Open to opportunities

Shawnti Colvin

@shawnticolvin

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Professional Registered Nurse dedicated to clinical quality and patient care.

United States

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What I'm looking for

I am seeking a role that values clinical excellence and offers opportunities for professional growth.

I am a Professional Registered Nurse with extensive experience in clinical care, case management, and provider engagement. My career has been marked by a strong commitment to excellence and a proven ability to work both autonomously and collaboratively within diverse healthcare teams. I have a deep understanding of Medicare and Medicaid utilization, as well as CMS/NCQA requirements, which has enabled me to effectively improve clinical quality and compliance in various roles.

Throughout my career, I have successfully managed clinical quality programs, conducting HEDIS data chart reviews and member outreach to identify areas for improvement. My roles at Anthem/Elevance and UnitedHealth Group allowed me to develop and implement procedures that enhance patient care and ensure adherence to quality standards. I pride myself on my ability to build rapport with patients, families, and healthcare professionals, fostering a supportive environment that prioritizes patient needs and confidentiality.

Experience

Work history, roles, and key accomplishments

Clinical Quality Program Consultant

Anthem/Elevance

Jan 2019 - Dec 2022 (3 years 11 months)

Independently managed and evaluated procedures with physician offices to improve clinical quality and HEDIS/STAR compliance. Performed HEDIS data chart review, collections, and evaluations, conducting member outreach and collaborating with interdisciplinary teams. Provided education to provider offices and members while maintaining HIPAA compliance.

Data Analysis Care Coordination HIPAA

RN-Practice Performance Consultant

UnitedHealth Group

Jan 2014 - Dec 2018 (4 years 11 months)

Independently managed and coordinated with physician offices to improve clinical quality and HEDIS/STAR compliance. Performed HEDIS data chart review, collections, and evaluations, conducting member outreach and collaborating with the interdisciplinary team. Provided education to provider offices and members while maintaining HIPAA compliance.

Data Collection Care Coordination HIPAA

RN Case Manager

Fidelity Home Health

Jan 2011 - Dec 2014 (3 years 11 months)

Managed a patient case load, overseeing admission and discharge planning, patient education, and medication management. Coordinated with physicians for care plan updates and changes. Developed and maintained rapport with the interdisciplinary healthcare team, ensuring accurate documentation and maintenance of confidential records.

Discharge Planning Medication Management Care Plan Development Physician Documentation Confidentiality

Clinical Nurse

Miami Valley Hospital

Jan 2009 - Dec 2011 (2 years 11 months)

Developed, maintained, and implemented nursing care plans, including physical assessment and updating physicians on patient status and changes in condition. Operated and maintained biomedical equipment and supported client emotional and spiritual needs. Managed discharge planning and teaching, maintaining communication with interdisciplinary teams and confidential records.

Biomedical Equipment Discharge Planning Confidentiality

Education

Degrees, certifications, and relevant coursework

Wright State University

Bachelor of Science in Nursing, Nursing

Completed coursework covering fundamental nursing principles, patient care, and clinical practice. Gained knowledge in health assessment, pharmacology, and medical-surgical nursing.

Sinclair Community College

Associates of Applied Science, Applied Science

Completed foundational studies in applied sciences relevant to healthcare. Developed practical skills and theoretical knowledge in a specific technical or vocational field.