L

Lily Hunter

About

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Retired Clinical Compliance Analyst
Newark, New Jersey, United States

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Timeline


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Résumé


Jobs verified_user 0% verified
  • VillageCare
    Clinical compliance analyst
    VillageCare
    Jul 2016 - Apr 2021 (4 years 10 months)
  • T
    Nurse Credentalist
    The Genard Group Inc.
    Oct 2014 - Mar 2016 (1 year 6 months)
  • C
    RN
    Cure Staffing
    Dec 2013 - Mar 2014 (4 months)
    accompany autistic children on field based trips
  • E
    Hedis Review Nurse
    Exec-u-Search
    Jan 2012
  • Healthfirst
    Clinical Quality Manager
    Healthfirst
    Jan 2008 - Jan 2011 (3 years 1 month)
    • Communicate regularly with members, providers and health plan staff
    • Educated providers on all aspects of medical record review criteria including HEDIS
    • Monitored provider records and assure compliance with quality standards at all times
    • Coordinated and performed onsite medical record reviews at provider offices to determine appropriateness of care
    • Worked on projects dealing with auditing records and reviewing ICD and CPT codes as assigned Diabetes Clinical Quality Improvement Nurse (NY Office) February 2008 to Jan 2010(Montefiore assigned)
    • Quickly transitioned from Diabetes measure to Prenatal and Postpartum Care in preparation for HEDIS 2009
    • Knowledge of Microsoft Word, Excel, Power Point and com
  • O
    Nurse Chart Reviewer
    Outcomes Inc
    Jan 2007 - Jan 2008 (1 year 1 month)
  • A
    Medical Record Review Nurse
    AmeriChoice
    Jan 2005 - Jan 2007 (2 years 1 month)
  • Amerigroup
    Case Manager/Discharge Planner
    Amerigroup
    Jan 2002 - Jan 2003 (1 year 1 month)
  • C
    RN
    Clara Maass
    Jan 1983 - Jan 1984 (1 year 1 month)
  • C
    RN
    Clara Maass
    Jan 1983 - Jan 1984 (1 year 1 month)
Education verified_user 0% verified
  • Essex County College
    Essex County College — Associate Applied Science, Registered Nursing/Registered Nurse
    Essex County College
    Jan 1979 - Dec 1981 (3 years)
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