Quality Assurance Coordinator - James River Home Health & Hospice - Remote
(2024-07 - 2026-05)
Spearheaded QAPI initiatives across 4 geographically dispersed branches, to achieve 100% compliance with ACHC accreditation standards and CMS Conditions of Participation.
- Drove department review accuracy from 72% to 90% within 90 days by identifying systemic documentation deficiencies and delivering targeted remediation plans.
- Assisted in development and execution of a comprehensive plan of correction in response to an ACHC survey, to restore full regulatory compliance within the 90-day corrective window.
- Designed and delivered clinical education programs that produced a 70% improvement in documentation accuracy and compliance across all branches.
- Analyzed patient outcome data to isolate outlier trends, directly contributing to reductions in avoidable hospitalizations and potentially avoidable events.
- Maintained a 97% personal accuracy rate on OASIS and plan of care reviews while managing a high-volume remote workload.
- Conducted monthly audits of both the internal QA team and outsourced review firm, sustaining a 90–95% accuracy benchmark.
- Led a multidisciplinary fall prevention program and architected branch-specific Performance Improvement projects based on data-driven needs assessments.
- Trained clinical staff across all branches in QAPI program requirements, building sustainable compliance infrastructure.
Quality Outcomes Specialist - Bon Secours Mercy Health — Home Health Department - Remote
(2023-02 - 2024-07)
- Independently managed OASIS and plan of care reviews in a fully remote capacity, ensuring accuracy and adherence to regulatory requirements and CMS Conditions of Participation.
- Developed and deployed resource job aids for OASIS/plan of care documentation that measurably reduced clinical staff documentation errors across the branch.
- Owned branch work queue management, optimizing workflow through strategic task delegation and prioritization to meet turnaround targets.
- Identified recurring documentation trends at the branch level and delivered individualized coaching programs that drove sustained error reduction.
- Trained and onboarded multiple team members in OASIS and plan of care review processes, expanding department capacity.
Quality Review Nurse & Medical Coder - Bon Secours Mercy Health — Home Health Department - Remote
(2018-04 - 2023-02)
- Performed high-volume OASIS and plan of care reviews while independently sequencing and applying ICD-10 diagnosis codes for accuracy, specificity, and compliance with coding guidelines.
- Applied deep working knowledge of CMS home health guidelines, Conditions of Participation, regulatory standards, and face-to-face encounter requirements to ensure compliant documentation across all reviews.
- Consistently exceeded productivity benchmarks while maintaining top-tier review quality, earning a reputation as one of the department's most reliable remote contributors.
- Became the go-to resource for translating complex coding and OASIS regulations into actionable guidance for market leaders—regularly recognized for making technical material accessible to non-clinical stakeholders.
- Served on a specialized multidisciplinary committee that developed standardized care plans, streamlining documentation workflows for home health field staff across east coast markets.
- Educated and mentored field staff on OASIS and plan of care guidelines as part of the onboarding process, contributing to faster ramp-up times for new clinicians.
RN Case Manager - Encompass Health — Home Health Department
(2016-01 - 2018-04)
- Managed a full patient caseload utilizing OASIS documentation for SOC, ROC, transfers, recertifications, and discharges while maintaining compliance with all CMS requirements.
- Developed and implemented patient-centered plans of care, coordinating with interdisciplinary teams to optimize outcomes and determine appropriate discharge timing.
- Partnered with management on chart auditing initiatives to ensure ongoing adherence to CMS guidelines and identify areas for process improvement.
- Served as on-call RN responsible for clinical assessment and triaging of patients during off-hours.
Staff Nurse, Spinal Cord Injury & Disorders Service - Hunter Holmes McGuire VA Medical Center
(2015-01 - 2016-12)
Acute care for spinal cord injury and neurological disorder patients; charge nurse responsibilities.
Registered Nurse (Contract) - Medicus Staffing / West End Dermatology - Richmond, VA
(2014-01 - 2014-12)
Surgical dermatology support including excisions, biopsies, and patient education.
