Shannon Hoffman
Scottsdale
Summary
Registered nurse with 11 years of recent experience in several facets of quality performance improvement seeking a position in a health care environment that presents professional challenges, leverages interpersonal skills, effective time management, problem-solving expertise, excellent patient care, and innovative processes.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior RN Clinical Care Improvement Specialist
VBCare Network/ABC Network
06.2020 - 03.2025
- Collaborated with management for the planning, development, implementation, coordination and evaluation of quality improvement infinitives, strategies, and education activities and processes.
- Federal Qualified Health Center Care Management oversight and support.
- Participated in professional development opportunities regularly to stay current on best practices in the field of nursing.
- Develop, Implement, and Evaluate the performance of clinical models of care in primary care.
- Analyze health outcomes, evaluate patient risk factors, develop strategies for managing patients with complex care and multiple comorbidities.
- Collaborate with multiple Payer Health plans to improve Quality Performance.
- Lead quality improvement activities, meetings, and discussions with and between other departments within the Value Based Organization.
- Work in collaboration with key stakeholders to target opportunities for improved quality, risk adjustment, clinical and documentation workflow, member experience and performance.
- Data and Statistical Analysis.
Quality Management Nurse
Arizona Care Network
12.2018 - 06.2020
- Facilitated all quality assurance activities, provided continuous improvement consulting services to the internal and external customers, employed knowledge of performance improvement strategies, principles, methodology, techniques, and data analysis.
- Coordinated the recruitment, hiring and evaluation of field staff.
- Increased efficiency in data management by automating routine tasks using custom scripts and tools.
- Streamlined data workflows by identifying bottlenecks and optimizing processes for maximum productivity.
- Conducted regular audits of datasets to identify discrepancies, working closely with stakeholders to resolve identified issues promptly.
- Improved data quality by implementing robust validation processes and data standardization techniques.
- Developed comprehensive documentation outlining policies, procedures, and guidelines related to maintaining high standards of data quality throughout all operations.
- Provided training to team members on best practices for maintaining high-quality data, increasing overall organizational competence in data management.
- Addressed internal and external audit findings pertaining to data quality, implementing corrective actions as needed to maintain compliance with industry standards and regulations.
Clinical Quality Performance Representative/Specialist
Arizona Care Network
09.2017 - 12.2018
- Supported the performance and implantation of clinical practices by providing leadership and consultation services to all departments within the organization.
- Provided assessments on clinical performance, analyzed and developed clinical data outcomes, gathered information to be reviewed with key stakeholders to identify opportunities for improvement, and reported on key metrics to assist providers in meeting quality standards, state contractual requirements, and pay for performance initiatives.
- Perform chart review, direct onsite/offsite data abstraction, abstraction oversight, and data submission for assigned CMS/HEDIS Core Measures and other quality registries.
- Exceeded performance targets through diligent work ethic and focus on results-driven tasks.
- Responded to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.
- Research and design educational materials for use in clinical offices to improve quality performance.
- Recommend, develop, and implement quality improvement plans with management and clinics.
- Promoted to Quality Management Nurse.
Registered Nurse Care Coordinator Supervisor
ACO Partner (Change Healthcare)
11.2016 - 09.2017
- Managed care and concurrent review encompassing authorization & review of inpatient, outpatient and home care services.
- Streamlined care coordination processes, increasing efficiency in the allocation of resources for optimal patient care.
- Served as a liaison between patients, insurance companies, and providers to help navigate complex healthcare systems for optimal outcomes.
- Supervised the department in an efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality care.
- Assisted in the development of departmental policies and procedures related to care coordination practices.
- Promoted interdisciplinary collaboration through regular meetings and information-sharing sessions with members from various departments involved in patient care.
- Collaborated with physicians to develop comprehensive treatment plans, addressing both physical and psychosocial needs of patients.
- Evaluated the success of care coordination efforts by tracking patient progress and outcomes over time.
- Mentored new nursing staff in care coordination roles, providing guidance and support for professional growth.
Clinical Operations Manager
United Health Care
12.2013 - 11.2016
- Developed strategic partnerships with external stakeholders such as pharmaceutical companies or other healthcare providers to expand services offered.
- Developed key performance indicators to monitor departmental progress and identify areas for improvement.
- Enhanced staff productivity through effective training programs and performance management strategies.
- Reduced operational expenses by optimizing resource allocation and managing budgets prudently.
- Led the implementation of electronic medical records systems which streamlined documentation processes while maintaining high standards of patient privacy.
- Recruited trained, and mentored new employees, fostering their professional development within the organization.
- Provide ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes.
- Multi-State Manager overseeing 20 Field Based Case Management RN's and Community Health Workers.
- SME for Chronic and Complex Disease Management (CHF, DM, STARS, DM, Meals on Wheels, Kidney ESRD, Transplant, CAD, and Readmission Prevention).
- Readmission Prevention Nurse Promoted to Clinical Operations Manager in 2016.
- Telephonic Case Manager Promoted to Readmission Prevention Nurse in 2014.
Registered Nurse, Intensive Care Unit
HonorHealth
01.2013 - 11.2013
Cardiac Cath Lab Registered Nurse
James A. Haley Veterans Hospital
08.2012 - 11.2012
Neuro ICU Registered Nurse
Mease Dunedin Hospital
08.2010 - 09.2012
Registered Nurse, Intensive Care Unit
St. Margaret Hospital
11.2005 - 08.2010
Education
Bachelor of Science - Nursing
Slippery Rock University
Slippery Rock, PA05-2009
Diploma - Nursing
St. Margaret's School of Nursing
Pittsburgh, PA10-2005
Skills
- Responsible & accountable
- High Professional Standards
- Interdisciplinary Collaboration
- Quality Performance Management/Initiatives
- Healthcare Compliance/Quality Management
- Complex Decision and Problem-Making
- Strategic Planning
- Critical Thinking/Statistical Analytical Skills
- HIPPA Regulations
- Patient Care Coordination
- Data Analysis/Collection Techniques
Certification
Current Registered Nurse in the State of Arizona
Timeline
Senior RN Clinical Care Improvement Specialist
VBCare Network/ABC Network
06.2020 - 03.2025
Quality Management Nurse
Arizona Care Network
12.2018 - 06.2020
Clinical Quality Performance Representative/Specialist
Arizona Care Network
09.2017 - 12.2018
Registered Nurse Care Coordinator Supervisor
ACO Partner (Change Healthcare)
11.2016 - 09.2017
Clinical Operations Manager
United Health Care
12.2013 - 11.2016
Registered Nurse, Intensive Care Unit
HonorHealth
01.2013 - 11.2013
Cardiac Cath Lab Registered Nurse
James A. Haley Veterans Hospital
08.2012 - 11.2012
Neuro ICU Registered Nurse
Mease Dunedin Hospital
08.2010 - 09.2012
Registered Nurse, Intensive Care Unit
St. Margaret Hospital
11.2005 - 08.2010
Current Registered Nurse in the State of Arizona
Bachelor of Science - Nursing
Slippery Rock University
Diploma - Nursing
St. Margaret's School of Nursing
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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