of 26-bed Alzheimer and Dementia unit, and Assistant Director of Nursing in a 280 skilled nursing facility setting. I have supervised 5-200 plus employees.
My quality management experience in various healthcare sectors has allowed me to work within integrated networks beholding to multiple stakeholders to provide quality services and produce meaningful processes throughout the healthcare continuum. As well as develop and manage policy and procedures for CPC+, PCMH, MSSP, HEDIS, and payer incentive programs and payments with oversite and reporting for Infection Control, Employee Health, Risk and Compliance, Grievances, and Disaster Preparedness.
I am an eager, persistent, adaptive person, funny, and an initiative-taker. I believe in thinking creatively, collaborating, and finding value in differing viewpoints. If you are looking for a progressive thinker, please consider me.
Note: Licensed in Louisiana (CLC); Nevada RN
Willing to relocate: Anywhere
Work Experience
CEO/President/Owner
Blaney Investments LLC/ Thy Neighbors Keep HHCS - Remote November 2012 to Present
CHART REVIEWS
•Patient Advocacy Services
•Reconcile Medical Bills
•Coordinate health care services LEAN QUALITY CONSULTANT
•Process Evaluation and Redesign for ACO, PCMH, and CPC+ participants.
•MIPS Data Collection, Analysis, and Submission for Hospitals and Physician Practices. HEDIS audits
•Process Evaluation and Redesign Clinics, Emergency Department, and Small Businesses Acute Care Front-End Processes
•Laboratory and Radiology Turn-Around-Time
•Healthcare Webinars Leadership Management CONTRACT RN
•In-home Private Care
•Hospital Follow-up Assessments
•Chronic Disease Monitoring
•Diabetes Management Coach
•Health Assessments and Care Plans
•IV Infusion Therapy and Maintenance
•Medication Compliance Management
•Case Management/Coordination
•Drug Trial In-home Assessment/Laboratory
Quality Consultant/LA Care Coordinator TP-ACO LLC/ TPAC- Baton Rouge - Baton Rouge, LA September 2021 to September 2023
•Development, implementation and monitoring of clinical processes and outcome measurement systems to
ensure quality care and regulatory compliance.
•Assists in supporting and educating all stakeholders on the principles of the continuous PI process. Acts as a resource and/or facilitator for quality improvement projects.
•Completes data collection, analysis, and reports for the performance improvement reporting activities and committees.
•Responsible for understanding, assisting, educating, and facilitating the patient’s plan of care; including the maintenance and promotion of preventive screenings, lifestyle coaching, and ongoing follow-up care.
•Serves on committees ACO Committee for metrics review and quality improvement/education.
•Concurrent and Retrospective Reviews
•Creates educational tools and performs provider training.
•Assessment of and aligning clinical, billing, and coding workflows with and through EMR functionality, creating forms and data collection tools as needed.
•Care Coordination
Administrator/Director of Nursing Home Health System 2000 - Baton Rouge, LA April 2021 to July 2021
•Responsible for the administration of the day-to-day operations of the home care provider.
•Case Management
•Coordinating and completing assigned projects to effectively support the immediate and long-range objectives of the company
•Oversight of the eligibility of patients referred to home care services, planning for the services to be provided to patients and supervising their total home health care.
•Implementing and maintaining administrative practices, agency philosophy, goals, and policies according to compliance with applicable state and federal regulations.
•Enhancing the profitability of the agency.
•Provide motivation and retention of a qualified staff
•Acts as a liaison with management staff and other departments throughout the company.
•Infection Control, Risk Management, Compliance and Quality policy and procedures
•Chart Audits for key metrics, visits, and nursing documentation
•Project Management
•Data Management and Analysis
•Lead Interdisciplinary Team Meeting
•Overseeing Human Resources and Staff Orientation
•Completing OASIS
•Patient Care Assessments and Care plan for Patient Care Attendant (VA partner)
Director of Quality Management
Quality Management ProCare Hospice of Nevada - Henderson, NV July 2020 to January 2021
•Supervising Quality, Compliance and Education employees
•Overseeing Employee Health,
•Infection Control, Risk Management, Compliance and Quality policy and procedures
•Covid-19 Screening, tracking & tracing, and reporting workflow design (Employee and Patients)
•Chart Audits for key metrics
•Data collection tool design
•Project Management
•Data Management and Analysis
•Lead Quarterly Quality Meeting
Director of Quality Management
Dignity Health Rehabilitation Hospital - Henderson, NV November 2019 to June 2020
•Leads and directs all quality management activities for the hospital including patient care, JC compliance, risk management and safety, performance improvement, and infection control.
•Preparation and Lead for Quality, Medical Executive and Governing Board Meetings.
•NHSN reporting
•Joint Commission Tracer Management
•Led Patient Satisfaction and Safety Committee Data Management and Analysis
Clinical Quality Analyst/Practice Transformation Specialist
Lafayette General Medical Doctors - Lafayette, LA
August 2016 to June 2019
Lafayette General Medical Doctors August 2016 to June 2019
•Development, implementation and monitoring of clinical processes and outcome measurement systems to ensure quality care and regulatory compliance.
•Review of PI and peer review information for medical staff as well as Patient-Centered Medical Home (PCMH), Physician Quality Reporting System (PQRS), meaningful use data collection and submission, and participates in other quality initiatives.
•Coordinates and implements meaningful clinical process of care and outcome measurement systems in conjunction with service lines and all LGH entities.
•Assists in supporting and educating all stakeholders in the principles of the continuous PI process. Acts as a resource and/or facilitator for quality improvement projects
•Completes data collection, analysis, and reports for the performance improvement reporting activities and committees.
Oncology Clinical Supervisor/ Charge Nurse Franciscan Missionaries of Our Lady Health System - Lafayette, LA March 2013 to August 2016
•Total patient care of medical- surgical and oncology
•Supervising RN, LPN, and CNA monitoring if the patient needs had been meet.
•Liaison between MD, consulting MD and other therapies.
•Patient advocate
•Scheduling
•Participate in hiring process
•Clinical Coach
•Inpatient Hospice
Contract HEDIS Auditor Insight Global - Eden Prairie, MN December 2013 to May 2014
Contract HEDIS Abstractor
Adjunct Instructor Remington College - Lafayette, LA December 2013 to May 2014
•Coordination, Supervision, and Instruction of clinic laboratory skills for Medical Assistance
•Lectures on Anatomy and Physiology theory, office management, insurance coding, and patient billing.
CORPORATE RN CLINICAL OPERATIONS IMPROVEMENT
Schumacher Group - Lafayette, LA June 2012 to November 2012
•Expert in research and statistical methodology throughout the organization from a clinical standpoint.
•Consult, educate, and empower others in statistical analysis and facilitate performance improvement relating to improving quality of care and decreasing cost.
•Provides consultative services for client hospitals to assist with the implementation of process improvement project(s) utilizing Lean Healthcare methodology to meet or exceed hospital's metric goals for their Emergency Department and Schumacher Group metric goals and/or to implement new services including but not limited to:
•Fast Track
•Rapid Medical Evaluation
•Express Admission Unit
•Direct and participate in Emergency Department needs assessment, assist in identifying operational needs development of facility action plans, goals and objectives regarding Lean implementation.
•Collectively achieve the objectives of the Plan and the Project.
•Coordinate and deliver staff, management, provider, and leadership education as related to the Lean methodology.
•Develop procedures needed to accomplish the project and program objectives.
•Compile defined metrics and submit weekly (after implementation) reports and then as defined by the hospital to administrative team and to Corporate Director of Operations Performance Improvement.
•Direct the evaluation, update and revisions to the project plan elements up to implementation and post as needed per organization.
•Establish and maintain a working environment conducive to positive morale, teamwork, creativity, and success.
•Collaborate with the site-specific Medical Director and Nursing Director on the project and frequent communication throughout the project.
Clinical Outcomes Analyst II
Franciscan Missionaries of Our Lady Health System - Lafayette, LA October 2006 to June 2012
CLINICAL OUTCOMES ANALYST- 3 years
•Expert in research and statistical methodology throughout the organization from a clinical standpoint
•Consult, educate, and empower others in statistical analysis and facilitate performance improvement relating to improving quality of care and decreasing cost.
•Core Measure abstraction and data entry.
•Lead fact finding type projects for various depts.
•Develop data collection tools
•Frequently review charts for various audit issues.
•Member of Falls, Infection Control, Nursing Practice Committee, and Performance Improvement Council.
•Primary PI role in improving Core Measure Departmental Performance Improvement Projects, FMEA Coordination
•Special Projects - Skills Fair, and Education.
•Lean Six Sigma
CHARGE NURSE/ STAFF NURSE- 3 years
•Total patient care of neurological, medical- surgical, oncology, orthopedic patients, renal, stroke, cardiac, and rehab.
•Supervising RN, LPN, and CNA monitoring if the patient needs had been meet.
•Liaison between MD, consulting MD and other therapies.
•Patient advocate.
Revenue Management-charge Audit Analyst
Willis Knighton Medical Center - Shreveport, LA June 2005 to October 2006
•Audit charts for billable charges.
•Negotiation with private and state insurance companies.
Charge Nurse
Brentwood Behavior Medicine - Shreveport, LA February 2004 to February 2005
•Care of geriatric, adolescent, and chemical dependency patients
•Leading Groups
•Supervising LPNs and Techs
Self Employed
PRIVATE DUTY - Shreveport, LA December 2002 to February 2004
Private home care assistance with medical appointments, ADLs, meals, shopping, and care coordination with other disciplines
Case Manager
Staffing and Home Health Agency - Lake Charles, LA December 2001 to December 2002
Overseeing in-home care for 30-40 patients with majority of clients being geriatric
Charge/float Pool RN
Christus St. Patrick's Hospital - Lake Charles, LA March 1998 to September 2001
•Total patient care of neurological, medical- surgical, oncology, hospice, orthopedic, renal, stroke, cardiac, and rehab/geriatric patients.
•Supervising RN, LPN, and CNA monitoring if the patient needs had been met.
•Liaison between MD, consulting MD and other therapies.
Co-Director of Nursing
Irving Place/Persona Care Rehabilitation and Nursing Facility - Shreveport, LA March 1997 to June 1998
CO- DIRECTOR OF NURSING
•Monitoring patient care for a 300-bed facility.
•Employee health and education.
•Patient and family complaint investigations.
•Interviewing and discipline of staff.
•Overseeing care plan committee.
•Marketing for the facility.
UNIT MANAGER (ALZHEIMER'S AND DEMENTIA)
•Manger of 60 bed Alzheimer and Dementia Unit.
•Supervised LPNs and CNAs in the care of patients.
•Coordinated care with MD. Monitored the use of psychotropic drugs. Also documented/ monitored decubiti and chart audits. I was promoted to Co-Director and my duties were changed to education of staff. Monitoring.
Education
Doctor of Healthcare Administration in Healthcare Administration
University of Phoenix - Phoenix, AZ
July 2009 to October 2012
Master's in Business Management
University of Phoenix - Phoenix, AZ July 2007 to October 2008
Bachelor's in Science
Science of Nursing in Nursing McNeese State University Lake Charles - Lake Charles, LA January 1991 to June 1995
Skills
•auditing (15 years)
•budgeting
•Case Management
•Clinical data management
•Scheduling
•CPC
•Quality Assurance
•HIPAA
•Medical Terminology
•Senior Care
•Excel
•Office Experience
•Microsoft Word
•Microsoft Office
•Six Sigma
•Lean Six Sigma
•HEDIS
•Lean
•Statistical Analysis
•Revenue Management
•Primary Care Experience
•Anatomy Knowledge
•Content Management Systems
•Physiology Knowledge
•Process Improvement
•Laboratory Experience
•Epic
•Analytics
•ICD-10
•Quality Management
•Dementia Care
•Nursing
•Vital Signs
•Managed Care
•Clinical data management and submissions
•Physician Practice Transformation for PCMH and CPC+
•Regulatory interpretation and policy creation
•Physician Scorecards
•Assistant DON, Charge, Staff nurse and Case Management roles.
•Performance improvement projects which focused on clinical operations, outcomes, and waste reduction, Kaizen, CMS reporting, lean processes, Team-builder, and Joint Commission preparation
•Revenue Analysis- auditing charts for appropriate documentation to justify patient billing, investigations regarding patient billing complaints
•Research
•Writing
•Editing
•Supervision-budgeting
•time management
•multitasking
•scheduling
•computer skills
•customer service
•hiring and disciplinary process
•evaluation
•critical thinking skills
•investigation
•problem resolution
•Alzheimer's Care
•EMR Systems
•Management
•Medical Coding
•Project Planning
•Medical Records
•Data mining
•Medicare
•SQL
•NCQA standards
•Leadership
•Project management
•Senior leadership
•Operations management
•Nursing
•Hospital experience
•Supervising experience
•EMR systems
•Data collection
•Analysis skills
•Team management
•Data analysis skills
•Leadership
•Medical terminology
•Customer service
•Windows
•Continuous improvement
•Data management
•Data analytics
•Google Docs
•Google Suite
•Auditing
•Project management
•Training & development
•Documentation review
•Care plans
•Quality management
•Healthcare management
•EHR systems
•Management
•Communication skills
•Anatomy knowledge
•Oncology
•HIPAA
•Microsoft Access
•Microsoft PowerPoint
•Microsoft Word
•Microsoft Excel
•Research
•Databases
•Computer skills
•Writing skills
•Patient care
•Employee evaluation
•Microsoft Office
•Acute care
•ICU experience
•Nursing administration
•Physiology knowledge
•Medicare
•Teaching
•Long term care
•Adobe Acrobat
•Quality assurance
•Program management
•Negotiation
•Interviewing
•Presentation skills
•Classroom experience
•Data visualization
•Minitab
•Data mining
•SQL
•Project planning
•Visio
•Driving
•Risk management
•Power BI
•Microsoft Project
•Financial auditing
•Incident management
•Epic
•SharePoint
•Patient observation
•Typing
•Laboratory experience
•Operations management
•Analytics
•Smartsheet
•Medication administration
•Patient monitoring
•Geriatrics
•Discharge planning
•Organizational skills
•AI
•Medical billing
•Computer networking
•Medical scheduling
•Home health
•Computer literacy
•Home & community care
•Budgeting
•Resident's rights
•IV infusion
•IV insertion
•Skilled nursing facility
•Medical records
•CPT coding
•ICD-10
•Intake
•Time management
Certifications and Licenses
Nevada RN License
August 2019 to January 2025
Compact State Nurse License
June 1995 to January 2025
BLS Certification
CPR Instructor Certification
April 2023 to April 2025
RN Nevada
AED Certification
RN License
CPR Certification
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