Briana Maslowski
@brianamaslowski
Dedicated registered nurse with expertise in quality improvement and patient care.
What I'm looking for
I am a registered nurse with extensive experience in quality improvement and patient care. My journey in healthcare began with an Associate in Applied Science in Nursing from Luzerne County Community College, and I have since dedicated my career to enhancing the quality of care for diverse populations. I have successfully worked with organizations such as Health Services Advisory Group and Highmark Wholecare, where I focused on improving patient safety and clinical care for Medicare and Medicaid patients.
Throughout my career, I have developed a strong foundation in healthcare auditing and quality assurance. My role as a Quality Improvement Specialist involved collaborating with the Centers for Medicare & Medicaid Services (CMS) to implement local projects aimed at reducing harm and enhancing clinical outcomes. I am adept at managing stakeholder expectations and prioritizing tasks to ensure the highest standards of care are met. My experience as a registered nurse has equipped me with the skills to supervise and train staff, ensuring compliance with Medicare and Medicaid standards while fostering a collaborative environment for optimal patient care.
Experience
Work history, roles, and key accomplishments
Quality Improvement Specialist III
Health Services Advisory Group
Jan 2022 - Apr 2024 (2 years 3 months)
Worked with CMS on local and community level projects to improve patient safety, reduce harm, and enhance clinical care for Medicare and Medicaid patients and providers.
HEDIS Reviewer
Highmark Wholecare
Jan 2022 - Jan 2023 (1 year)
Audited measure performance on important dimensions of care and service, developing and maintaining work according to NCQA standards.
Quality Improvement Specialist
TMF Health Quality Institute
Aug 2020 - Jan 2022 (1 year 5 months)
Managed program/project planning, development, and management while prioritizing and organizing work assignments to meet stakeholder expectations.
Reconsideration Professional
C2C Innovative Solutions, Inc.
Aug 2017 - May 2019 (1 year 9 months)
Reviewed Medicare Part A claims for medical necessity and coding accuracy, managing expedited cases in home health and skilled nursing facilities.
Reconsideration Professional
Federal Hearings & Appeals Services, Inc.
Jan 2016 - Aug 2017 (1 year 7 months)
Conducted Medicare Fair Hearings for DME and Part B claims, utilizing knowledge of coding and Medicare guidelines to issue accurate determinations.
Registered Nurse
Golden Living Center Summit
May 2009 - Oct 2016 (7 years 5 months)
Supervised LPNs and CNAs in a skilled facility, providing direct care to clients and ensuring compliance with Medicare and Medicaid standards.
Education
Degrees, certifications, and relevant coursework
Luzerne County Community College
Associate in Applied Science, Nursing
2007 - 2009
Completed an Associate in Applied Science in Nursing, focusing on the essential skills and knowledge required for nursing practice.
Lake Lehman High School
Diploma
1999 - 2003
Graduated with a high school diploma, completing a general education curriculum.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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