Senior Nurse QA Specialist - West Ford Grp Management LLC
(2024-03 - 2026-01)
- Perform comprehensive QA reviews of home care patient charts to ensure compliance with Medicare, CMS guidelines, and Home Health Conditions of Participation (CoPs)
- Review and validate clinical documentation including SOC/ROC, OASIS assessments, recertifications, physician orders, visit notes, and discharge summaries
- Ensure documentation supports homebound status, skilled need, and medical necessity
- Utilize the DSL application to review, audit, track, and document QA findings efficiently
- Identify documentation deficiencies and compliance risks; recommend corrective actions and process improvements
- Support internal audits, Medicare reviews, and survey readiness by validating and organizing required records
- Collaborate with interdisciplinary teams (nurses, therapists, physicians, and administrative staff) to resolve QA findings
- Provide education and feedback to clinicians on documentation accuracy, regulatory requirements, and best practices
- Maintain accurate QA productivity reports, audit logs, and quality tracking using DSL and internal QA tools
- Assist in the development and implementation of QA policies, SOPs, and performance standards
- Conduct comprehensive QA reviews of hospice patient charts to ensure compliance with Medicare, CMS regulations, and Hospice Conditions of Participation (CoPs)
- Review and validate clinical documentation including SOC, recertifications, IDG notes, visit documentation, physician orders, and discharge summaries
- Ensure documentation supports hospice eligibility, terminal diagnosis, medical necessity, and appropriate level of care
- Utilize the JnCloud application to review, audit, track, and document QA findings efficiently
- Identify documentation gaps, compliance risks, and trends; recommend corrective actions and quality improvement initiatives
- Support internal audits, Medicare reviews, and regulatory surveys by preparing and validating hospice records
- Collaborate with interdisciplinary teams (nursing, physicians, social workers, chaplaincy, and billing staff) to resolve QA findings
- Provide education and feedback to clinical staff regarding documentation standards and compliance requirements
- Maintain accurate QA productivity reports, audit logs, and compliance tracking using JnCloud and internal QA tools
Staff Nurse - Bitten Animal Bite Center
(2024-11 - 2025-06)
- Assessed and triaged patients with animal bites and rabies risk
- Administered rabies vaccines and immunoglobulin per DOH guidelines
- Educated patients and families on wound care, prevention, and follow-up
- Monitored for vaccine reactions and provided emergency care when needed
- Maintained accurate records and complied with reporting standards
- Coordinated with health authorities on surveillance and vaccine supply
- Managed proper storage and inventory of rabies vaccines and ERIG
Hemodialysis Nurse - Chinese General Hospital and Medical Center
(2023-10 - 2024-01)
- Initiating and terminating of dialysis
- Monitoring progress of dialysis (includes pressure monitors, complications/status of patient, proper documentations)
- Administering drugs following 12Rs, IV fluids, blood transfusions
- Sorts, charts, transcribe orders and ensures that doctor's orders are carried out properly
- Makes round with the physicians and carry out order
- Primed dialyzer and bloodlines recording patients' medical information and vital signs
- Oversaw dialysis treatment and cannulated accesses
- Removed femoral sheath and administered medications including thrombolytics
- Cleaned and dressed permanent and temporary catheters
- Teach patients and significant others how to manage their illness by explaining post-treatment home care needs and self-administration of medication
Processor/Financial Analyst (Australian Accounts) and Customer Service Representative (US, Europe, Asian Accounts) - Sitel / Sykes Asia
(2019-07 - 2022-06)
- Handles Financial documents regarding investments and anti-money laundering
- Resolved an average of 600 inquiries and emails in any given week, dealings with all type of billing issues, complaints and other numerous matter's averaging 15 emails per hour
