resume updated sept. 2016
TRANSCRIPT
Kathleen McCloskey, RN2410 Horsham Road| Hatboro, PA 19040| Cell: 215-817-5578| Email: [email protected]
Professional Summary Health Insurance:
o Project Lead and Business Systems Analyst – Large scale medical management software implementation within 6 inbound and outbound interfaces –
o Supervisor – Staff of 5 for software implementation. Development of Training Manuals. Functional, User Acceptance and HL7 testing.
o Business Requirements Development -Creation and upkeep of business requirements document. Test scripts created from Business Requirements. Emphasis on project lifecycle, instruction design and materials development, gap analysis and quality assurance.
o Medical Management Software Implementation- for out of state medicare/Medicaid provider onto blue cross software. All communication with client was done remotely. Successful implementation completed within budget and timeframe.
o Training – Development of all training materials for staff in four different states. Including case Management, URAC and NCQA guidelines, eligibility and claims as well as documentation, precertification and utilization review
Perinatal Case Manager – 10 years
Hospital – EHRo Business Systems Analyst – EHR development, Analysis of business needs, Business Requirement
documentation, Test Scripts, Issues Log, Activation plan, Go-Live support, HL7 testingo Consultant –
Order Set Development CPOE Configuration and QA Radiology Optimization Project Lead for Training and Medication Reconciliation Security Optimization Business Requirements Development Gap Analysis and Radiology Build, Pharmacy Coding and HL7 testing Clinical Informatics – Business Requirements for HER enhancements and Additions Analysis of physician workflows and Meaningful Use reports
Competencies:
Healthcare IT ConsultingProject LeadBusiness Systems AnalysisLarge Scale Software ImplementationQuality AssuranceTraining Development, Design and DeliveryTesting including HL7SupervisionProficient user of MS Office (Word,Excel,PowerPoint,Project,Access and Outlook)Sharepoint, Visio, Snag-It, Full ShotAllscripts: SCM, SMM and AmbulatorySiemens: Invision, OAS Gold, Syngo/RISmaxMC, Unix and SQLKnowledge Based ChartingMeaningful Use RequirementsSecurityNCQA and URAC guidelinesCase Management and Utilization ReviewHealth Insurance Eligibility and Claims
Professional History
Medmatica Consulting – New York Presbyterian Hospital, New York, New York June 2015-June 2016 Clinical Analyst – Meaningful Use
[Consultant Name]
Impulse HCS -
City of Hope Hospital, Duarte, California – Feb/ 2015 - June 2015 Clinical Analyst – Clinical Informatics Development, analysis and testing of business needs Leidos Healthcare, LLC 2010 to Aug 2014
Lenox Hill Hospital(New York, New York) – Consultant, 2013-2014 Radiology configuration, quality review, acceptance and integrated testing Activation support for Allscripts 6.0 and 6.1 upgrades
Carson Tahoe Hospital (Carson City, Nevada) – Consultant 2013 Development of training manuals, training hand-outs and trainer’s materials for Allscripts Sunrise Clinical Manager Configuration of training database including patients, orders and users for physicians, nurses, students Development of training materials and activation support for Orders Reconciliation Management, Signature Manager And Prescription Writer Preceptor for new departmental trainer
Children’s Hospital of Alabama (Birmingham, Alabama) – Consultant, 2012 Order Set Configuration – CPOE Team QA: Validation of order set content/configuration Documentation of QA results in Sharepoint Activation support of SCM orders sets for pilot unit
Bronx-Lebanon Hospital (Bronx, New York) – Consultant, 2012 Optimized Radiology Orders to allow for claims payment.. Created surgical pre and post-op order sets and anesthesia order sets
New York Downtown Hospital (New York, New York) – Consultant, 2010 to 2011 Business Requirements development for Order Sets Order Set Development Physician Liason Testing
Siemens 2008 to 2010
Robert Wood Johnson University Hospital (Rahway, New Jersey) – Systems Analyst 4, 2008 to 2010 Allscripts SCM 4.5 orders and results Implementation – gap analysis, requirements
development, configuration Security administration backup Project Manager for nursing documentation using Knowledge Based Charting, CPGs and
Univerisal Care plan Physician and nursing staff training
Independence Blue Cross – Philadelphia, Pennsylvania 1995 to 2008Project Lead/Project Manager, maxMC Implementation Team, 2002-2008
Project Lead – Application Implementation. Successful implementation of medical management software for health insurance – Eligibility through claims payment, case management, concurrent review and precertification. Project management, configuration, testing and training.
Supervised staff of 5 – included assigning tasks, review of progress and updating of project plan
Test scripts written for case management functions in maxMC used by Landacorp for QA of case management side of application
Patient Care Management Training Coordinator, 1997 to 2002 Training development and Delivery for offices in four states
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[Consultant Name]Perinatal Case Manager, 1995 to 1997
Education and Professional Development
Associate of Science in Nursing, 1985Gwynedd Mercy College – Gwynedd Valley, Pennsylvania
Certification – Training Materials Development Langevin – 1997
References
Christian Wilson – Manager – Technical Support – Soarian Clinicals – Cerner215-605-8911
Cara Hoekzema – Project manager – New York Presbyterian [email protected]
I-Ping Shue – IT Director – New York Presbyterian [email protected]
Trish Earing – Independent Consultant815-238-8367
Christine Hannan – Peer at Independence Blue [email protected]
Myra Cunningham – Project Manager during RWJ Rahway [email protected]
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