Assistant Study Coordinator Application Lead

MONICAH WAMBUI

Registered Nurse MPH (Epidemiology) Healthcare Quality & Operations Manager, HIPAA Certified Nairobi, Kenya +254-***-***-*** *************@*****.*** linkedin.com/in/monicah-wambui12 PROFESSIONAL SUMMARY

Registered Nurse with 7+ years of experience spanning clinical care, healthcare quality assurance, managed care operations, and perinatal education. Currently working as a Care Manager at Accord Managed Care Limited (Kenya). I Combine hands-on nursing expertise with strong systems thinking, auditing discipline, and a Master of Public Health in Epidemiology and Disease Control. I have improved documentation compliance, creating healthcare training content, healthcare blogs, and delivering measurable results across both Kenyan and U.S as a HIPAA certified practitioner. KEY ACHIEVEMENTS

• Maintained 98% documentation compliance rate while auditing 200+ U.S. Medicaid and insurance claims monthly at A Better Life Homecare.

• Achieved zero non-compliance reports across a full 12-month QA audit cycle.

• Improved reporting accuracy by 35% through targeted QA audits and remote team coordination.

• Developed and delivered comprehensive perinatal education content including birth, postpartum, newborn care, and lactation modules.

• Built doula training and mentorship materials grounding cohorts in evidence-based, DEI-aligned birth support practices.

• Contributed to neonatal morbidity data analysis and policy review as part of the County Health Research Committee at Moi County Referral Hospital.

• Led HR operations at Doulas by the Bay, managing the full hiring cycle, onboarding, and compliance with California labor law.

WORK EXPERIENCE

Intake Specialist

Medbill LLC- Remote U.S August 2026- Present

• Managing end to end intake flow, processing an average of 80-120 patients referral weekly via phone, fax and electronic systems

• Verifying patients insurance eligibility and benefits across private insurers, medicare and medicaid

• Reviewing initial documentation to identify missing or incomplete information

• Securing prior authorization and approvals

• Helping confirm that orders meets current payer guidelines and coverage requirements.

• Scheduling patients visits to providers and care givers visits to patients Care Manager

Accord Managed Care Limited, Nairobi August 2025 – August 2026

• Coordinated client care journeys from hospital admission through treatment, discharge, and billing resolution.

• Vet medical bills and verify that charges align with approved treatment plans and policy guidelines.

• Tracked and followed up on receipt of necessary documents from clients and service providers.

• Reviewed medical reports to ensure they align with the medical bills submitted.

• Managed relationships with clients, intermediaries, and service providers which ensured continuity and quality of care.

• Identified and developed new hospital partnerships which expanded client access to affordable care. HR Representative & Perinatal Educator

Doulas by the Bay (Remote, U.S.-Based) July 2025 -May 2026

• Led onboarding and integration for new doulas and staff, ensuring smooth transitions into the organization.

• Maintained HR records and contracts in compliance with California state and U.S. federal labor laws.

• Oversaw staff performance, development, and retention across the doula collective.

• Facilitated live Zoom-based perinatal education classes covering pregnancy, labor, postpartum care, newborn safety, and lactation.

• Updated class materials and handouts in collaboration with the education team, incorporating feedback from doulas and clients.

Healthcare Quality Assurance Manager

A Better Life Homecare (Remote, U.S.-Based) June 2023 - May 2025

• Spearheaded QA audits for homecare visits, ensuring service delivery met regulatory and clinical standards.

• Authenticated inpatient and outpatient claim for insurance eligibility, reducing errors and protecting reimbursements.

• Reviewed clinical documentation for completeness ahead of pre-authorizations and payer audits.

• Presented biweekly performance and compliance reports to leadership.

• Managed Medicaid and private insurance claim submissions, streamlining reimbursement workflows.

• Scheduled nursing visits and care giver visits for care delivery to patients homes. Nurse Officer

Moi County Referral Hospital, Voi, Kenya June 2019 - April 2023

• Delivered frontline clinical care in Emergency Department, pediatric and maternity wards across high- demand shifts.

• Coordinated with pediatricians on neonatal admissions and maternal health management.

• Compiled and interpreted neonatal morbidity data for the County Health Research Committee.

• Ensured accurate documentation and adherence to Ministry of Health protocols. Clinical Nurse

St. Scholastica Uzima Hospital, Nairobi January 2018 - July 2019

• Conducted physical assessments and gathered detailed patient histories across wards.

• Educated patients and caregivers on disease prevention, medication adherence, and post-discharge care.

• Maintained confidential patient records to support audits and care continuity. EDUCATION

Master of Public Health (MPH) - Epidemiology & Disease Control Kenya Methodist University (KEMU), Nairobi 2023 - 2025 Bachelor of Science in Nursing (BScN)

Kenya Methodist University (KEMU), Nairobi Graduated 2022 CERTIFICATIONS & TECHNICAL SKILLS

• Registered Nurse (RN) - Nursing Council of Kenya

• Basic Life Support (BLS) – American Heart Association

• Advanced Cardiovascular Life Support (ACLS)- American Heart Association

• Virtual Assistant- ALX

• HIPAA Certified

Digital Tools:

Monday.com, Insightly -CRM, Hierology, Ritiko, Canva, Google Workspace, Slack, WellSky, slack, Hub staff, Truesight, Brightree

PUBLICATIONS

1.Healthcare workers perceptions affecting Utilization of infection Prevention and control in Moi County Referral Hospital Voi

https://doi.org/10.5281/zenodo.18794783

REFEREES

1. Cynthia Mutisya Supervisor, A Better Life Home Care ****************@*****.*** 070*-***-*** 2. Annita Kagwiria Nurse Officer **************@*****.*** 072*-***-*** 3. Phydy Mbaruku Nurse Manager, Moi Hospital ************@*****.*** 072*-***-***

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