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Chief of Quality Assurance/Risk Management/Infection Prevention Resume Example

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CHIEF OF QUALITY ASSURANCE/RISK MANAGEMENT/INFECTION PREVENTION
Professional Summary

Excellence focused Registered Nurse leader, highly skilled in the areas of patient safety, risk management, State licensing and CMS accreditation surveys of acute hospitals. Over 30 years of varied and progressive clinical experience. Sixteen years combined progressive management level experience; the last eleven years focus in the areas of patient safety, hospital accreditation, quality and infection prevention. Developed innovative preparation strategies and led successful surveys in both my current and prior positions. Posses in-depth knowledge of patient safety concepts and their effective application. Successfully completed the ASHRM Patient Safety Certificate Program. Posses strong leadership skills that help guide teams towards achievement of positive outcomes and drive organizational performance. I am seeking a leadership role where my experience, skills and knowledge bring value to the organization and where there is opportunity for professional growth.

Certifications and Licenses

Registered Nurse in the State of California

Certified Professional in Healthcare Quality (CPHQ)

Certified Professional in Healthcare Risk Management (CPHRM)

Certificate in Patient Safety, ASHRM

Currently re-certifying HACP credential

Skill Highlights
  • In depth knowledge of CMS, NHSN & Title 22 Regulatory requirements
  • Experience preparing for and leading successful State Licensing and CMS accreditation surveys for acute care hospital, outpatient diagnostic imaging, sleep center and oncology infusion center.
  • Extensive experience in medical record review and data analysis
  • Experience with claims coordination through all phases of litigation process
  • Development of regulatory compliance and risk reduction educational presentations and modules for Medical Staff committees and Executive Leadership
  • Proficient with WORD, EXCEL, POWER POINT
Accomplishments
  • Led successful Risk Management & Patient Safety programs that resulted in $57K reduction in medical malpractice premiums.
  • Development of successful Sepsis and Patient Family Advisory Committees
  • Led organization-wide implementation of patient safety programs including TeamSTEPPS, BETA Heart annual Culture of Safety SCORE survey & Just Culture.
  • Member of Physician Education Committee
  • Organization recognized and awarded for participation and achievement of advanced levels in Beta Healthcare Group's, 'Quest for Zero' patient harm in OB and ED initiatives consecutively for 10 years
  • Achieved and sustained targets at, or better than, State and National Benchmarks for reduction in Early Elective Deliveries and Sepsis outcomes.
  • Invited as guest presenter at BETA Healthcare Group Patient Safety Conference 02/2020- Culture of Safety Process Improvement presentation
Professional Experience
Company NameCity, StateChief of Quality Assurance/Risk Management/Infection Prevention04/2013 to Current

Promoted from Director to Chief of Quality Assurance and Risk Management and Infection Prevention in April, 2018.

Analysis of trends in patient safety and care processes to properly evaluate and mitigate risk organization-wide.

Use analyzed patient safety data to inform decisions for organizational change and improvement.

Conduct RCAs and investigations using Cognitive Interviewing skills

Established and maintained positive relationships with physician leaders, Nursing and Executive leadership.

Provide regulatory guidance for CMS, and State licensing standards, education and support at all levels of the organization

Preparation for Joint Commission Surveys and FMEAs prior to changing accrediting organizations.

Regularly report analysis of quality, patient safety and infection control outcomes to key leadership and Board of Directors.

Company NameCity, StateQuality Analyst/Wound Care RN09/2009 to 04/2013

Interim Quality Department Director

Data abstraction for CMS Quality Measures

Wound Management program oversight

Company NameCity, StateAesthetic Procedures RN06/2006 to 09/2009

Supervised day-to-day operations of a private practice Medical-Spa in accordance with set policies and guidelines.

Company NameCity, StateBranch Office Supervisor/Case Manager01/1998 to 09/2006

Supervision of day-to-day operations of home health (HH) branch office in accordance with established organizational policy and regulatory guidelines, Joint Commission Standards and licensing requirements.

Education and Training
Master of Science:Nursing Administration & Leadership2016Western Governors University, City, State, US
Honors Graduate
Bachelor of Science:Nursing Science2015Western Governors University, City, State, US
Associate of Science:Registered Nursing1990Cuesta Junior College, City, State, US
Affiliations

American Society for Healthcare Risk Management (ASHRM)

National Association of Healthcare Quality (NAHQ)

Sigma Theta Tau International Honor Society of Nursing

Honors graduate, Western Governor University

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Resume Overview

School Attended

  • Western Governors University
  • Cuesta Junior College

Job Titles Held:

  • Chief of Quality Assurance/Risk Management/Infection Prevention
  • Quality Analyst/Wound Care RN
  • Aesthetic Procedures RN
  • Branch Office Supervisor/Case Manager

Degrees

  • Master of Science : Nursing Administration & Leadership 2016
    Bachelor of Science : Nursing Science 2015
    Associate of Science : Registered Nursing 1990

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