Elizabeth Johnston
Lafayette
Summary
Results-driven Quality Coordinator at MDwise with expertise in data analysis and quality auditing. Proven ability to enhance performance monitoring and implement continuous improvement strategies. Skilled in managing high caseloads while fostering team collaboration and communication. Committed to achieving organizational goals through effective project management and attention to detail.
Overview
18
18
years of professional experience
Work History
Quality Coordinator
MDwise
01.2023 - Current
- Conducting audits, data/analytics, dashboard creation and updating
- Monitoring Key Performance Indicators relating to organizational or departmental goals.
- Manage member program data related to quality metrics (HEDIS, NCQA, CAHPS)
- Support electronic quality file organization, naming conventions and electronic folder maintenance.
Care Manager
MDwise
09.2015 - 01.2023
- Identify Member needs including medical, behavioral and social barriers and provide information on health care access, preventative health interventions and screenings within process guidelines
- Create and participate in the development of biopsychosocial care management plans for all members
- Serve as a coordinator to link members to services, often at the direction of the team care manager or based on care gap reports
- Maintain the minimum required caseload and provide timely care for all members in this caseload
Wraparound Facilitator
MDwise
07.2007 - 09.2015
- Facilitate a federal CAPRTF grant, PRTF Transition Waiver, Money Follow Person Program (MFP), CMHI (Children’s Mental Health Initiative) and CMHW (Children’s Mental Health Waiver) to aid in maintaining the community placement of at-risk youth in high need family settings.
- Assess youth and families to determine underlying needs and immediate needs
- Link families to resources for ongoing support
- Engage families in the four phases of wraparound
- Assist families with building team by providing family with choices and voices for their selected services and service providers.
- Manage community-based service providers
- Conduct assessments, plans of care/treatment plans, crisis plans, intervention plans
- Manage federal funds to ensure fiscal responsibility
Education
Bachelor of Arts - Sociology, Spanish
Indiana University
Bloomington05.2002
Skills
- Complex case management
- Data analysis and organization
- Quality auditing and improvements
- Performance monitoring and evaluation
- Dashboard creation and reporting
- Problem solving and critical thinking
- Virtual office proficiency
- Verbal and written communication
- High caseload management
- Facilitating team meetings
- Team collaboration and interpersonal skills
- Project management and process mapping
- Attention to detail and quality training
- Audit compliance and technical reporting
- Continuous improvement strategies
- Time management expertise
References
- Megan McNeal, Director of Accreditation, MDwise
- David Lawson, Clinical Quality Specialist, MDwise
- Debra Shepherd
Areas Of Specialty
- Complex case management
- Experience in virtual office environment knowledge
- Excellent verbal and written communication skills
- Manage high caseload of 300 plus members in rapidly changing and high-pressure environment
- Experience facilitating child and family team meetings
- Time Management
Timeline
Quality Coordinator
MDwise
01.2023 - Current
Care Manager
MDwise
09.2015 - 01.2023
Wraparound Facilitator
MDwise
07.2007 - 09.2015
Bachelor of Arts - Sociology, Spanish
Indiana University