Jacquelyn R.

Lewis

Vass, NC 28394 (910) 245-2868 e-mail: jacie.lewis@embarqmail.com _____________________________________________________________________________________ Job Title: Chief Quality Operations

Preferred Location: North Carolina Summary of Qualifications: 27 years healthcare experience from bedside to administration Experience in Regulatory Compliance, Auditing Medical Records, Billing and Coding, Quality Improvement, Case Management, Utilization Review Experience in Acute Care, Skilled Care, Outpatient Care Experience in Obstetrics, Gynecology, NICU, Pediatrics, Cardiology, Telemetry, CCU, ICU, Medical, Surgical, Oncology, Trauma, Emergency, EMT/Ambulance, Cardiac Rehab, Physical Rehab, Pulmonary Rehab, Hospice, Wound Clinic, Pain Clinic, and Mental Health Experienced public speaker Professional Experience: Legal Nurse Consultant JR Lewis Consulting 12/28/2012 to present Provided consulting expert services for personal injury case. Interviewed defendant and witnesses, researched physician standards of care, identified and collected pertinent medical records, radiology images, and reports. Prepared demonstrative evidence of adherence to CMS coding and billing regulations in a successful response to a Department of Justice investigation Conducted billing and coding compliance audits on departments throughout the health system, which is comprised of hospitals, physician offices, outpatient specialty clinics, outpatient rehabilitation clinics, ambulance services and an insurance company. Designed and produced demonstrative evidence that illustrated compliance in 280 paragraphs of The AMHI Consent Decree for a judicial review of progress toward completion of requirements.

Corporate Clinical Compliance Analyst First Health of the Carolinas 12/2004 to 8/2011 Conducted compliance audits on departments throughout the health system, which is comprised of hospitals, physician offices, outpatient rehabilitation clinics, ambulance services and an insurance company. Guided Department Directors in developing policies and procedures that improved utilization and reimbursement Coordinated and documented improvements to Ambulance coding and billing in a successful response to a Department of Justice investigation Completed 18 month FirstU Leadership II Management training course. Act as a liaison between the clinical side and financial side of the corporation

(910) 245-2868

Jacquelyn R. Lewis Vass NC 28394 e-mail: jacie.lewis@embarqmail.com

Director of Compliance and Risk Management Acting Director of Quality Improvement Augusta Mental Health Institute

02/2002 to 02/2004

Designed and coordinated an exhibit that illustrated compliance in 280 paragraphs of The AMHI Consent Decree. Maine State Coordinator for a nationwide initiative to reduce or eliminate the use of seclusion and restraint in State Mental Health Hospitals. Reduced the use of seclusion and restraint by 12%. Organized and provided oversight for revisions to the hospital policy manual in preparation for a move into a new hospital building. All policies had to be revised to reflect processes for systems that did not exist in the current hospital. Wrote policies and applied for Federalwide Assurance while developing a joint research program in conjunction with Dartmouth University Medical School. Supervised Risk Management, and Medical Staff Office personnel. Acting Director of Performance Improvement for 6 months in addition to regular duties. Supervised Utilization Management, Continuing Chart Review, and Continuous Performance Improvement staff members.. Coordinated all JCAHO survey preparations for the accreditation of a 103 bed Psychiatric Hospital. Developed educational materials for each functional area of the JCAHO guidelines that were used to prepare direct care staff members for the JCAHO survey. Developed programs, produced evidence that demonstrated compliance for all JCAHO, DHS, CMS, and AMHI Consent Decree requirements. Developed consistent credentialing procedures for physician, psychiatric nurse practitioners, and physicians assistants that met CMS and DHS approval in unannounced visits. Developed credentialing procedures for resident physicians that allowed residents from local Universities to gain exposure to this facility and aided in medical staff recruitment efforts. Created a documentation trail of credentialing and medical staff oversight efforts to be used in compliance surveys. This system had not previously existed. Coordinated medical staff services. ______________________________________________________________________________ Field Case Manager, Concentra Managed Care 07/2001-03/2002 Performed workmans compensation case management for long term injured workers. Quality Improvement Specialist/Risk Manager, Southern Maine Medical Center 6/199901/2001
Collected, analyzed and reported performance data. Managed risk events.

Nurse Education Consultant, Maine Diabetes Control Project

Conducted Diabetes Education site licensing evaluations. Taught seminars.

10/1998-06/1999 03/1990-09/1998 09/1988-03/1990 01/1988-09/1988 10/1987-12/1987 07/1985-08/1987

Quality Improvement Coordinator, MaineGeneral Medical Center, Charge Nurse, Skilled Nursing Unit, MaineGeneral Medical Center Staff Nurse, Neonatal Intensive Care, Central Maine Medical Center Charge Nurse, Level I Newborn Nursery, U.S. Naval Hospital-Groton CT Charge Nurse, Level II Newborn Nursery, Iowa Lutheran Hospital

Worked on statewide initiative to bring Maryland Quality Indicator Project to Maine.

(910) 245-2868

Jacquelyn R. Lewis Vass NC 28394 e-mail: jacie.lewis@embarqmail.com

Education:

MBA with Health Care Concentration, 1997 Thomas College, Waterville, Maine 04901 Diploma in Nursing, 1985 Iowa Methodist Hospital School of Nursing, Des Moines, Iowa 50315 Bachelor of Science, 1979 Purdue University, West Lafayette, Indiana 47906

Licensure: Certification:

Registered Nurse, State of North Carolina

Certified Legal Nurse Consultant (CLNC) Vickie Milazzo Institute, a division of Medical-Legal Consulting Institute, Inc. Certified Professional in Health Care Quality (CPHQ) Healthcare Quality Certification Board

Recognition:

Listed in Whos Who in Medicine and Healthcare Member Sigma Beta Delta Honor Society for Business Administration