Tiara Mathews

Coordinate and implement quality improvement initiatives aligned with NCQA, HEDIS, and regulatory standards, leading interdisciplinary teams to close gaps in care and improve member outcomes and satisfaction.

Conducted data analysis and record reviews to improve performance quality and HEDIS accuracy, streamlined HEDIS data collection workflows, and mentored team members to drive continuous improvement.

Provided multispecialty bedside nursing including assessments, wound care, IV insertion, catheterization, controlled medication administration, and documentation to improve patient safety and satisfaction.

Managed patient caseloads and care plans, coordinated resources and authorizations with insurers, and conducted documentation audits to ensure continuity of care and accurate records.

Led unit operations, coordinated interdisciplinary care, conducted medical record audits, resolved staff and patient concerns, and maintained regulatory compliance to support high-quality patient outcomes.

Completed an Associates of Science in Health Sciences at ECPI University in 05/2020 focusing on foundational healthcare knowledge and clinical skills.

Graduated with a High School Diploma from Thomas Dale High School in Chester, VA in 2013.